Thinness of endometrium

　　The causes of thin endometrium are divided into systemic factors and local factors. Systemic factors include endocrine disorders, such as low estrogen levels, insufficient progesterone, ovulatory disorders, and growth hormone deficiency, etc.; local factors are mainly endometrial injury, adhesion, and absence, etc.

　　1. Severe endocrine imbalance

　　The endometrium refers to the layer that constitutes the inner wall of the female mammalian uterus. It responds to estradiol and progesterone, and can therefore undergo significant changes with the sexual cycle. Gynecological experts point out that estradiol can cause uterine hypertrophy, and progesterone can promote the occurrence of special changes in the early stages of pregnancy in the endometrium, or change the nature of the endometrium, making it capable of producing decidua. Therefore, severe endocrine imbalance can lead to hormonal imbalance in the body, causing periodic changes in the endometrium to be disordered and leading to thin endometrium.

　　For thin endometrium caused by simple endocrine factors, clinical hormone adjustment can be used. Appropriate estrogen and progesterone can increase the thickness of the endometrium to some extent and improve the symptoms of thin endometrium.

　　2. Abortion

　　Artificial abortion is the main factor causing thin endometrium. Experts point out that multiple drug abortions or excessive abortion procedures may cause thin endometrium, and some patients may not have their period after abortion surgery, indicating that abortion surgery seriously injures the endometrium, causing thin endometrium.

　　Gynecological experts point out that endometrial thinning caused by artificial abortion usually takes a long time to recover, and some patients may not recover at all. Therefore, experts especially remind patients that if the menstrual period does not come on time after abortion, they must go to the hospital for examination and treatment.

　　3. Abnormal uterine development

　　Acute uterine development is also a cause of thin endometrium, but it has been ignored for a long time. Clinically, some patients' uterine angiography is no longer inverted pear-shaped, but even slender strips. This kind of thin endometrium caused by congenital malformation is generally difficult to treat clinically.

　　1. Abortion: Even if a woman is pregnant, she is prone to abortion. Even if the fertilized egg enters the uterus and successfully implants, due to insufficient nutrition, it will still trigger abortion.

　　2. Induce gynecological diseases: Induces many gynecological diseases, such as irregular menstruation, dysfunctional uterine bleeding, etc. Thin endometrium can also lead to abnormal leukorrhea and other symptoms, which have a significant impact on women's daily life and work.

　　3. Cause infertility and sterility: The greatest harm is to cause infertility. The thickness of the endometrium is very important for female fertility and can affect pregnancy. If the endometrium is too thin, the fertilized egg is difficult to implant, leading to infertility and sterility.

　　1. Thinned endometrium due to kidney deficiency

　　Commonly found in women who have not given birth, usually with a late menarche or insufficient menstrual flow after menarche, delayed development of secondary sexual characteristics, insufficient estrogen secretion after menstruation, common symptoms include short menstrual periods, very little menstrual flow, even a drop at a time, light red color, accompanied by dizziness, tinnitus, lumbago, soreness in the legs, and heel pain, etc.

　　2. Blood deficiency type thin endometrium

　　Commonly occurs in women aged 30 to 40, mostly due to spleen deficiency, poor appetite, malnutrition, improper weight loss, overwork, and long-term illness that consumes Yin and blood, which can easily lead to delayed menstruation and endometrial proliferation disorders. Common symptoms include light menstrual flow and color, finishing in one to two days or stopping in droplets, stuffy pain in the lower abdomen, dizziness, blurred vision, palpitations, yellowish complexion, pale nails, pale tongue and lips, and dry skin.

　　3. Blood stasis type thin endometrium

　　Seen in unclean lochia after childbirth, after gynecological surgery or abortion surgery, blood stasis in the uterus or due to overthinking and anger, Qi stasis and blood stasis, endometrial adhesion, blood circulation is not smooth and the amount is less, purple and black with clots, and sharp pain in the lower abdomen that resists palpation.

　　1. Mental health care: Maintain a stable and cheerful mood, avoid excessive mental tension. Relaxing the mind is actually one of the most effective methods to regulate endocrine, which is very important. Under the influence of good mood, women can not only have more health but also emit charming charm, so never ignore this point.

　　2. Physiological health care: Pay attention to keeping warm during the menstrual period, and you can place a heating pad or a hot water bottle on the abdomen to promote blood circulation, accelerate blood flow, and relax muscles, alleviate organ cramps, and promote the excretion of menstrual blood.

　　3. Exercise health care: Exercise can enhance physical fitness and is beneficial for uterine health. Practicing yoga is the best way to maintain uterine health. Yoga can疏导the Qi and blood circulation of female organs, and adjust the secretion of hormones.

