What Factors Affect Uterus Thickness?

Thin endometrium is a common condition in women. Under the action of certain estrogen, women can be judged as thin endometrium when the endometrium can not reach a thickness of 8 mm during ultrasound examination.

Thin endometrium

Thin endometrium is a common condition in women. Under the action of certain estrogen, women can be judged as thin endometrium when the endometrium can not reach a thickness of 8 mm during ultrasound examination.

The causes of endometrial thinness are systemic. Common causes include low estrogen levels, insufficient progesterone levels, ovulation disorders, and lack of growth hormone. There are also local causes, such as endometrial damage, adhesions, and loss. In some patients, the endometrium has not recovered after an induced abortion, which can also cause thin endometrium.

When diagnosing thin endometrium, it must be at a certain level of estrogen. If the level of estrogen is insufficient, at this time, if the thickness of the endometrium is less than 8 mm, it cannot be diagnosed as thin endometrium. It can be said that insufficient estrogen causes thin endometrium. Therefore, if the patient finds the endometrium thin at the time of the examination, check the estrogen level at the same time.

Chinese name

Thin endometrium

High incidence population

female

the reason

Low estrogen levels

Thickness

7mm or less

The causes of thin endometrium are divided into systemic and local factors. Systemic factors include

(1) The type of "endometrium thin" of kidney deficiency type is more common in women who are not infertile. Generally, menarche is late or there is too little menstruation after menarche, secondary sexual characteristics appear later, and insufficient estrogen secretion after menstruation. Short menstrual periods, very little menstrual flow, even a little bit of clear, pale red, combined with dizziness, tinnitus, backache, soft legs, heel pain and other symptoms.

(2) Blood deficiency type "endometrium thin" is common in women between 30 and 40 years old, mostly due to spleen deficiency and poor appetite, malnutrition, improper weight loss, overwork, chronic illness and loss of yin and blood. This phenomenon easily leads to delayed menstrual endometrial proliferation disorders. Common symptoms are low menstrual flow and pale color, which can be clear or dripping within one to two days, abdominal pain, dizziness, palpitations, pale skin, pale claw nails, pale lips, and moist skin.

(3) Blood stasis type "endometrium thin" is found in postpartum lochia that is not cleanly discharged. Those who have undergone gynecological surgery or abortion surgery, stagnant blood stays in the uterus or worries to qi stagnation and blood stasis, endometrial adhesions, blood lines are not Smooth and small amount, purple and black with a block, lower abdomen tingling refusal to press.

Generally, it is considered that the thickness of the endometrium is 8-10mm, which is more suitable for conception. Experts say that if you have undergone abortion curettage, have uterine polyps, have undergone hysterectomy, or have endometritis, polycystic ovary syndrome , May destroy the growth of the endometrium. Therefore, people who have undergone intrauterine surgery are advised to check the thickness of the endometrium before conception. In addition, people who have relatively small menstrual periods should also be considered for examination.

The endometrium is the thickest during ovulation, so if your menstrual cycle is 28 days, the thickness of the endometrium should be checked from the 8th, 10th, 12th, and 14th days of menstruation. By the 14th day of ovulation, the endometrium thickness is less than 7mm, which means that your endometrium is thin.

Endometrial thinness means that women have an endometrium of less than 8 millimeters when ultrasound is performed under the action of certain estrogen. These factors can cause the egg to fail to implant well and consequently not to conceive as planned. If the estrogen can not reach a certain level, the ultrasound performed at this time found that the thickness of the intima is less than 8 mm, and the thinness of the intima cannot be diagnosed. It is just that the cause of insufficient estrogen. Ultrasound is usually done in the middle of menstruation. At that time, it is necessary to see that the follicles are mature, for example, the diameter is 8 mm, the endometrium is less than 8 mm, and the estrogen level is checked at the same time. What tests need to be done, and when to do a hormone level check, you need to go to the hospital for an initial check before you can determine.

