Thick endometrium is actually a relatively common gynecological disease. Its pathogenesis is very simple. The endometrial tissue that should have been in the uterus runs to other areas for some reason, and attaches and continues to grow. This greatly affects the patient's physical health. If it continues for a long time, it will also cause infertility. Medical treatments for thick endometrium Drug therapy can be divided into preoperative medication or postoperative medication. Preoperative medication can reduce the lesion, shrink the uterus, reduce pelvic adhesions and congestion, and inhibit the formation of physiological ovarian cysts, which should be beneficial for laparoscopic surgery. Medical treatments for thick endometrium At present, drug treatment is mostly used before and after surgery. Postoperative medication can reduce residual lesions and delay the recurrence of endometriosis. It is mainly suitable for patients with extensive thick lesions that cannot be completely removed or those with pain symptoms who have no fertility requirements but have cleared thick lesions visible to the naked eye. Evidence-based medical data published abroad show that it is appropriate for patients with pain symptoms to use drug treatment for 6 months after laparoscopic conservative surgery. For those who have cleared thick lesions visible to the naked eye and hope to have children in the near future, patients can be encouraged to get pregnant as soon as possible. Commonly used and effective drugs for treatment include danazol, gestrinone (gestrinone [translation]: gestrinone is a medium-strength progestin with strong anti-progestin and anti-estrogen activity, and also has very weak estrogen and androgen effects. It is clinically used as a contraceptive for visiting relatives or post-contraceptives. For early pregnancy, if used in combination with prostaglandins, it can increase the success rate of induced labor. Chinese aliases: gestrinone, 18-methyltrienyl norgestrel, qiangnoketone, dehydronorgestrel.), gonadotropin-releasing hormone analogs or agonists, progestogen drugs and oral contraceptives. Evidence-based medical data show that the efficacy of the above drugs in the treatment of endometriosis is not much different, but the side effects are different and the prices are also very different. Therefore, when choosing medications, you should fully communicate with the patient and jointly develop a treatment plan. The above content is an introduction to the drug treatment methods for endometrial thickening. I hope it can be helpful and of reference value to patients and friends. Experts say that endometrial thickening is very harmful to patients, and there are many causes of the disease. After patients find the symptoms of the disease, they should go to the hospital for examination and treatment in time. |
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