How to judge the recovery of endometrial thickness

Endometrial thickening is a disease that mainly manifests itself as the wrong growth direction of the endometrium of female patients, which can cause some related diseases to the human body. At present, a more serious harm is infertility. Similarly, when differentially diagnosing endometrial thickening, we must also learn to distinguish.

1. Generally, thick endometrium causes more severe dysmenorrhea, which is secondary and progressive. The uterus is uniformly enlarged, but not very large. If there is thick endometrium in other parts, it will help to differentiate. If it is really difficult, you can try drug treatment. If the symptoms improve quickly (1 to 2 months of medication), the diagnosis tends to be thick endometrium. It should be pointed out that adenomyosis can coexist with uterine fibroids (about 10%). It is generally difficult to differentiate before surgery, and pathological examination of the uterus must be performed after surgical removal.

2. Adnexitis Thick endometrium of the ovary is often misdiagnosed as adnexitis. Both can form a tender, fixed mass in the pelvic cavity. However, patients with thick endometrium have no history of acute infection, and most patients have undergone various anti-inflammatory treatments without any effect. The onset of dysmenorrhea and the degree of pain should also be inquired in detail.

3. Ovarian malignancy Ovarian cancer is misdiagnosed as thick endometrium of the ovary, which will delay treatment, so it must be treated with caution. Ovarian cancer does not necessarily have abdominal pain symptoms, and if there are, it is often continuous, unlike the cyclical abdominal pain caused by thick endometrium. During examination, ovarian cancer feels solid, with an uneven surface and a larger volume.

4. Rectal cancer When the thick endometrium invades the rectum and sigmoid colon to a wide extent, it often forms a lump there, causing partial obstruction. In some cases, the thick endometrium invades the intestinal mucosa and causes bleeding, which is more like rectal cancer. However, the incidence of rectal cancer is much higher than that of thick endometrium. Generally, patients with rectal cancer lose weight significantly, have more frequent intestinal bleeding, which is not related to menstruation, and have no dysmenorrhea.