Endometrial thinness is abnormal physiological endometrial thinness, which refers to the abnormal phenomenon that the thickness of the endometrium changes normally with the menstrual cycle, the follicles have matured but the endometrium has not reached 10mm.

It is necessary to rely on electrochemical luminescence immunoassay to check hormone levels, and four-dimensional vaginal ultrasound to monitor endometrial thickness and follicle size and hysteroscopy.

Treatment of abnormal physiological endometrial thinning requires hormone supplementation or surgical treatment according to the cause. Those with low estrogen start replenishing one unit of natural estrogen at 10 days of menstruation, which can be used for five days. If used too early, it will inhibit ovulation. If used for a long time, it will lead to endometrial hyperplasia; if the corpus luteum is inadequate, it should be during menstruation On the fifth day, hmg75iu per day is given for five consecutive days, which can increase the granulosa cells in the follicles and increase the secretion of progesterone. If the age is too high and the menstrual volume is too low, one unit / day of growth hormone can be given, depending on the reason and age. Various. Endometrial adhesion and injury can only be treated with anti-adhesion treatment after laparoscopic cold instrument treatment, and severe endometrial transplantation is also required. Ovulation disorders require puncture intervention.

1. Women who have multiple abortions.

2. Women with insufficient estrogen.

3. Women with chronic illness and weakness.

1, mental health: should maintain a stable and happy mood, to avoid excessive mental stress. Relaxing is actually one of the most effective ways to regulate endocrine, which is very important. Under the influence of good mood, women can not only have more health, but also exude charming charm. Don't ignore this.

2. Physiological care: Keep warm during menstruation. You can place a hot pack or warm water bag on the abdomen to accelerate blood circulation, relax muscles, reduce organ spasm, and promote menstrual discharge.

3, sports health: exercise can enhance physical fitness, is good for uterine health. Practicing yoga is the best way to maintain the uterus. Yoga can regulate the blood circulation of female organs and regulate the secretion of hormones.

4, diet and health: should be light, avoid spicy thick taste, quit smoking and alcohol. Eat more blood and blood products, such as black beans, gelatin, black fungus, snow clam, soy milk, silk bone chicken, honey, walnuts, black sesame, sunflower seeds and so on.

1. Laparoscopy for thin endometrium

Laparoscopy is currently the main method for diagnosing endometriosis. Laparoscopy can directly look at the pelvic cavity, see the ectopic focus can be clearly diagnosed, and can be staged according to the findings, which is convenient to decide the treatment plan.

2. B-ultrasound for thin endometrium

At present, B-ultrasound is an effective method to assist in the diagnosis of endometriosis, which can effectively diagnose the thickness of the endometrium.

3. Endometrial biopsy for thin endometrium

Endometrial cells are scraped from the uterus for examination. Endometrial biopsy is also a way to check for thin endometrium.

I. Proliferation period

1. Early hyperplasia. In the early stage of hyperplasia, the endometrium is relatively thin, only about 4-6mm.

2. The middle stage of proliferation. The endometrium began to grow in the middle stage of hyperplasia, and the thickness of the thick film gradually became thicker, increasing to 8-10mm.

3. Late accretion. In the late stage of proliferation, the endometrium is adjusted, and the thickness of the endometrium is widened, with a thickness of 9-10mm.

Second, the secretory phase

1. Early secretion. Due to the action of progestin, the endometrium glands become longer, the thickness of the endometrium is stimulated, and vesicles of glycogen appear.

2. Medium secretion. The endometrium grows and appears jagged. The thickness does not change.

3. Late secretion. The endometrium thickens and appears spongy. At this time, the thickness of the endometrium is about 5-6mm.

Third, menstrual period

The menstrual period is an important physiological period for women. At this time, women's estrogen and progesterone will decrease, the endometrium will gradually calm down, begin to grow, and adjust. At this time, the thickness of the endometrium can reach 8-10mm.