Typical picture of endometrial thickness

Due to the special physiological structure of women, they are prone to gynecological diseases. Now, as people's concepts change, many female friends will choose to undergo gynecological examinations once a year or several years. Some women find that their endometrium is very thick during the examination, and they will have negative psychological feelings such as panic and fear, and even doubt whether they have endometrial cancer. In fact, this is a manifestation of excessive worry. Below, let's learn some knowledge about the endometrium. The following picture is a typical picture of thick endometrium.

FAQ 1: What is endometrial thickness?

Experts say: Endometrial thickening can be divided into physiological and pathological types. The disease caused by physiological factors will not have a great impact on women, but pathological factors can cause symptoms such as female infertility. It is an endocrine disease and can recur, troubling many women of childbearing age.

The thickness of a woman's endometrium is related to the imbalance of endocrine hormone levels. It will prevent the fertilized egg from implanting well, eventually leading to infertility. Excessive thickness of the endometrium can cause dysmenorrhea, prolonged menstruation and excessive menstrual bleeding. Excessive thickness of the endometrium can also make it difficult for the fertilized egg to implant, thus affecting conception.

FAQ 2: Why does the endometrium of women thicken?

Experts say that the endometrium changes periodically according to the cyclical secretion of ovarian hormones throughout the menstrual cycle. The main reason for thick endometrium is that too much estrogen stimulates the endometrium. There are also some other reasons that can cause endometrial thickening:

1. Obesity: When women are too obese, androstenedione secreted by the adrenal glands will often be converted into estrone through the action of aromatase in adipose tissue. The more adipose tissue there is, the stronger the conversion capacity. As the level of estrone in plasma increases, it will cause a persistent estrogen effect, eventually causing thickening of the endometrium.

2. Endocrine functional tumors: Endocrine functional tumors are a relatively rare type of tumor, accounting for 7.5% of endocrine functional tumors. The gonadotropin function of the pituitary gland is abnormal, and ovarian granulosa cell tumors are also tumors that continuously secrete estrogen.

3. Simple endometrial hyperplasia: The lesioned uterus is slightly larger, the endometrium is significantly thickened, and sometimes diffuse polypoid. The amount of curettage material is large, and may be mixed with red and smooth polypoid tissue. Microscopically, the lesion is diffuse, involving the functional layer and basal layer of the endometrium. Due to the simultaneous proliferation of the stroma and glands, there is no glandular crowding.

4. Complex endometrial hyperplasia: The etiology of complex endometrial hyperplasia is similar to that of simple hyperplasia, but because the lesions are localized, it may also be related to the distribution of hormone receptors in the tissue. Generally, the cause of endometrial thickening caused by this disease is different from that of simple hyperplasia in that the lesions are focal hyperplasia of glandular components without affecting the stroma.

FAQ 3: What are the symptoms of endometrial thickness?

1. Excessive menstruation: When women have endometrial thickening, their menstrual volume tends to increase and their menstrual period is prolonged. This is often caused by endometrial thickening and is often accompanied by ovarian dysfunction.

2. Amenorrhea: The patient has been in a state of amenorrhea and continues to bleed.

3. Dysmenorrhea: It is a common and prominent symptom of endometrial thickening. It is mostly secondary, that is, it starts from the occurrence of endometriosis and causes pain or tenderness.

4. The thickening of the endometrium compresses the ureter, causing hydroureteral pelvis on that side or renal atrophy, or symptoms of systemic failure such as anemia, weight loss, fever, cachexia, etc.

Experts remind: The above are all symptoms of endometrial thickening. Endometrial thickening is also a precursor to cancer. Cancer will make people think of cancer, which is an incurable disease. For the health of our body, female friends must go to the hospital for treatment in time when various symptoms of endometrial thickening appear.