Is it normal for the uterus not to have atrophied 4 years after menopause?
It is normal for the uterus not to have shrunk four years after menopause, although conditions caused by diseases that prevent uterine atrophy cannot be ruled out.
1. Normal
After menopause, as hormone levels in the body gradually decrease, the uterus typically undergoes progressive atrophy. If the uterus has not shrunk four years after menopause, it may be due to a relatively slow decline in hormonal function, with ongoing stimulation of the uterus still present. This situation is considered normal and does not require special treatment.
2. Abnormal
If, after menopause, progesterone secretion drops significantly while estrogen levels remain high, the balance between estrogen and progesterone is disrupted. This imbalance can stimulate the endometrium, leading to abnormal endometrial hyperplasia and potentially resulting in endometrial cancer, which may cause the uterus to enlarge—accounting for the aforementioned condition. Patients should seek targeted therapy at a qualified medical institution.
It is recommended that individuals experiencing discomfort after menopause seek timely medical evaluation to determine the exact cause and receive appropriate treatment. A balanced diet, avoidance of smoking and alcohol, and maintaining a healthy lifestyle are also advised.