What tests are needed to confirm a diagnosis of endometrial thickness of 10mm?

Generally, the endometrium refers to the lining of the uterus. Women with an endometrial thickness of 10 mm may require further diagnostic tests such as ultrasound examination, hysteroscopy, sex hormone level testing, curettage, or magnetic resonance imaging (MRI). If concerned, it is recommended to seek medical advice promptly. Detailed explanations are as follows:

1. Ultrasound Examination

Ultrasound examination involves transmitting ultrasound waves into the body and utilizing the reflective characteristics of these waves at different tissue interfaces to perform a comprehensive scan of the uterus and endometrium. On the ultrasound image, the outline and size of the uterus, as well as the morphology and structure of the endometrium, can be clearly visualized. Doctors can directly measure the thickness of the endometrium and accurately determine whether it falls within the normal range.

2. Hysteroscopy

Hysteroscopy provides a more direct view, particularly for lesions such as endometrial polyps and hyperplasia, offering a more accurate diagnosis. When ultrasound results are abnormal or further investigation is required, hysteroscopy becomes necessary.

3. Sex Hormone Level Testing

Sex hormones play a crucial regulatory role in the female reproductive system, and fluctuations in their levels are closely related to the growth and changes of the endometrium. Therefore, by testing sex hormone levels, the underlying causes of endometrial thickening can be thoroughly analyzed, providing strong support for precise diagnosis and the development of appropriate treatment plans.

4. Curettage

Curettage allows for the collection of endometrial tissue samples for pathological analysis, which helps diagnose conditions such as endometrial hyperplasia or malignancy. However, as curettage is an invasive procedure, it should be used with caution.

5. Magnetic Resonance Imaging (MRI)

MRI offers high-resolution imaging of soft tissues, allowing for clearer visualization of the structure and pathological conditions of the endometrium. However, due to its high cost and complex procedure, MRI is typically considered only when ultrasound and hysteroscopy fail to provide a definitive diagnosis.

Routine gynecological examinations should be conducted regularly to monitor the condition of the endometrium and promptly detect and manage any abnormalities. Additionally, maintaining cleanliness and dryness of the external genitalia, avoiding the use of irritating cleansing products, and reducing the risk of infection are also important.