What is the cause of endometrial thickness after years of amenorrhea?

Thick endometrium after years of amenorrhea may be related to hormone imbalance, endometrial lesions or chronic inflammation. It is recommended to improve through drug regulation, surgical intervention or traditional Chinese medicine conditioning. Treatment should be combined with the condition. Drug treatment can choose progesterone, dydrogesterone or medroxyprogesterone acetate; surgical intervention includes endometrial resection, hysteroscopic curettage or hysterectomy; traditional Chinese medicine conditioning can use traditional Chinese medicine such as astragalus, angelica, and Chuanxiong. Those with severe conditions should seek medical attention in time.

1. Hormone imbalance is one of the main reasons for endometrial thickening after years of amenorrhea. The estrogen level in women is too high, while the progesterone level is insufficient, which leads to continuous proliferation of the endometrium. Oral progesterone drugs such as progesterone capsules can regulate hormone levels and promote endometrial shedding. Dydrogesterone and medroxyprogesterone acetate are also commonly used drugs and should be used under the guidance of a doctor.

2. Endometrial lesions such as endometrial hyperplasia or endometrial cancer may also lead to amenorrhea and endometrial thickening for many years. Endometrial hyperplasia is divided into simple, complex and atypical hyperplasia, and treatment options should be selected according to the pathological type. Endometrial cancer requires surgical removal of the diseased tissue, including endometrial resection, hysteroscopic curettage or hysterectomy.

3. Inflammatory diseases such as chronic endometritis or pelvic inflammatory disease may also cause endometrial thickening. Inflammatory stimulation leads to endometrial congestion, edema and hyperplasia. Treating inflammation with antibiotics and combining with Chinese medicine conditioning such as astragalus, angelica, and Chuanxiong can improve symptoms. Chinese medicine has the effects of promoting blood circulation and removing blood stasis, regulating endocrine, and helps restore the normal thickness of the endometrium.

The treatment of endometrial thickening due to amenorrhea for many years requires comprehensive hormone regulation, surgical intervention and traditional Chinese medicine conditioning. Those with complicated conditions should seek medical attention as soon as possible and develop personalized treatment plans based on the specific cause to avoid further development of the disease.