What are the cure criteria for endometrial thickness?

What are the cure criteria for endometrial hyperplasia? Endometrial hyperplasia is a common female disease. The disease is mainly caused by ovarian hormone disorders due to various reasons. A large amount of estrogen causes continuous stimulation to the endometrium, which induces abnormal endometrial hyperplasia, namely endometrial hyperplasia.

The clinical manifestation is irregular, heavy and continuous abnormal uterine bleeding, which should be distinguished from menstrual disorders because the bleeding symptoms of this disease can occur during the non-menstrual period or even after amenorrhea, so special vigilance is required. In terms of menstrual conditions, it can also be manifested as prolonged menstruation and shortened cycle, and the bleeding time can be up to 1 month.

Endometrial hyperplasia can cause a series of adverse consequences, such as irregular menstruation, dysmenorrhea and other visible symptoms, as well as endometrial thickening that can inhibit ovarian ovulation and sometimes kill sperm, leading to infertility. Therefore, female friends should be alert to endometrial hyperplasia and actively seek treatment.

What are the treatments for endometrial thickening?

There are usually two ways to treat endometrial thickening, namely surgical treatment and drug treatment.

Drug treatment is mainly for patients with relatively mild symptoms. At the same time, traditional Chinese medicine can also be used for treatment, which has relatively few side effects. It is mainly used to regulate the menstrual cycle and help restore ovulation. The purpose of surgical treatment is to completely cure endometrial hyperplasia and prevent the lesion from developing into endometrial cancer. Doctors suggest that not every patient is suitable for surgical treatment. Some patients who have not responded to long-term drug treatment or have repeated attacks, those who are over 40 years old and have no fertility requirements, and those whose endometrial cancer is difficult to identify can use surgical treatment.

However, the treatment of any disease cannot be one-size-fits-all, and appropriate measures should be taken according to the specific situation of each patient. Doctors point out that the following typical types of endometrial hyperplasia are common, and a combination of surgery and drugs is required for treatment.

1. For young patients. Irregular bleeding in young patients is mostly anovulatory functional uterine bleeding. Endometrial hyperplasia inhibits the normal discharge of eggs. Therefore, young women who find this disease should go to the hospital for basal body temperature testing. If it is confirmed to be monophasic anovulation, ovulation induction treatment can be used.

2. For patients in the menopausal transition period. Patients with endometrial hyperplasia in the menopausal transition period also have anovulatory functional uterine bleeding, and curettage can be used to stop bleeding. If symptoms such as infrequent menstruation, prolonged bleeding, and heavy bleeding occur after the operation, three cycles of progesterone treatment are required every two months, followed by follow-up observation.

3. For patients in the reproductive period. Most patients in the reproductive period can stop bleeding after a one-time curettage. If bleeding still occurs after surgery, hysteroscopy and B-ultrasound examination are required to rule out submucosal myoma or other organic lesions. If the clinical manifestations are anovulatory polycystic ovary syndrome, it should be treated as polycystic ovary syndrome.

4. For postmenopausal patients, estrogen replacement therapy alone can be used. If a curettage is required, the replacement therapy can be suspended or progesterone can be added after the operation.

Endometrial hyperplasia is a reversible disease that can be cured if discovered in time and treated actively. However, it can also turn into cancer, so patients should be more vigilant.