Patient's question:
I am 22 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 period was accompanied by dysmenorrhea. When I went to the hospital for a thorough examination, the doctor said my endometrium was thickened. Please ask what are the hazards of endometrial thickening?Doctor's answer:
The endometrium changes with our menstrual cycle; it thins and then thickens, and then sheds before thickening again. If the endometrium remains thick for a long time, at a level below 12 millimeters, or even below 18 millimeters for some individuals, it can lead to endometrial hyperplasia. If the endometrium becomes excessively fibrotic over a long period, it is often due to hormonal stimulation and interference, which can also lead to atypical hyperplasia of the endometrium—a precancerous condition—and even the potential for endometrial cancer. If the endometrium experiences recurrent hyperplasia over a long period, resulting in thickening, we must undergo a pathological examination. This involves taking a sample of the endometrium and conducting a pathological test to rule out any inflammation in the endometrium.