How should endometrial thinning be treated?

Patient's question:

I am a 41-year-old woman who has been feeling quite tired recently. I have a sense that my body is not healthy, and I wonder if it could be this disease. Could you please tell me: How should endometrial thinning be treated?

Doctor's answer:

Endometrial thinning is primarily caused by a lack of estrogen and damage to the endometrium due to surgery, infection, and other factors. In cases of estrogen deficiency, the endometrium generally thickens after estrogen treatment. However, the effectiveness of estrogen treatment is poor if the thinning is caused by surgical damage or infection. If the menstrual cycle is regular and the menstrual flow is not excessively reduced, no treatment may be necessary. If the menstrual flow is reduced, artificial estrogen-progestogen cycle therapy can be administered. After treatment, patients need to maintain a balanced diet, follow a regular sleep schedule, and regulate their physical and mental health. In daily life, it is important to maintain a positive mood, eat light, soft, and watery foods, drink plenty of water, and consume more vegetables and fruits.

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