When a seed falls to the earth, a miraculous journey of "life" begins. It's like the process of conception, the uterine lining carefully takes the embryo into its own arms, providing it with nutrients and energy, and a small life is conceived, what a beautiful process!
But what if something goes wrong with the "soil"? Of course, the inner membrane is too thin, the "soil" is barren, and it is naturally difficult to conceive small lives, so what if the inner membrane is "too thick"? Can you still get pregnant?
That's the score! Before that, we have to figure out what kind of inner membrane is thick???
My inner membrane is 8mm, is it thick?
The normal inner membrane is constantly changing cyclically, and the whole process is regulated by the dynamic changes of sex hormones, which can be divided into 3 stages, so the thickness of the inner membrane also depends on when the examination is done.
●Menstrual period
Around the 1st to 5th day of the menstrual cycle, the endometrium will fall off and bleed, leaving only 1/3 of the total thickness of about 1 to 4 mm.
●Proliferation period
Around the 5th to 14th day of the menstrual cycle, the endometrium will gradually thicken during these days, and the thickness can be increased from 4 mm to 10 mm.
●Secretory phase
The thickness of the 15th to 28th day of the menstrual cycle, up to 7-14 mm thick, is the most conducive state for implantation of fertilized eggs. After the end of the secretory period, the endometrium is peeled off, and the next menstrual period will begin. Therefore, if the egg is not fertilized during the secretory period, the "creation plan" can only wait until the next time.
Then here comes the answer!
If you do B ultrasound during menstruation or just after menstruation, the 8mm inner membrane is indeed a bit thick.
If it is a period of menstruation, in the proliferation period of the intima, 8mm is not thick, if it is in the late stage of the secretion period, the intimal membrane of 8mm is even a little thin.
The ovulation period is generally in the early stage of endometrial secretion, so for sisters who are trying to conceive, the thickness of the endometrium is 9 to 11mm is the most suitable for pregnancy. If < 7 mm is thin endometrium, ≤ 5 mm is ultra-thin endometrium. If the thickness of the endometrium > 18 mm, it is an abnormal thickening of the endometrium, which may be detrimental to conception.
The inner membrane thickens, what to do?
Gynecological ultrasound examination is the main way to understand the thickness of the endometrium, if it is occasionally found to be thickened in the lining, but without any symptoms, do not need to be too anxious, you can repeat the ultrasound at 5-7 days of the next menstruation.
If the endometrial thickness and echo are normal, no special treatment is required, and follow-up observation is sufficient. If the lining is still thickened or the echoes are uneven, further intervention is required, and even hysteroscopic endometrial biopsy is performed to determine if the lining is a lesion.
Abnormal thickening of the inner membrane, how to adjust?
There are many causes of abnormal thickening of the intima, symptomatic treatment, most of which can be relieved and pregnant.
Ovarian estrogen secretion is excessive and progesterone deficiency
Ovarian dysfunction, ovulation disorders, lack of progesterone production to antagonize estrogen, and large amounts of estrogen can irritate the endometrium, which can lead to thickening of the endometrium. A typical representative of this is polycystic ovary syndrome, at which time endocrine therapy is used to promote the timely transformation of the lining and full dissection.
Simple endometrial hyperplasia is too long
Or complexity increases too long
These two are still benign lesions, which can be treated with low-dose progesterone in the second half of the cycle, and most of the endometrium can be transformed in time to return to normal, but the follow-up still needs to be consolidated and maintained.
Atypical hyperplasia of the endometrium
It is a precancerous lesion, at which point, after evaluation by a professional doctor, it can be treated with highly effective progestogens such as medroxyprogesterone acetate orally, or levonorgestrel intrauterine sustained-release system (Manyuele ring) hysterical placement. During treatment, it is necessary to regularly recheck and perform endometrial biopsy to complete the pathological examination and understand whether the disease has completely remission, otherwise there is a risk of lesion progression. If the disease is completely alleviated, after comprehensive assessment and timely intervention by the doctor, it is still possible to realize the desire to become pregnant and have a child.
Endometrioid carcinoma
Early endometrioid carcinoma with indications for childcare treatment can be conservatively treated with drugs, commonly used drugs are megestrol acetate or megestrol acetate combined with Manjule ring, etc. For some special cases, GnRH-a combined letrozole can also be tried, but must be evaluated by a professional conservation treatment team.
Surgery is the treatment of choice if the endometrial cancer is of particular pathological type, or if imaging tests consider the possibility of tumor muscle infiltration or even extrauterine metastases.
In short, "excellent" lining is the premise of ensuring embryo implantation, regular gynecological physical examination, and timely medical treatment when there are menstrual abnormalities, which are very important!
Editor: Li Miaoran