What to do about a thin endometrium

Aug 21, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, thin endometrium may be caused by factors such as hormonal changes due to aging, excessive dieting leading to nutritional deficiencies, endometritis, intrauterine adhesions, polycystic ovary syndrome (PCOS), and other similar conditions. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through lifestyle adjustments, medication, and other appropriate measures. In daily life, maintaining a positive mindset, avoiding excessive anxiety, and practicing good menstrual hygiene are also important.

Generally, thin endometrium may be caused by factors such as hormonal changes due to aging, excessive dieting leading to nutritional deficiencies, endometritis, intrauterine adhesions, and polycystic ovary syndrome. It is recommended to seek timely medical consultation to identify the underlying cause, and then improve the condition under a doctor's guidance through lifestyle adjustments, medication, and other methods. The detailed analysis is as follows:

1. Hormonal changes due to aging: With increasing age, ovarian function declines and estrogen secretion decreases, leading to insufficient endometrial proliferation and thinning of the endometrium. This is commonly seen in perimenopausal women. In daily life, consuming more foods rich in phytoestrogens, such as soy products and flaxseeds, maintaining regular sleep patterns, and avoiding staying up late are recommended.

2. Excessive dieting and nutritional deficiency: Prolonged dieting leading to inadequate intake of proteins, vitamins, and other nutrients can affect endometrial cell proliferation, causing thinning of the endometrium. Dieting should be stopped immediately, and a balanced diet resumed, including increased consumption of lean meats, eggs, and fresh fruits and vegetables to ensure adequate daily nutrition.

3. Endometritis: Bacterial infection causing inflammation of the endometrium can damage the endometrial tissue, leading to thinning of the endometrium, accompanied by lower abdominal pain and abnormal vaginal discharge. Follow medical advice to take anti-infective medications such as cefixime dispersible tablets, metronidazole tablets, and levofloxacin hydrochloride capsules.

4. Intrauterine adhesions: Injury to the basal layer of the endometrium during uterine cavity procedures can lead to intrauterine adhesions, reducing the surface area and thickness of the endometrium, accompanied by decreased menstrual flow. Adhesiolysis under hysteroscopy should be performed by a physician to separate the adhesions. Postoperative medications such as estradiol valerate tablets, progesterone capsules, and aspirin enteric-coated tablets should be taken as prescribed to promote endometrial repair and prevent recurrence of adhesions.

5. Polycystic ovary syndrome: Endocrine disorders leading to elevated androgen levels and abnormal ovulation result in insufficient estrogen stimulation of the endometrium, causing thinning, accompanied by infrequent menstruation and hirsutism. Follow medical advice to use medications such as ethinyl estradiol cyproterone acetate tablets, drospirenone ethinyl estradiol tablets, and spironolactone tablets to regulate hormone levels and improve ovulation.

In daily life, maintaining a positive mindset, avoiding excessive anxiety, practicing good menstrual hygiene, and avoiding unclean sexual practices are important. A balanced diet, regular sleep patterns, and minimizing uterine cavity procedures can help improve endometrial health and maintain reproductive well-being through comprehensive lifestyle adjustments.

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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.

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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.

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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.

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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.