Patient's question:
In the past few months, my menstrual flow has always been particularly heavy, and it's like it never stops. The duration of my period is quite long, and it never completely cleans up. Each time, I also experience recurring menstrual cramps. Even during sexual intercourse with my husband, I feel pain. The doctor conducted a thorough examination and said it's endometriosis. What should I do if thin endometrium leads to menstrual disorders?Doctor's answer:
If you have had multiple miscarriages or D&Cs in the past, it may lead to intrauterine adhesions or scars, which can cause the endometrium to become thin, resulting in reduced menstrual flow. This may affect future fertility or lead to missed miscarriages after pregnancy. If you have future fertility goals, it is best to address this issue first. Generally, a hysteroscopy is required. If intrauterine adhesions are confirmed, it is recommended to undergo hysteroscopic adhesiolysis. Postoperatively, estrogen should be used to promote endometrial growth. A follow-up hysteroscopy is necessary three months after the surgery. If the uterine cavity shape is restored, the adhesions have not recurred, and the endometrium is relatively thick, pregnancy can be considered.