What should I do if the endometrium is slightly thickened?

Patient's question:

My ultrasound report states:
Findings:
The uterus is anteverted. The cross-sectional size is 5.85.34.5 cm, with normal morphology. The muscle echoes are homogeneous, and the endometrium is centrally located, measuring 1.4 cm. No significant abnormalities were observed in the bilateral adnexa.
Ultrasonography suggests:
1. The endometrium is slightly thickened.
2. No significant abnormalities were found in the bilateral adnexa.
What does this mean? Do I have a health problem?
What are the bilateral adnexa? I started having sex in March of this year and have only one sexual partner! The first time, I did not have any bleeding.

Doctor's answer:

Endometrial hyperplasia is primarily caused by excessive estrogen stimulation. In many cases, endometrial hyperplasia can be reversed to a pathological tissue pattern using progesterone, allowing the endometrium stimulated by excessive estrogen to return to normal. In some cases, it can be cured through procedures such as dilation and curettage or hysterectomy. If you are unwilling to undergo surgery, it is recommended to use progesterone therapy, which can usually control the symptoms caused. It is best to have a detailed examination at a regular hospital. Patients with endometrial hyperplasia can use traditional Chinese medicine Fuyan pills, maintain a relaxed and cheerful mindset, reduce their own burdens, adopt a healthy lifestyle, drink more water, avoid drinking strong tea, and eat more fresh fruits and vegetables.

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