　　First, laparoscopic endometrial thinning examination

　　Director Li pointed out: 'Laparoscopy is currently the main method for diagnosing endometrial thinning. Laparoscopy can directly visualize the pelvic cavity, see ectopic lesions, and make an accurate diagnosis. It can also be staged according to the findings of the examination, which is convenient for determining the treatment plan.'

　　Second, B-ultrasound endometrial thinning examination

　　Currently, B-ultrasound imaging is an effective method for auxiliary diagnosis of endometrial thinning, with 4 types of examination methods:

　　1. Transabdominal examination: Use a B-type real-time imaging instrument or a color Doppler ultrasound imaging instrument to obtain the true maximum longitudinal and transverse sections of the uterus for observation and measurement on the basis of clearly displaying the endometrial line.

　　2. Transvaginal examination: Use a high-frequency vaginal probe to clearly observe the endometrium.

　　3. Transrectal examination: The patient can take a left lateral position or a lithotomy position, and this examination can display the uterus and its endometrium image.

　　4. Transcervical examination: Insert the uterine cavity probe into the uterine cavity and carefully examine the echo of the uterine cavity endometrium and myometrium.

　　First, prevention

　　1. Mental Health:Maintain a stable and cheerful mood, and avoid excessive mental tension. Relaxing the mind is actually one of the most effective methods to regulate endocrine, which is very important. Under the influence of good mood, women can not only have more health but also emit charming charm, so never ignore this point.

　　2. Health Care:Pay attention to keeping warm during the menstrual period, and you can place a heating pad or a hot water bottle on the abdomen to promote blood circulation, accelerate blood flow, and relax muscles, alleviate organ cramps, and promote the excretion of menstrual blood.

　　3. Exercise Health Care:Exercise can enhance physical fitness and is good for uterine health. Practicing yoga is the best way to maintain uterine health. Yoga can疏导 the Qi and blood circulation of female organs, adjust the secretion of hormones.

　　4. Diet Health Care:Eat light, avoid spicy and greasy foods, quit smoking and drinking. Eat more blood-nourishing and blood-activating foods, such as black beans, ejiao, black fungus, snow frog, soy milk, dark chicken, honey, walnuts, black sesame seeds, melon seeds, etc.

　　Secondly, pay attention to diet

　　1. Breakfast:Purple rice, corn flour, wheat flour, eggs, tomatoes, etc., such as: purple rice congee, two-flour steamed buns, scrambled eggs with tomatoes;

　　2. Lunch:Brown rice, glutinous rice, bitter melon, chicken wings, spinach, vermicelli, etc., such as: mixed rice, bitter melon braised chicken wings, spinach vermicelli soup; snacks: fruits such as apples;

　　3. Dinner:Millet, glutinous rice, sheep liver, chive, celery, lotus root, such as: mixed rice, stir-fried sheep liver and chive, stir-fried celery slices.

　　1. Western Medicine Therapy: For thin endometrium caused by simple endocrine factors, hormone adjustment can be used in clinical practice. Appropriate estrogen and progesterone can increase the thickness of the endometrium to a certain extent and improve the symptoms of thin endometrium. However, hormones have great harm, and long-term use can lead to organ failure and a sharp decline in immune function.

　　2. Surgical Therapy: Surgical therapy is generally applicable to thin endometrium caused by endometrial adhesion and injury, and can only be performed under hysteroscopy and laparoscopy. After cold instrument processing, anti-adhesion treatment should be done, and in severe cases, endometrial transplantation should be performed.

　　3. Traditional Chinese Medicine Method: In traditional Chinese medicine, thin endometrium is mostly attributed to kidney deficiency and deficiency of both Qi and blood, leading to the inability of Qi and blood to nourish, and the disharmony of Chong and Ren. It can be treated with traditional Chinese medicine, which can supplement Qi and nourish blood, benefit the kidneys and invigorate the spleen, and make the endometrium gradually thicken. However, traditional Chinese medicine generally takes a long time to take effect.

　　The thickness of the endometrium changes with the menstrual cycle. Starting from the 5th day of the menstrual cycle, the endometrium is in the proliferative phase, and the endometrium continues to thicken until the 14th day of the menstrual cycle, which can thicken to 3-4mm. In the second half of the menstrual cycle, the endometrium is in the secretory phase, but it still continues to thicken, and the thickness of the endometrium can reach 10mm before the menstrual period. Thin endometrium can affect pregnancy, easily cause miscarriage, and the best treatment for thin endometrium is still the Baishao Ganyu prescription.