How to deal with slightly thickened endometrium during pregnancy

Patient's question:

B results! Ultrasound findings: Bladder is well-filled, wall is smooth, and internal sound transmission is good. Uterus 55MM x 48MM x 36, smooth capsule. Myometrium shows uniform echoes, endometrial line is clear and central. Endometrium is about 12MM, no obvious gestational sac seen inside. Cervix size is normal. Bilateral ovaries are of normal size, boundaries are clear.
No definite space-occupying lesion seen in the pelvic cavity. Ultrasound suggests: Endometrium is slightly thickened. No obvious gestational sac seen inside. Recommendation: Follow-up observation. What symptoms are these!
First follow-up question: The early pregnancy test is positive, indicating pregnancy! Can early treatment be done?

Doctor's answer:

In your case, if the endometrium is thickened, it can be treated with a D&C (dilation and curettage). If you recover well after the procedure, it should not significantly affect future fertility. If you plan to get pregnant in the future, it's best to have intercourse during your fertile period. If you become pregnant, it's important to undergo regular prenatal check-ups.
Endometrial hyperplasia is usually caused by abnormal ovarian function, leading to anovulation (lack of ovulation). This results in the endometrium being exposed to prolonged estrogen stimulation produced by the ovaries. Long-term use of estrogen-containing medications or supplements rich in animal estrogen (such as royal jelly) can also cause abnormal endometrial hyperplasia, even leading to cancer.
Endometrial hyperplasia can cause menstrual disorders, heavy bleeding, and anemia. If left untreated for a long time, it may progress to endometrial cancer. Additionally, in young women, it can lead to infertility. This condition should be taken seriously and treated promptly.

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