How to treat endometrial thickening best

The treatment of endometrial thickening varies from person to person, and there is no absolute "best" method. Common treatments include medication, curettage, hysteroscopy, intrauterine device placement, weight control, etc. The details are as follows:

1. Drug treatment: Progestogen drugs, such as progesterone and dydrogesterone, can promote the transformation of the endometrium from the proliferative phase to the secretory phase and then shed, which plays a role in adjusting the thickness of the endometrium. If necessary, gonadotropin-releasing hormone agonists can be used under the doctor's advice to inhibit ovarian function and reduce estrogen secretion, thereby thinning the endometrium.

2. Curettage: Suitable for patients with heavy bleeding, ineffective drug treatment, or suspected endometrial lesions. Curettage can not only stop bleeding, but also obtain endometrial tissue for pathological examination and clear diagnosis.

3. Hysteroscopic surgery: For cases where endometrial thickening is caused by endometrial polyps, submucosal fibroids, etc., hysteroscopy can be used to remove the endometrium, and the situation in the uterine cavity can be observed intuitively.

4. Placement of intrauterine device: Intrauterine device containing progestin, such as Mirena, can continuously release progestin to inhibit endometrial hyperplasia.

5. Control your weight: For endocrine disorders caused by obesity that lead to thickening of the endometrium, losing weight can help regulate hormone levels and improve the condition of the endometrium.

The treatment of endometrial thickness needs to be considered comprehensively based on factors such as age, fertility needs, symptom severity, and etiology. Appropriate treatment should be selected under the guidance of a doctor, and regular check-ups should be conducted to monitor the treatment effect and changes in the endometrium.