Experts in this issue: Zhang Zhenyu, Director of the Obstetrics and Gynecology Department of Beijing Chaoyang Hospital affiliated to the Capital Medical University
How thick is the endometrium?
Under physiological circumstances, the thickness of the endometrium will change with the changes in the menstrual cycle. The menstrual cycle can be divided into menstrual period, proliferation period, and secretion period according to the tissue type of endometrium.The endometrium of the uterine period during the menstrual period. At this time, the endometrium is the thinnest in the entire menstrual cycle. The thickness is about 1-2mm. As the follicles grow, the estrogen secreted by the ovaries gradually increases, the level of estrogen in the blood rises levelHigh, it has a repair effect on the endometrium. The endometrium enters the proliferation period, and the thickness of the late proliferation can reach 3-5mm.With the end of the ovulation ovulation, the ovarian enters the luteal stage, the endometrium is further thickened, and the secretion period is entered. At this time, the level of estrogen hormone gradually increases, so that the endometrium continues to thicken, and the thickness of the late secretion can reach 10mm.
If the ultrasound prompts the endometrium thickening, you can wait for the end of the menstrual period to review the ultrasound. If the endometrium is still thicker after the menstruation is clean, then you must start to be vigilant.Bleeding or vaginal fluid needs to be more vigilant. If necessary, it is recommended to do hysteroscopic examination+curettage clear pathological condition.After menopause, the thickness of the endometrium should not exceed 5mm.
What are the thickening uterine endometrium?
1) Endometrial polyps are caused by excessive hyperplasia of the uterine endometrium, which can cause irregular vaginal bleeding or even infertility.There are many reasons for endometrial polyps, such as high estrogen levels, long -term gynecological inflammation stimuli, in -uterine -in -gymnosis (such as contraceptive ring) stimulation, childbirth, abortion, hypertension, obesity, etc.factor.
Preliminary diagnosis can be diagnosed through gynecological examination, ultrasound examination, and hysteroscopy, and then diagnosed with pathological examination.Depending on the condition, it is feasible to treat treatment or hysteroscopic examination, and to perform electromotive cutting of hysteroscopy if necessary.The disease is generally a benign disease. It is necessary to pay attention to the disease that the disease is easy to relapse, and the postoperative review should be regularly reviewed.
2) Uterine endometrial hyperplasia, due to the different degree of hyperplasia and differentiation of the cell shape and glandular structure, there are three types of endometrial hyperplasia (simple hyperplasia, complex hyperplasia, and atypical hyperplasia).
Clinically, the type of endometrium hyperplasia can be determined by the pathological after the curettage, and the next treatment plan can be determined according to different types and patients’ age and fertility requirements. It is worth noting that this type of disease may be cancerous.
3) Drug factors: In the treatment of patients with breast cancer, he may be used in Moqifen. Although this drug can inhibit the growth of breast cancer cells, at the same time, it can act on endometrial hyperplasia.The possibility of endometrial hyperplasia.If he takes his breast cancer patients, the endometrium will continue to thickened with or without vaginal hemorrhage.
In the clinic, patients with anti -excretion drugs have been treated with anti -reject drugs after renal transplantation. This situation should also be vigilant. If necessary, the pathological type is clear, and the next treatment is determined.
Women and women after menopause and after menopause, if there are abnormal vaginal hemorrhage, gynecological inflammation, breast cancer and other disease history, and other factors that may cause endometrial hyperplasia, gynecological examinations are required to detect them early and make early corresponding corresponding to the corresponding correspondence.Diagnosis and treatment.
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Zhang Zhenyu, chief physician, currently the director of the obstetrics and gynecology department of Beijing Chaoyang Hospital affiliated to the Capital Medical University;
Good at: minimally invasive surgery, chemotherapy, biological immunotherapy and radiotherapy of gynecological and malignant tumors, in gynecological laparoscopy, genital organ damage repair, diagnosis and treatment of incurable diseases, etc.
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