The normal thickness of the endometrium in the uterus ranges from 0.8 to 1.2 centimeters. If it exceeds 1.2 centimeters and reaches 1.5 or even 2 centimeters, it is considered thickened endometrium. The timing of measurement is also crucial. It is important to measure the endometrium one week after ovulation. If the endometrium is excessively thick during this time, it can be determined as thickened endometrium.
Thickened endometrium is not an independent disease; it is a clinical manifestation of many conditions. For example, polycystic ovary syndrome, menopausal bleeding, adolescent bleeding, and endometrial polyps can all cause thickened endometrium. It is crucial to diagnose the underlying cause of endometrial thickening before initiating treatment.
Diagnostic curettage or hysteroscopic endometrial resection should not be performed hastily. Such procedures can lead from one extreme to another, resulting in thinning or adhesion of the endometrium. Once endometrial adhesion occurs, treatment becomes extremely challenging. Thickened endometrium itself is a clinical manifestation and not a disease. By treating the underlying cause, the condition can naturally improve. Therefore, it is important to avoid hasty procedures such as curettage and resection.
Treatment should target the underlying cause. For conditions like polycystic ovary syndrome, oophorolysis can be performed using 3D laparoscopy to remove the testicular tissue on the ovaries. This procedure restores normal endometrium, regulates menstrual cycles, and improves fertility. In cases of hormonal imbalance during menopause, a “replace what is lacking” approach is followed. Hormone replacement therapy is administered based on the specific deficiencies: estrogen for estrogen deficiency, progesterone for progesterone deficiency, and testosterone for testosterone deficiency. Resting therapy, such as taking a period of contraceptive pills, can also help restore hormonal balance. Discontinuing the medication allows the endometrium to recover.
Beijing Antai Hospital specializes in the treatment of infertility and related conditions, offering signed treatment agreements for such diseases. At Antai Hospital, experienced doctors conduct comprehensive examinations and diagnostics to develop personalized treatment plans, aiming to fulfill patients’ desire for a healthy pregnancy.
In summary, infertility is closely associated with thickened endometrium, which is not an independent disease. Accurate diagnosis of the underlying cause of endometrial thickening is crucial. Avoiding unnecessary surgical interventions and treating the root cause are key. For conditions like polycystic ovary syndrome, appropriate surgical procedures can be performed, while hormone supplementation or resting therapy can be used to restore hormonal balance in cases of menopausal hormonal imbalances. Beijing Antai Hospital is a trusted and professional institution that provides signed treatment services, helping patients realize their dream of a healthy pregnancy.