How to improve the thickness of the endometrium?

In life, some women have endometrial thickening, which can bring a lot of pain to women, may cause irregular menstruation, and may also lead to female infertility, so it is better to actively treat it. So what are the treatments for endometrial thickening? Let's learn about it together.

Endometrial thickening is a common disease in women of childbearing age, often causing dysmenorrhea, pain and infertility. Laparoscopy is the gold standard for diagnosing the disease, which can not only clearly stage the disease, but also provide treatment at the same time, such as cauterization and vaporization of intra-abdominal lesions, lysis of pelvic adhesions, and removal of chocolate cysts, with unique efficacy.

What are the treatments for endometrial thickening? Endometrial thickening must be treated as soon as possible, especially in young women, as endometrial thickening can lead to infertility and affect fertility. Infertility experts will explain the treatment of endometrial thickening.

Treatment for endometrial hyperplasia:

① Simple and complex endometrial hyperplasia:

a. Young patients: Most of them suffer from anovulatory dysfunctional uterine bleeding. Basal body temperature should be measured. If it is confirmed to be monophasic anovulation, ovulation induction treatment can be used.

b. Reproductive period: Generally, one curettage can control bleeding. If bleeding still occurs after curettage, laparoscopy and B-ultrasound should be performed to exclude submucosal myoma or other organic lesions. Infertility may also occur during the reproductive period, and clinical manifestations are polycystic ovary syndrome with anovulation, which should be treated according to polycystic ovary syndrome.

c. Menopausal transition period: It is often anovulatory dysfunctional uterine bleeding. If the menstrual cycle is infrequent and the bleeding 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.

d. Late menopause: Ask whether to use estrogen replacement therapy alone. Replacement therapy can be suspended after curettage or progesterone can be added

②Atypical endometrial hyperplasia:

a. Menopausal transition or postmenopause: hysterectomy. Since age is the main risk factor for malignant transformation of endometrial hyperplasia, hysterectomy is appropriate for this age group of patients.

b. Young people or those who are expecting to have children: drug treatment. Atypical hyperplasia is a potentially malignant precancerous lesion. If not treated, 20% will progress to cancer. However, cancer is rare in young patients, and drug treatment is effective for young and reproductive patients. Therefore, drug treatment can be selected to preserve fertility.