During the physical examination ultrasound examination
In addition to being able to see
Endometrial lesions, presence or absence of uterine fibroids
Or problems like ovarian cysts
The thickness of the endometrium is also checked
Does the thickness of the endometrium also affect a woman's health?
The answer is yes
But
The thickness of the endometrium
It does not make women feel uncomfortable
So many women don't know how to pay attention to this issue
Today, Xiaopu will take his friends to understand clearly
Things you don't know about the endometrium
First of all, you know about the endometrium
The endometrium refers to the layer that makes up the inner wall of the uterus in mammals, and the endometrium is the innermost layer of the uterine body wall, lining the surface of the uterine cavity, and there is no subendometrial tissue.
According to the different types of tissue, it can be divided into three layers: dense layer, sponge layer, and basal layer.
According to whether it is affected by hormones or not, it can be divided into two layers:
The functional layer and the basal layer, in which the dense layer and the sponge layer are collectively called the functional layer, can be affected by ovarian sex hormones, undergo periodic growth and shedding, and form menstruation.
The basal layer is the lining of 1/3 adjacent to the myometrium, which is not affected by sex hormones and does not undergo periodic changes. The thickness of the endometrium varies periodically, with the endometrium being relatively thin after menstruation and relatively thick before menstruation. Abnormal growth of the endometrium may cause abnormal uterine bleeding and even cancer.
What causes a thin endometrium during the examination?
If a woman's menstrual cycle is 28 days, the endometrial thickness should be checked from the 8th, 10th, 12th, and 14th days of menstruation.
If the endometrium < 7 mm by the 14th day of ovulation, the endometrium is considered to be too thin. The most common factors of endometrium thinness are inflammatory and iatrogenic factors. It also includes reproductive endocrine abnormalities, local blood flow abnormalities, and drug effects.
Inflammation:
Acute or chronic infections can lead to destruction of the basal layer of the endometrium. Such as endometritis, pelvic inflammatory disease, endometrial tuberculosis, etc.
Iatrogenic injury:
Abortion or dilation and curettage can damage the endometrium, and if the uterus is over-curetted or repeated abortions, the endometrial basal layer can be damaged and cannot regenerate.
Genital endocrine abnormalities:
excessive dieting, violent weight loss, rapid weight loss; Mental stress, anxiety, depressive state; Low estrogen levels caused by overwork, staying up late, etc.
Abnormal blood flow:
Severe anemia leading to uterine ischemia and hypoxia; Compression of uterine fibroids leads to a decrease in local blood flow supply, etc.
Drug Effects:
Taking birth control pills can keep estrogen levels low in the body, causing the lining of the uterus to become thinner, which usually recovers after stopping the pill. Ovulation-inducing drugs, such as clomiphene, can also cause estrogen suppression, resulting in a thin endometrium.
TIPS：
Thin endometrium mainly causes problems such as decreased menstruation, difficulty getting pregnant, miscarriage, ectopic pregnancy, or placental abnormalities.
At present, it is very difficult to treat the already damaged endometrium.
Commonly used treatment options include estrogen therapy, adjuvant human chorionic gonadotropin (hCG), and medications to improve uterine blood flow.
What causes the endometrium to be too thick during the examination?
Since there are so many harms of thin endometrium, is it true that the thicker the endometrium, the better?
Of course not, too thick the endometrium can also cause problems.
Endometrial hyperplasia is mainly caused by excessive endometrial hyperplasia and usually occurs less often in women under the age of 35.
The most common cause is excessive estrogen production and insufficient progesterone, resulting in excessive proliferation of the endometrium under the action of estrogen.
TIPS：
Some women of childbearing age are found to have local endometrial hyperplasia during physical examination, most of them do not have to worry, it is generally benign and reversible, and the B ultrasound is gone after menstruation.
A small percentage of endometrial polyps may be present, with symptoms such as irregular menstruation, prolonged menstruation, and heavy menstrual bleeding, which can be treated with hysteroscopic surgery.
If endometrial hyperplasia is simple, there is generally no need to worry, but if it progresses to complex hyperplasia or dysplasia, it may develop into endometrial cancer, which is more common in perimenopausal or older women.
Therefore, if a postmenopausal woman finds a thickening of the endometrium during a physical examination, it is necessary to be vigilant.
Endometrial hyperplasia is usually treated with progestogens and usually responds well.
Please accept this healthy endometrium criterion
Criteria for endometrial thickness:
(There are large individual differences in endometrial thickness, and the following data are for reference only.) ）
▶ Menstrual period: about 2-3mm thick
▶ Early hyperplasia (day 5-7): about 5-6 mm thick
▶ Metaphase of hyperplasia (day 8-10): about 7-8 mm thick
▶ Late hyperplasia (day 11-14): about 9-10 mm thick
▶ Secretion phase (day 15-28): thickness up to 12 mm, occasionally up to 15 mm
How thick the endometrium is
The body can't feel it
But it has a certain impact on women's health
So
Women should treat themselves well
At the time of endocrine disorders
Remember to regulate your endocrine system in time
It is possible to keep the endometrium back to its normal thickness