Is the endometrial thickness of 1.4cm serious?

Whether an endometrial thickness of 1.4 cm is serious depends on the time of the test and the individual's menstrual cycle. Normally, the thickness of the endometrium varies at different stages of the menstrual cycle.

1. Importance of detection time: If the ultrasound examination is performed just after the menstrual period, the endometrium should usually be thin, generally between 0.3-0.5cm. If a thickness of 1.4cm is detected at this time, it may indicate abnormal endometrial hyperplasia. This situation needs to be taken seriously, and further diagnosis is recommended, such as curettage and endometrial biopsy, to clarify the cause and develop a treatment plan.

2. Treatment options:

For simple endometrial hyperplasia, you can consider using ovulation-inducing drugs, such as clomiphene citrate, or treatment with intramuscular injection of progesterone. These drugs can help regulate endocrine and inhibit excessive endometrial hyperplasia.

If atypical hyperplasia is diagnosed and the patient wishes to have a baby, the doctor may recommend a period of treatment with medroxyprogesterone. This approach helps to restore normal endometrial function to a certain extent, making pregnancy possible.

For patients with a clear tendency to malignant transformation, more radical treatment measures may need to be considered, such as hysterectomy or endometrial curettage. These surgeries can effectively prevent further development of the lesion.

3. Influence of physiological cycle: In the premenstrual period, the endometrium will naturally thicken, and it is a normal physiological phenomenon to reach 1-1.5cm. If the endometrial thickness is found to be 1.4cm during this period, there is usually no need to worry too much. However, to be on the safe side, you can have another ultrasound examination after the menstrual period to confirm whether the endometrial thickness has returned to normal.

4. Health management advice: Regardless of the test results, maintaining a healthy lifestyle is essential for uterine health. A balanced diet, regular exercise, avoiding excessive stress, and regular gynecological examinations are all effective measures to maintain female reproductive health. If there is any discomfort or abnormal bleeding, it is best to seek medical attention in time.

In this way, women can better understand the significance of changes in endometrial thickness and take appropriate measures when necessary. Maintaining good health habits and regular medical examinations will help prevent and early detect endometrial-related health problems.