Endometrium is 12cm, should I have a D&C?

Patient's question:

I am 34 years old. On November 10th, three days after my period ended, I went to get an IUD and had an ultrasound. The endometrium measured 12 cm. The doctor said it was not possible to insert the IUD. I had an abortion in April of this year, and in September and October, I also experienced similar situations where my period was clean for 3 or 5 days, and the endometrium was thicker. Do I need further examination? First follow-up question: Should I have a D&C?

Doctor's answer:

This situation may be caused by endocrine disorders leading to menstrual irregularities, which is closely related to daily living habits, dietary habits, or long-term use of birth control pills, among other factors. Of course, it is also possible to have gynecological diseases. If not treated actively, it can have a significant impact on daily life or pregnancy. It is recommended to first visit an endocrinology department for examination. In daily life, you can try consuming some traditional Chinese medicine to regulate endocrine disorders. At the same time, it is essential to maintain a regular lifestyle, avoid staying up late, minimize exposure to electronic devices like smartphones and computers that emit radiation, and avoid consuming overly stimulating foods. Instead, eat more light and nutritious foods.

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