Is it possible to avoid curettage for thickened endometrium?
Disease description:
During a physical examination, the doctor told me that my endometrium is thickened and recommended a curettage. I would like to ask the doctor, is it okay not to perform curettage for a thickened endometrium?
Doctor's answer (1)
Dr. Zhao Xiaodong
Endometrial thickening is a common gynecological condition, and the treatment approach depends on the specific cause and severity of the condition in each patient.
1. For physiological thickening, such as that occurring before menstruation or in early pregnancy, special treatment is generally not required, as the endometrium can self-regulate with the menstrual cycle or progress of pregnancy.
2. If thickening is caused by endocrine disorders, endometrial polyps, pre-cancerous lesions of the endometrium, or other factors accompanied by symptoms such as menstrual irregularities or infertility, further examinations are needed to identify the exact cause.
3. After ruling out malignancy, some patients may achieve hormonal balance and restore normal endometrial thickness through medication, thereby avoiding direct curettage.
Patients with endometrial thickening should seek medical attention actively.
