How to make the uterus contract well after menopause

Patient's question:

The thickness of the uterine wall is 5 cm

Doctor's answer:

Medical Analysis: Hello! I don't know why you need to contract your uterus. If the endometrium is thick, it cannot be resolved by contracting the uterus—it can only resolve the thickness of the endometrium. This requires a comprehensive analysis based on your specific condition, personal history, and overall examination results to accurately determine the cause and truly solve the problem.
Guidance: Additionally, you mentioned that the inner wall of the uterus is 5 cm thick—is this referring to the endometrium or the uterine diameter? Because the information you provided is incomplete and brief, it is difficult to assist you in analysis and guidance.
1. It is recommended to undergo a test for the six major sex hormones to determine if the endometrial hyperplasia is caused by endocrine disorders due to perimenopause.
2. Based on your medical history and ultrasound examination of the uterus, it is necessary to identify whether there are any uterine lesions.
3. If the above methods do not provide a definitive diagnosis, a diagnostic (D&C) may be required, where the endometrium is scraped for pathological examination to confirm the diagnosis. A clear diagnosis is the prerequisite for effective and targeted treatment.