Can Baogong Zhi Xue Granules treat thickened endometrium?

In general, Baogong Zhi Xue Granules are not the first-line treatment for thickened endometrium. Their use should be determined based on the underlying cause and clinical presentation of endometrial thickening. The detailed analysis is as follows:

If endometrial thickening is accompanied by abnormal uterine bleeding, and malignancy or structural abnormalities have been ruled out through examination, with incomplete endometrial shedding due to hormonal imbalance being the only cause, Baogong Zhi Xue Granules may be considered. In such cases, the medication primarily helps reduce bleeding symptoms and improves disordered endometrial shedding through a hemostatic effect and regulation of the menstrual cycle, but it does not directly reduce endometrial thickness.

When endometrial thickening is caused by organic or pathological factors such as endometrial polyps, submucosal fibroids, or precancerous lesions of the endometrium, using Baogong Zhi Xue Granules alone is inappropriate. These conditions require targeted treatment of the underlying disease, as the medication cannot eliminate the pathological lesion. Indiscriminate use may mask symptoms and delay accurate diagnosis and proper treatment of the primary condition.

Prior to taking the medication, comprehensive evaluations including gynecological ultrasound and hormone level testing should be completed to determine the cause of thickening; self-medication is not recommended. During treatment, monitor bleeding patterns closely, and seek timely follow-up evaluation if symptoms fail to improve or worsen. The medication should be taken strictly according to the prescribed dosage and duration—do not adjust the dose or discontinue use without medical advice. Additionally, maintain a light diet and avoid spicy or irritating foods.