Can endometrial thickening during menopause resolve on its own?
Disease description:
Recently, my medical checkup revealed a thickened endometrium. However, I have already stopped menstruating, so in theory, the endometrium should not be thick. I would like to ask, can a thickened endometrium during menopause resolve on its own?
Doctor's answer (1)
Dr. Zhang Lu
Changes in endometrial thickness during menopause are typically associated with fluctuations in hormone levels. As women enter menopause, the ovaries gradually reduce estrogen production, which can lead to unstable cyclical changes in the endometrium and, at times, cause it to thicken. If the endometrium becomes excessively thick without accompanying abnormal bleeding or other symptoms, it may naturally return to a normal range once hormone levels stabilize.
However, if the endometrium remains persistently thickened or if there is abnormal bleeding, medical evaluation may be necessary, as this could be related to endometrial hyperplasia, endometrial polyps, or, in rare cases, endometrial cancer. A doctor may recommend a diagnostic dilation and curettage (D&C) or an ultrasound examination to determine the cause. Depending on the specific situation, treatment may include hormone therapy, medication, or surgery.
Therefore, although endometrial thickness may self-regulate in some cases, regular monitoring and following medical advice remain important.
