Can endometrial thickening be cured?

A female friend once asked, what should I do if I have endometrial thickening? Since this disease is caused by the incorrect appearance of endometrial tissue, there is no so-called prevention method for endometrial thickening. If you get the disease, the patient can only seek help from a doctor in time and receive treatment as soon as possible. Usually, the following methods are used in medicine for treatment:

1. Follow-up observation

It is suitable for those with mild lesions, no symptoms or mild symptoms. Regular gynecological examinations are performed, combined with B-ultrasound examinations, to understand the changes in the condition. Pay attention to the growth of pelvic masses and their growth rate. Check once every 3 to 6 months. For those with symptoms, aspirin or indomethacin (indomethacin) and other drugs can be given for symptomatic treatment; infertility can promote conception, and signs and symptoms are expected to improve after delivery; after menopause, endometrial thickening lesions stop developing and gradually disappear.

2. Hormone therapy

Since the onset of thick endometrium is related to hormones secreted by the ovaries, hormone drugs that can reduce the level of estrogen in the body are mainly used to achieve amenorrhea and promote the atrophy of the thick endometrium, so that the thick endometrium can be treated. The commonly used drug treatment methods are as follows:

(1) Progestin therapy temporarily relieves symptoms and prevents further progression of the disease. Commonly used drugs are: norethindrone (Fukang Tablets), megestrol acetate (Funing Tablets), and progesterone acetate (medroxyprogesterone acetate) for oral administration.

(2) Pseudo-pregnancy therapy Long-term use of large amounts of highly effective progestins supplemented with small doses of estrogen to prevent breakthrough bleeding, in order to cause artificial amenorrhea similar to pregnancy, is called pseudo-pregnancy therapy. Clinically, highly effective or long-acting progesterone drugs such as progesterone caproate, medroxyprogesterone acetate, megestrol acetate, norethisterone, etc. are commonly used, with a certain amount of estrogen added.