What are the reasons for the thickness of the uterine wall?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. What could be the reason for thick uterine wall?

Doctor's answer:

Hello
The thickness of the endometrium varies at different stages of the menstrual cycle. It is recommended to have a vaginal ultrasound three days after the menstrual period to determine the specific thickness of the endometrium. If the endometrium is thick, it can cause severe menstrual pain and make it difficult for the fertilized egg to implant! This means the endometrium is thicker than normal. The thickness of the endometrium does not determine whether one can get pregnant; ovulation is the key factor. The normal thickness of the endometrium is generally 0.2–1.0 centimeters. The endometrium is the mucous membrane that covers the uterine cavity and is one of the most highly differentiated tissues in the human body. The thickness of the normal endometrium changes continuously throughout the menstrual cycle and is not constant.

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