Is endometrial thickness something that needs to be treated?

Patient's question:

My ultrasound report states:
Findings on the image:
The uterus is in an anteversion position. The cross-sectional size is 5.85.34.5 cm, with normal morphology. The muscle echoes are homogeneous, the endometrium is centrally located, and its thickness is 1.4 cm. No significant abnormalities are observed in the bilateral adnexa.
Ultrasound findings:
1. The endometrium is slightly thickened.
2. No significant abnormalities are noted 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! My first time was without bleeding.

Doctor's answer:

Endometrial hyperplasia, also known as endometrial hyperplasia, refers to a disease where the endometrium overgrows due to inflammation, endocrine disorders, or the stimulation of certain drugs. Generally, the normal thickness of the endometrium is 8-10 mm. The thickness of the normal endometrium varies continuously throughout the menstrual cycle and is not constant. The basal layer is not affected by the changes in ovarian hormones during the menstrual cycle and does not shed during menstruation. The functional layer is influenced by ovarian hormones and exhibits cyclical changes, undergoing necrosis and shedding during menstruation. For women who have not given birth, medication is often the primary treatment method, while surgical treatment can be considered for those in menopause. Treatment can be adjusted according to individual conditions under the guidance of a doctor.

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