Why does the endometrium become thicker?Who is prone to endometrial thickening?

Yesterday, someone named me the problem that made my science thickening the endometrium.

People of different ages and different menstrual cycles are different.

Before adolescence, the endometrium of menopause is thin.Because there are few endometrial lesions before adolescence, and no one pays attention to the thickness of the endometrium of the girl’s uterine.After menopause, it is generally believed that below 5mm is normal, and the thickness of more than 5mm is suspicious.

The endometrium of the nursery age will change greatly in the menstrual cycle, usually between 5-15mm.

The picture comes from the Internet

The secret is the female unique hormone -estrogen.

If the endometrium is compared to the soil of seedlings, then the estrogen is thickened and progesterone makes it fertile.Both hormones have disappeared suddenly, as if the land has lost its moisturizing and the soil is lost, and the endometrium will fall off menstruation.Without the role of these hormones, the soil will not see the soil at all.

The picture comes from the Internet

Okay, we won’t do metaphors anymore.

During the menstrual cycle, after the menstrual period is over, the follicles begin to develop, the follicles secrete estrogen, and the estrogen stimulates the base layer of the endometrium, and the endometrium will grow slowly.By menstrual period, follicles mature and ovulate.After ovulation, the level of estrogen has a short decline.At this time, the endometrium is about 8mm. The endometrium of this period is called the endometrium of the hyperplasia.But soon after the follicles were discharged, the ovaries form luteum, which can secrete estrogen and progesterone.The estrogen continues to thicken the endometrium. At the same time, due to the effect of progesterone, the hyperplasia of the endometrium, the gland of the endometrium is also rich in glycogen, and the endometrium is very rich in nutrients.The endometrium during this period is called the endometrium of the childbirth.Although endometrium is also long, progestin suppress the disorderly hyperplasia of the endometrium gland.Before menstruation, the thickness of the uterine endometrium reaches about 12-15mm.After about 2 weeks after ovulation, if there is no conception.The luteal atrophy on the ovaries no longer secrete estrogen and progesterone. The horizontal level of estrogen progesterone has suddenly decreased. The vessel breakthrough in the endometrium, the endometrium shedding, and the menstrual tide.

Because the level of estrogen before and after the adolescence is very low, the endometrium is very thin.

Adolescence, childbearing age, menopausal menstrual cycle extended, and some postmenopausal women.

These people have a common feature, lack of progesterone in the body.

Estrogen promotes endometrial growth, and progesterone is a role in fighting estrogen.Without progestin, the endometrium is first of all normal hyperplasia, and then excessively hyperplasia.Excessive hyperplasia includes simple hyperplasia, complex hyperplasia, and atypical hyperplasia.These hyperplasia gradually worsen from the degree of lesions, and atypical hyperplasia belongs to the category of pre -cancer lesions.

The excessive hyperplasia of these uterine endometrium is first of all expressed endometrial thickening.But the most fundamental is pathological changes, not the change of thickness.

In adolescence and menopause, because the ovarian function is still unstable or declining, it cannot be normal ovulation, but the ovaries can continue to secrete estrogen. Therefore, there is no progesterone against estrogen for a long time.

The age of childbearing age is mainly for patients with polycystic ovary syndrome prone to hyperplasia or even evil changes in endometrium.Because of the polycystic ovary syndrome, there is no ovulation for a long time, but the development of follicles can be developed. Although it cannot be mature, the estrogen delivery of multiple small follicles is enough to stimulate the growth of the endometrium or even too long.

This is a good question.On the one hand, it may be the role of estrogen in the age of childbearing and menopause, which causes cancer after menopause. It is also possible that tumors with estrogen secrete ovarian after menopause may occur.The most common cause is due to obesity.Fat cells can convert therogens into estrogen.Therefore, the estrogen levels in the obese human body are high, and there is no progesterone secretion after menopause, so the endometrium will proliferate evil.

The worst ending of the endometrium is the worst -order growth of the uterine endometrial cancer.

Let menstrual rules.Patients with polycystic ovary syndrome, adolescence and menopausal menstrual disorders can be used to make the menstrual cycle rules by manual methods and make menstruation tide on time.The method is simple to simulate hormone levels that simulate the normal menstrual cycle for estrogen and progesterone.Or simply give pregnancy hormones.The endometrium falls off on time, so that there is no chance to increase.

Supplement progesterone.Pathotin can fight estrogen stimulation to stimulate endometrium growth.This is why we must use progesterone during the treatment of artificial cycle or postmenopausal hormone replacement.Pathotin can protect the endometrium.Taking progesterone can also reverse the endometrium of hyperplasia.

lose weight.Obesity women should lose weight.

Control blood sugar.Diabetes, hypertension, and obesity are the triars of endometrial cancer.These diseases are always bullying the same type of people. Weight loss and control of blood sugar and blood pressure can help prevent hyperplasia and evil changes in endometrium.

The thickness of the endometrium can actually be controlled to some extent.

If the endometrium examination is thickened occasionally, the menstrual cycle is normal, and the amount of bleeding is not large, then you can wait for menstrual review.

If long -term menstrual cycle delays, high menstrual flow or irregular bleeding, diagnostic curetts or hysteroscopy are needed.To determine the degree of hyperplasia and subsequent treatment methods.

(Without authorization, it is not allowed to reprint; the public account "mother and baby family classroom" I founded, as well as a large number of pediatrics and dermatologists from popular science articles. Welcome to pay attention)

about the author

Wang Yuling

Obstetrician and gynecologist Wang Yuling, deputy chief physician, for 25 years from medicine.Good at diagnosis and treatment of women’s menstrual diseases, infertility, and perinatal diseases.Famous female health science writers, Sina Weibo, today’s headlines signed by the media, "Women’s Weekly" and "National Health and Family Planning Commission" column authors.The author of popular science best -selling "Being a Wisdom Mother" and "Secret of the uterus".

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