Is endometrial thickening a disease?

Some women find that their endometrium is thickened during physical examinations. Is it normal to have thick endometrium? Is thick endometrium also a disease? This is a question that everyone is concerned about. Regarding this issue, let's take a look with the editor below.

Endometrial thickening, also known as endometrial hyperplasia, refers to a disease in which the endometrium grows excessively due to inflammation, endocrine disorders, or the stimulation of certain drugs.

Endometrial thickening is common in adolescent or menopausal women with irregular menstruation. It is a reversible endocrine system disease. Clinical studies have shown that the vast majority of patients can be cured through treatment as long as they maintain a persistent benign state.

Generally speaking, the normal thickness of the endometrium is 8-10mm.

The changes in the endometrium show three cyclic changes:

1. Menstrual period: The functional layer of the endometrium falls off and the basal layer remains.

2. Proliferative stage: The thickness of the uterus reaches 1-3mm during the 6th to 14th day of menstruation.

3. Secretory phase: From the 15th to the 28th day of menstruation, the endometrium is 5-7mm thick.

How to treat endometritis and thickening?

1. For young patients with endometrial thickening: Most of them are anovulatory functional uterine bleeding. The basal body temperature should be measured. If it is confirmed to be monophasic anovulation, ovulation induction treatment can be used.

2. For patients with endometrial thickening during the menopausal transition period: it is often anovulatory functional uterine bleeding. If menstruation is infrequent and the amount of blood is heavy or the bleeding time is long after curettage and hemostasis, progesterone treatment should be given every two months, and follow-up observation should be conducted after 3 cycles.

3. For patients with endometrial thickening during the reproductive period: Generally, one curettage can control bleeding. If bleeding still occurs after curettage, hysteroscopy and B-ultrasound should be performed to exclude submucosal myoma or other organic lesions. For patients with polycystic ovary syndrome who may also be infertile during the reproductive period and clinically manifest as anovulation, they should be treated as polycystic ovary syndrome.

4. For postmenopausal patients with endometrial thickening: ask whether to use estrogen replacement therapy alone. After curettage, replacement therapy can be suspended or progesterone can be added.

Health Tips: Endometrial thickening can be a big or small problem for women. If it is a normal phenomenon, everyone is happy. If it is a malignant manifestation, the patient should pay attention and go to the hospital for timely treatment.