Patient's question:
How can the thickness of the uterine wall be increasedDoctor's answer:
Endometrial thinning, also known as abnormal physiological endometrial thinning, refers to the phenomenon where the endometrial thickness changes normally during the menstrual cycle, but the follicle has matured while the endometrium has not reached 10mm.It is necessary to rely on electrochemical luminescence immunoassay to check hormone levels, vaginal four-dimensional color Doppler ultrasound to monitor endometrial thickness and follicle size, and hysteroscopy.
Treatment for abnormal physiological endometrial thinning requires replenishing hormones or surgical intervention based on the cause. For those with low estrogen, natural estrogen should be supplemented starting on day 10 of the menstrual cycle, for five days. Using it too early may inhibit ovulation, while using it for too long may lead to excessive endometrial hyperplasia. For luteal phase deficiency, HMG (human menopausal gonadotropin) at 75 IU per day should be administered for five consecutive days, as this increases the number of granulosa cells in the follicle, thereby boosting progesterone secretion. For older individuals with reduced menstrual flow, growth hormone at 1 unit per day can be administered, with various methods depending on the cause and age.
Endometrial adhesion and damage can only be treated with cold instruments under laparoscopy to prevent adhesion. Severe cases may require endometrial transplantation. Ovulation disorders require puncture and interventional treatment.