"My inner membrane is too thin to transplant, what should I do?"
"Other doctors told me that the lining was too thin, which affected pregnancy."
"Why is the lining so thin that you can still get pregnant later?"
How to say it, the problem of the inner membrane can be large or small, and it is really difficult to answer it in a simple sentence. First of all, know the thickness of the inner membrane!
So, what is the endometrium?
The endometrium is a layer of pink mucosal tissue inside the uterus, and its role in the human body is to protect the health of the uterus, which is the implantation point of the egg. When it is affected by estrogen, it falls off and becomes a monthly menstruation for women, and when a woman is pregnant, the endometrium is also the place that provides nutrients for the embryo.
Doctors say that if the endometrium is too thin, the amount of menstruation will be reduced, the menstrual cycle will become shorter, and it will also affect whether women can get pregnant and have children. However, when the endometrium is too thick, it will also affect the growth and development of the embryo, and because the endometrium is too thick, the embryo does not develop well. Therefore, when it is found that the endometrium of a woman is too thick, the doctor does not recommend that the woman get pregnant and give birth to a child.
How is the thickness of the endometrium calculated?
The thickness and thinness of the endometrium are cyclical. At the beginning of a woman's menstrual cycle, that is, the menstrual period, the endometrium has just been completely peeled off, that is, when a large amount of menstrual bleeding during the menstrual period is close to the end, the intima should be very thin, which can be described as linear, that is, as thin as a line, and the doctor will record the intima as "linear" in the medical record book.
If the thickness of the endometrium is still more than 7 mm near the end of the menstrual period, it means that the endometrial detachment is not complete, but it is not normal. In general, at the end of a large amount of menstrual blood during menstruation, it is best to be less than or equal to 5 mm.
Entering the follicular development phase, the follicles inside the ovaries begin to develop. As the follicle continues to develop and grow, it will continue to secrete estradiol, which mainly acts on the endometrium, making the endometrium also continue to thicken.
Therefore, the thickening of the endometrium is accompanied by the development of follicles, in general, if the diameter of the dominant follicle reaches or exceeds 15mm, the thickness of the endometrium should be 7-8mm or more, and the thickness of the endometrium in normal women can reach about 9mm.
The thickness of the endometrium is closely related to the size of the follicle and cannot be separated.
For example, if on the 10th day of your menstrual cycle, the ovaries are in a polycystic state, and there are no dominant follicles in the bilateral ovaries, and the thickness of the endometrium is 5mm at this time, which does not mean that the endometrium is thin, because there is no large follicle present at this time, there is no corresponding estradiol production in the body, and the endometrium will certainly not be thick.
If the dominant follicle is 18 mm in diameter and the intimal membrane is 5 mm thick, it can be said that the endometrium is thin, which is definitely a problem. There are many reasons, such as oral perchlomifene (farlan), which affects the proliferation of the endometrium, and the presence of uterine adhesions leading to endometrial hyperplasia disorders (improper abortion can cause hysterical adhesions). The specific reasons need to be combined with the B super specific analysis.
Morphology of the endometrium
In addition to thickness and thinness, the endometrium also has a very important point: that is, morphology. It is not just thick, but also has a good form. A good endometrium is more abundant, with three lines, called the three-line sign, just like a human mouth. The middle line is called the uterine cavity line, and the uterine cavity line is best continuously raised from the cervix to the fundus, without interruption, and obvious interruption is usually a manifestation of uterine adhesions.
Some patients have uneven endometrial echoes, some dot-like or flaky high echoes between the uterine line and the upper and lower lines, and some patients have a significant high echo near the uterine line, that is, endometrial polyps. The above morphology is indicated during the late follicular stage, which is the dominant follicle approaching 16-18 mm (close to before ovulation).
After ovulation, the formation of a corpus luteum in the ovary produces progesterone, which converts the endometrium into a strong echo, so the polyps and echoes of the intima are not easy to observe. Therefore, it is best to observe the quality of the endometrium in the late follicle period, that is, around the 12th day of the menstrual cycle (if the menstrual cycle is about 28 days for patients).
Follicle early
On the 7th to 10th day of the menstrual cycle, when the menstruation is just clean, the follicles in the ovaries begin to grow, and the endometrium is the beginning of the proliferation period, about 2 to 4 mm thick.
Mid-follicle
On the 11th to 13th day of the menstrual cycle, with the development of the follicle, the level of estrogen gradually increases, and the endometrium gradually thickens, about 4 to 8 mm thicker.
Ovulation date
On the 14th day of the menstrual cycle, due to the increase in the rate of follicle development, estrogen rises rapidly, and the intima also accelerates growth, which can grow to about 9 to 12 mm before the follicle matures to ovulate.
Luteal phase
On the 15th to 28th day of the menstrual cycle, after ovulation, under the action of progesterone secretion of the corpus luteum, the thickness of the endometrium increases slightly, at this time, if the egg is combined with sperm, the fertilized egg will implant here; If there is no conception, the endometrium will fall off again to form a menstrual outflow.
How to maintain the endometrium scientifically?
Swimming improves contractions
Swimming for 2 hours a week can increase the ability to shrink by more than 10%. Developing a swimming habit can improve the ability to contract and maintain the temperature in the womb.
Scientific contraception
Condoms can not only effectively prevent contraception, but also prevent sexually transmitted diseases from infecting the uterus, so that the uterus is always young.
An excellent "oral contraceptive pill" not only can prevent contraception, but also regulate the menstrual cycle. Taking the same long-acting contraceptive pill for a long time can blunt the nerve centers that regulate body temperature, so one should be changed every year.
Co-intercourse during ovulation
Uterine spasms that occur during orgasm have a benign stimulating effect on the uterus, and it is equivalent to a massage against the uterus. Regular sex life can not only make both men and women more affectionate, but also increase uterine blood circulation.
Strict prevention of postpartum uterine prolapse
Postpartum inattention to rest, frequent squatting or heavy work, increased abdominal pressure, causing the uterus to shift downward along the vagina. The uterus can descend from the normal position along the vagina to the outside of the cervix to below the level of sciatic spines, and even the uterus is completely detached from the vaginal opening, which is medically called uterine prolapse, referred to as "uterine prolapse".
Reduce high-fat foods
High-fat foods promote the production and release of certain hormones, and the formation of fibroids is related to a large amount of estrogen stimulation, adhere to a low-fat diet, drink more water, and eat the necessary nutrients in a balanced diet. Avoid spicy, alcoholic, frozen and other foods.