Is curettage necessary for thick endometrium?

Thick endometrium does not necessarily require curettage. Whether curettage is needed depends on the individual's health condition and the doctor's professional evaluation.

1. The situation of adolescent women: During adolescence, many girls' bodies are still developing, especially the hypothalamus-pituitary-ovarian axis is not yet fully mature. This means that their menstrual cycles may be irregular and their progesterone levels may be relatively low, leading to thickening of the endometrium. In this case, doctors usually choose to observe and monitor rather than perform curettage immediately. Because as the body gradually matures, the menstrual cycle will return to normal and the thickness of the endometrium may recover naturally.

2. Considerations for women of childbearing age: For women of childbearing age, endometrial thickening may be caused by a variety of factors, including changes in hormone levels, stress, lifestyle, etc. Doctors usually conduct detailed examinations to rule out other potential problems, such as endometrial polyps or endometrial hyperplasia. If there are no serious symptoms or lesions, it may be improved by regulating hormone levels with drugs rather than direct curettage.

3. Women approaching or in menopause: At this stage, endometrial thickening may indicate more serious problems, such as endometrial hyperplasia or the risk of cancer. In this case, the doctor may recommend curettage for more detailed pathological examination and treatment. However, this is not absolute, and everyone's situation is different. The specific treatment plan needs to be determined based on the individual's health status and examination results.

4. Influence of lifestyle: Regardless of age, maintaining a healthy lifestyle is important for managing uterine health. A balanced diet, moderate exercise, and maintaining mental health can help regulate hormone levels in the body, which may improve the health of the endometrium.

5. Importance of regular check-ups: Regardless of whether you have endometrial thickening or not, regular gynecological check-ups are very important. Through regular check-ups, potential problems can be detected early and appropriate measures can be taken to manage them.

Whether a thick endometrium requires curettage depends on a variety of factors, including age, health status, and specific medical evaluation. It is recommended that female friends with related questions consult professionals in time to obtain the most suitable health advice and treatment plan for themselves. Maintaining good living habits and regular health checks are important measures to maintain uterine health.