thin endometrium

Introduction

Introduction to endometrial thin The endometrial thin female common disease, women with a certain estrogen, ultrasound examination of the endometrium can not reach a thickness of 8 mm is judged to be thin endometrium. More common in women who are not gestating, generally the age of menarche is too late or the amount of menstruation after menarche is too small, the second sexual characteristics appear later, the secretion of estrogen after menstruation is insufficient, common symptoms are short menstrual period, very little, or even drip That is, the net, the color is reddish, and there are symptoms such as dizziness, tinnitus, backache, and heel pain. Endometrium refers to the layer that constitutes the inner wall of mammalian uterus. It reacts to both emodin and progesterone, so it can change significantly with the sexual cycle. Gynecologists point out that esoteric hormone can cause uterine hypertrophy and progesterone can Promote a special initial pregnancy change in the endometrium, or change the nature of the endometrium to have the ability to produce a aponeurosis. Therefore, severe endocrine disorders will lead to imbalance of hormones in the body, causing periodic changes in the endometrium, leading to a thin endometrium. basic knowledge The proportion of illness: 0.001% Susceptible population: pregnant women Mode of infection: non-infectious Complications: miscarriage, infertility

Cause

Endometrial thin cause

Hormone factor (35%):

Endometrium refers to the layer that constitutes the inner wall of mammalian uterus. It reacts to both emodin and progesterone, so it can change significantly with the sexual cycle. Gynecologists point out that esoteric hormone can cause uterine hypertrophy and progesterone can Promote a special initial pregnancy change in the endometrium, or change the nature of the endometrium to have the ability to produce a aponeurosis. Therefore, severe endocrine disorders will lead to imbalance of hormones in the body, causing periodic changes in the endometrium, leading to a thin endometrium.

Iatrogenic factors (25%):

Abortion is the most important factor in the endometrium. Experts point out that multiple drug flow, or excessive flow of people, may cause the endometrium to be thin. Even some patients have not had menstruation after completing abortion. This shows that Abortion surgery seriously damages the endometrium, causing the endometrium to be thin. Gynecologists pointed out that the endometrial thinness caused by induced abortion generally takes a long time to recover, and some patients can not even recover. Therefore, experts especially remind patients that once the menstruation has not arrived on schedule, they must go to the doctor for examination.

Innate developmental factors (15%):

Acute uterine development is also a cause of thin endometrium, but it has long been ignored. Clinically, some patients have uterine angiography that is not inverted pear shape, or even slender strips, which are caused by congenital malformations. Thin endometrium is generally difficult to treat clinically.

Prevention

Endometrial thin prevention

1, mental health : should maintain a stable, happy mood, to avoid excessive mental stress. Relaxation is actually one of the most effective ways to regulate endocrine, which is very important. Under the influence of good emotions, women can not only have more health, but also exude fascinating charm, don't ignore this.

2, physical health : pay attention to keep warm during menstruation, you can put a hot pad or warm water bag in the abdomen, promote blood circulation acceleration, and relax muscles, reduce organ spasm, promote menstrual blood discharge.

3, sports health : exercise can enhance physical fitness, good for uterine health. Practicing yoga is the best way to maintain the uterus. Yoga can divert the blood circulation of female organs and regulate the secretion of hormones.

Complication

Thin endometrial complications Complications, abortion, infertility

1, abortion : women are prone to miscarriage even if pregnant. Even if the fertilized egg enters the uterus and successfully implants, it will cause a miscarriage because there is not enough nutrients.

2, induced gynecological diseases : induced no young women's diseases, such as irregular menstruation, dysfunctional uterine bleeding. Thin endometrium can also cause symptoms such as abnormal vaginal discharge, which has a great impact on women's daily life and work.

3, leading to infertility : the biggest hazard is to lead to infertility. The thickness of the endometrium has a very important relationship with the conception of women, which can affect pregnancy. If the endometrium is too thin, it is difficult to implant the fertilized egg, which leads to infertility.

Symptom

Thin endometrial symptoms Common symptoms Menstrual rare menstrual period shortened premenstrual edema menstrual blood clots excessive waist and knees soft heart palpitations with fatigue, pale chest tightness

(1) Kidney deficiency type endometrial thin

More common in women who are not gestating, generally the age of menarche is too late or the amount of menstruation after menarche is too small, the second sexual characteristics appear later, the secretion of estrogen after menstruation is insufficient, common symptoms are short menstrual period, very little, or even drip That is, the net, the color is reddish, and there are symptoms such as dizziness, tinnitus, backache, and heel pain.

(2) blood deficiency type endometrial thin

Occasionally occurs in women between the ages of 30 and 40, mostly due to spleen deficiency and poor appetite, malnutrition, improper weight loss, overwork, long-term illness and injury caused by yin and blood, this phenomenon may lead to delayed menstrual endometrial proliferation disorder . Common symptoms are menstrual less light, one to two days is net or drip, abdominal pain, dizziness, palpitations, pale complexion, pale claws, pale lips and lips, skin is not moist.

(3) blood stasis type endometrium thin

Seen in the postpartum lochia discharge is not clean, for gynecological surgery or abortion surgery, blood stasis uterus or worries to qi stagnation and blood stasis, endometrial adhesions, poor blood flow and less, color purple black block, lower abdomen Stinging refused to press.

Examine

Thin endometrial examination

1, laparoscopic endometrial thin examination:

Laparoscopy is currently the main method of diagnosing the endometrium. Laparoscopy can directly peep into the pelvic cavity, and the ectopic foci can be clearly diagnosed, and can be staged according to the examination, so as to determine the treatment plan.

2, B-ultrasound endometrial thin examination:

At present, B-ultrasound imaging is an effective method to assist in the diagnosis of the endometrium. There are four ways to check:

1, abdominal wall examination: using a B-type real-time imager or color Doppler ultrasound imaging, on the basis of clearly showing the endometrial line, obtain the true maximum longitudinal section and cross section of the uterus for observation and measurement.

2, transvaginal examination: the application of high-frequency vaginal probe, clearly observe the endometrium.

3, transrectal examination: the patient can take the left lateral position or bladder lithotomy position, the examination can show the uterus and its endometrium.

4, transuterine examination: the uterine cavity probe into the uterine cavity to carefully explore the uterine endometrium and muscle layer echo.

Diagnosis

Diagnosis and differentiation of endometrial thin

diagnosis

Thin endometrium means that under the action of certain estrogens, the inner membrane cannot reach 8 mm when doing ultrasound. These factors can cause the egg to not be implanted well, so that it cannot be conceived as originally planned. If the estrogen can not reach a certain level, then the ultrasound found that the thickness of the intima is less than 8 mm, can not diagnose the thin film of the intima, just that the cause of insufficient estrogen. Ultrasound is usually performed during the mid-menstrual period. It is necessary to see that the follicles are mature, for example, 8 mm in diameter, less than 8 mm in the intima, and estrogen levels. What tests need to be done, and when the hormone level check needs to be confirmed by the hospital.

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