Can thick endometrium cause fetal malformation?

Thick endometrium generally does not directly lead to fetal malformation, but if the endometrium is too thick and accompanied by pathological changes, it may affect embryo implantation and development, and indirectly increase the risk of pregnancy. The key is to identify the cause of endometrial thickening and carry out targeted treatment, such as regulating hormone levels or surgical intervention.

1 Causes and effects of endometrial thickening

The thickness of the endometrium is affected by many factors, including the following:

Hormone imbalance: Excessive secretion of estrogen or insufficient progesterone may lead to excessive proliferation of the endometrium. In this case, the uterine environment may not be suitable for embryo implantation, or there is a risk of miscarriage during pregnancy, which requires treatment through hormone regulation and other methods.

Pathological changes: such as endometritis, endometrial polyps or endometrial hyperplasia. These lesions may change the morphology of the endometrium, interfere with placental development, and increase the risk of abnormal embryo development. Anti-inflammatory, surgical and other methods should be selected according to the cause.

Metabolic diseases: such as obesity or polycystic ovary syndrome can lead to endocrine disorders and abnormal changes in the endometrium. Such patients should combine diet, exercise and medication to regulate their metabolic state, which is more conducive to pregnancy preparation.

2 What to do if endometrial thickening

Choosing the appropriate method according to the actual cause can effectively improve the endometrial environment:

Medical treatment: Use of progestin-containing medications such as dydrogesterone or progesterone to adjust the balance of estrogen and progesterone to help control the thickness of the endometrium, which is common in cases of endometrial thickening caused by hormonal imbalance.

Intrauterine surgery: such as curettage and dilation and hysteroscopy, used to remove abnormal pathological endometrial tissue, suitable for patients with lesions such as endometrial polyps.

Lifestyle changes: such as weight loss, low-sugar diet, moderate exercise, etc., can improve metabolic abnormalities caused by polycystic ovary syndrome or obesity and indirectly regulate the endometrial environment.

3The importance of monitoring during pregnancy

Even if pregnancy is achieved after the diagnosis of endometrial thickening, the progress of pregnancy should be closely monitored. Regular prenatal examinations such as ultrasound, fetal development assessment, and placental function monitoring can detect abnormalities in a timely manner, adjust management plans, and minimize adverse outcomes.

Thick endometrium itself does not directly cause fetal malformation, but it may affect embryonic development due to pathological reasons or hormonal imbalance. If ultrasound during pregnancy or pregnancy indicates abnormal endometrium, you should see a doctor as soon as possible to intervene with medication or surgery to improve the intrauterine environment and create good conditions for embryonic development. Scientific pregnancy preparation and pregnancy care under the guidance of a doctor are the basis for giving birth to a healthy baby.