Patient's question:
Doctor, it's been almost a year since her menstrual cycle hasn't come regularly. Sometimes, she experiences a small amount of bleeding after several months. This time, since March 17, the bleeding has gradually increased. On March 30, she had a color Doppler ultrasound at a local health center, which showed the endometrium to be about 5 cm thick, with no other issues. A blood test was also conducted, which was normal. The doctor performed a D&C procedure and prescribed her to take three days of tinidazole after the surgery. Today, the pathology results showed simple fibrosis and chronic endometritis of the endometrium. The doctor told her to buy some kind of progesterone, but she didn't remember the exact name. How should this condition be treated in a standardized manner?Doctor's answer:
Endometrial simple fibrosis is a manifestation of progesterone deficiency, which is a common phenomenon in her age group and there is no need to be anxious. Starting from the day of the D&C procedure, she began taking Mifepristone tablets at a dose of 10 mg per day for two weeks. After stopping the medication, wait for ten days to see if her menstrual period arrives. If her period comes, count the first day from the day of menstruation and continue taking the medication as prescribed for three menstrual cycles. After the third cycle, immediately undergo a follow-up ultrasound examination to assess the condition of the endometrium once her period has ended.