Excessive endometrial thickness may lead to amenorrhea, especially when it is related to endocrine disorders or pathological endometrial hyperplasia, and needs to be treated according to the specific cause. Common causes of excessive endometrial thickness include hormonal disorders, polycystic ovary syndrome and other pathological factors, and treatment methods include drug regulation, surgical removal of abnormal endometrium and lifestyle intervention. 1. The relationship between endometrial thickness and amenorrhea Endometrial thickness is an important indicator of uterine health. Excessive thickness may interfere with the normal menstrual cycle and cause amenorrhea or menstrual disorders. The specific reasons are as follows: 1. Hormone imbalance: Too much estrogen and insufficient progesterone will cause the endometrium to continue to grow but not shed, resulting in amenorrhea. This is usually seen in puberty, perimenopause or those who take long-term oral estrogen replacement drugs. 2 Polycystic ovary syndrome: This common endocrine disorder can cause lack of ovulation, resulting in excessive thickening of the endometrium due to long-term estrogen stimulation and increased risk of amenorrhea. 3Other pathological factors: Endometrial hyperplasia or endometrial lesions including endometrial precancerous lesions may also lead to amenorrhea and should be taken seriously. 2. Treatment of endometrial thickening Specific treatment needs to be tailored to the cause: 1. Drug treatment: ① For thick endometrium caused by hormone imbalance, you can take progesterone drugs such as dydrogesterone tablets or progesterone capsules to promote endometrial shedding and restore normal cycles. ② Patients with polycystic ovary can use contraceptive drugs such as Diane-35 to regulate hormone levels and cooperate with ovulation induction treatment. ③If there is inflammation or mild endometrial lesions, anti-inflammatory drugs can be used under the guidance of a doctor. 2Surgical treatment: ①Hysteroscopy and curettage: used to remove the hyperplastic endometrium and exclude lesions. ② Endometrial ablation surgery: suitable for patients with recurrent hyperplasia, it can reduce the thickness of the endometrium. ③If the lesion is severe, a hysterectomy may be required, especially in patients with precancerous lesions. 3 Lifestyle Adjustment: Maintaining a regular schedule, eating a healthy diet, and exercising moderately can help regulate hormone levels in the body. Avoiding high-sugar and high-fat foods and avoiding excessive weight gain are particularly important for endocrine health. If the endometrium is too thick and accompanied by symptoms such as amenorrhea, it is recommended to see a doctor as soon as possible to identify the cause and receive targeted treatment. Endometrial management is an important part of women's health, and regular gynecological examinations can help early detection and early treatment of endometrial problems. |
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