Does endometrial thickening affect pregnancy?

Patient's question:

I am 25 years old, and my menstrual cycle has always been irregular. In the past, I often mistook bleeding for my period and didn't pay much attention to it. Later, every menstrual period was accompanied by dysmenorrhea, and the color of my period also felt abnormal. After a thorough examination at the hospital, the doctor said that the endometrium was thickened. Please ask if endometrial thickening affects fertility?

Doctor's answer:

Endometrial hyperplasia, if there is a disturbance in ovarian hormones, can easily lead to endometrial hyperplasia, which is a manifestation of endometrial dysfunction. It is caused by excessive estrogen stimulation of the endometrium. Clinically, it presents as irregular, thick, abnormal uterine bleeding. Patients may experience persistent peeling after a long period of amenorrhea. In clinical diagnosis, it may be suspected as miscarriage, or it may manifest as prolonged cycles, extended menstrual periods, with bleeding lasting up to one month. Pathological examination of endometrial cells shows that the degree of cell division does not always correlate with the severity of peeling. It is characterized by endometrial thickening, with thickness varying from 3 to 12 millimeters, and in some cases, it can even reach 20 millimeters.

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