What should I do about a thickened endometrium?

Aug 20, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, thickened endometrium may be caused by hormonal fluctuations during the reproductive years, ovarian function decline during perimenopause, simple endometrial hyperplasia, endometrial polyps, adenomyosis of the uterus, and other related factors. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatment, medication, surgical treatment, or other appropriate methods.

Generally, thickened endometrium may be caused by hormonal fluctuations during the reproductive years, ovarian function decline during the perimenopausal period, simple endometrial hyperplasia, endometrial polyps, adenomyosis, and other factors. It is recommended to seek timely medical consultation to determine the underlying cause and, under a doctor's guidance, improve the condition through general treatment, medication, surgical treatment, or other approaches. A detailed analysis is as follows:

1. Hormonal fluctuations during the reproductive years: In women of reproductive age, emotional stress and irregular作息 (作息 here should be translated as "lifestyle or作息 habits") can lead to elevated estrogen levels and insufficient progesterone, resulting in continuous endometrial proliferation. Maintain a regular lifestyle, avoid staying up late, and keep emotionally stable. In terms of diet, reduce high-sugar and high-fat foods, consume more fresh fruits and vegetables, and regulate endocrine function through exercise when necessary, such as brisk walking three times a week for 30 minutes each session.

2. Ovarian function decline during the perimenopausal period: During the perimenopausal period, reduced ovulation and disordered estrogen secretion lead to endometrial thickening due to a lack of progesterone antagonism. Regularly monitor hormone levels and follow medical advice to supplement progesterone. In daily diet, appropriately consume foods rich in soy isoflavones, such as tofu and soy milk. At the same time, engage in mild physical activities like Tai Chi to enhance the body's regulatory capacity.

3. Simple endometrial hyperplasia: Long-term estrogen stimulation causes endometrial gland hyperplasia, often accompanied by menstrual disorders. Patients should follow medical advice to use medications such as dydrogesterone tablets, progesterone capsules, or medroxyprogesterone acetate tablets to regulate the endometrium. Regular follow-up examinations of endometrial thickness are necessary during treatment to prevent worsening hyperplasia.

4. Endometrial polyps: Localized excessive endometrial growth forms polyps, leading to overall endometrial thickening, which may be accompanied by abnormal bleeding. Patients may follow medical advice to use medications such as ethinylestradiol cyproterone acetate tablets, drospirenone ethinylestradiol tablets, or desogestrel ethinylestradiol tablets to inhibit polyp growth. If the polyp diameter exceeds 1 cm, hysteroscopic polypectomy should be performed to remove the polyp tissue and restore normal endometrial thickness.

5. Adenomyosis: The endometrium invades the uterine muscle layer, causing uterine enlargement and endometrial thickening, often accompanied by dysmenorrhea. Patients may opt for laparoscopic adenomyosis lesion resection to remove the affected tissue and improve endometrial thickening.

In daily life, attention should be paid to menstrual hygiene, avoiding strenuous exercise during menstruation. Diet should avoid spicy and cold foods to reduce uterine irritation. Comprehensive nursing care can assist in improving the issue of thickened endometrium and help maintain reproductive health.

View All

What is the normal thickness of the endometrium during the ovulation period?

Under normal circumstances, an endometrial thickness of 8-12 mm during the ovulation period is considered normal. It is important to regularly monitor whether the menstrual cycle is regular. If abnormalities such as unusual menstrual flow or prolonged menstruation occur, timely medical evaluation is necessary. Maintain a regular sleep schedule and avoid staying up late, as this can affect hormone levels. Eat a balanced diet and reduce the intake of spicy and irritating foods to provide a healthy environment for the endometrium.

View Full Answer

Why is my menstrual period delayed by more than ten days if I'm not pregnant?

Under normal circumstances, a menstrual delay of ten days or so without pregnancy may be caused by factors such as chronic mental anxiety, excessive dieting for weight loss, polycystic ovary syndrome (PCOS), hyperprolactinemia, thin endometrium, and others. It is recommended to seek timely medical consultation to determine the underlying cause and receive appropriate treatment under a doctor's guidance. Additionally, maintaining regular作息 (作息 should be translated as "daily routines") and avoiding excessive fatigue are advised in daily life.

View Full Answer

How long does it take for a fertilized egg to implant?

Under normal circumstances, it usually takes 6-8 days for the fertilized egg to complete implantation after its formation. The exact timing can be influenced by factors such as the development speed of the fertilized egg, fallopian tube function, and the condition of the endometrium. There may be slight individual variations, but most fall within this time range. In daily life, individuals preparing for pregnancy do not need to deliberately monitor the implantation timing, as excessive focus on it may instead increase psychological stress.

View Full Answer

What does it mean when a fertilized egg implants?

Under normal circumstances, embryo implantation refers to the process after fertilization, where the fertilized egg undergoes a certain period of cell division and development in the fallopian tube, subsequently entering the uterine cavity and finding a suitable location on the endometrium through a series of complex physiological processes. Additionally, it is important to maintain a positive mindset and avoid excessive anxiety during the implantation period; consumption of spicy and irritating foods should also be reduced.