What are the differential diagnoses for endometrial thickness?

Endometrial thickness refers to the thickness of the endometrium. It has affected the health of many women in life. Some female friends are afraid of themselves or doubt whether they have endometrial thickness, but they don’t know how to identify it. So, how to identify it specifically? Let’s listen to the explanation of experts below.

The identification method is as follows:

One of the diagnostic methods for endometrial thickness: clinical manifestations. Common symptoms of endometrial thickness include lower abdominal distension and pain, lumbar pain, increased vaginal discharge that is thin, watery, and light yellow, dysmenorrhea, and menorrhagia. The patient's physical signs are often not obvious. Only when uterine pyometra is severe can an enlarged and tender uterus be felt, and the cervical secretions have a strange odor.

The second method for diagnosing endometrial thickness: diagnostic curettage. It can clarify the cause of the disease and exclude malignant lesions. Thickness should be controlled for three days before surgery, and antibiotics should be continued after surgery to reduce the thickness. The operation should be gentle during surgery, because the infected uterine wall is fragile and can easily cause uterine perforation. Elderly endometrial thickness has a thin endometrium, so more care should be taken when scraping. Endometrial thickness after abortion may have residual embryonic tissue, so it should be carefully and comprehensively scraped, which can often play a therapeutic role at the same time.

The third method for diagnosing endometrial thickness: pathological examination. Including: 1. Gross examination: endometrial swelling and paleness can be seen. 2. Microscopic examination: There are many plasma cells and lymphocytes infiltrating in the endometrial stroma under the microscope. It is worth pointing out that the presence of more plasma cells is extremely important for diagnosis. Those with a long period of thickening can see fibroblasts and capillary hyperplasia. Elderly endometrial thickness presents thick and hardened blood vessel walls, and sometimes calcification. When the lesion is severe, local ulcers form. When the endometrial glands atrophy, the surface epithelium may have squamous metaplasia. When squamous metaplasia is extensive, large pieces of squamous epithelium cover the entire inner wall of the uterine cavity, which is called uterine ichthyosis. After abortion, the thickness of the endometrium should pay attention to the presence of villi and decidua, especially when the abortion is long, the villi may be highly degenerated, and even no villi can be found, but scattered pieces of decidua tissue can often be found around the blood vessels.

The above content is about how to identify and diagnose endometrial thickness, and I hope it will be helpful to female friends. At the same time, experts point out that the clinical manifestations of endometrial thickness are often diverse, and a specific diagnosis is required based on the specific condition. In addition, the disease is generally caused by bad living habits or eating indiscriminately, so I remind you to pay more attention to hygiene in daily life.