What Foods Can Help Increase Uterine Lining?

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Causes and Treatments of Thin Endometrium

There are many reasons that can lead to thinning of the endometrium in women, such as multiple abortions and curettage procedures, which may cause thinning of the endometrium. If the endometrium is too thin, it can have a significant impact on women's health, with the main effect being the inability to conceive normally. In such cases, it is recommended to promote the thickening of the endometrium. Commonly, taking estrogen drugs can increase the thickness of the endometrium, such as estradiol valerate.

I. Methods to Increase Endometrial Thickness

Taking estrogen drugs can promote the growth of the endometrium and increase its thickness. It is recommended to use natural estrogens, with estradiol valerate being a commonly used option. Starting from the fifth day of the menstrual cycle, the minimum dosage is 1mg once daily for 21 days. In the last ten days, progesterone is added, and both drugs are stopped simultaneously to induce endometrial shedding and withdrawal bleeding. This cycle is repeated for 3-6 cycles. If menstrual flow remains scanty after treatment, the dosage of estrogen may be appropriately increased. Long-term use of hormones can cause drug-induced liver damage, so liver function should be monitored during medication.

II. Treatments for Thick Endometrium

1. Drug therapy is the main principle, with standardized medication, long-term monitoring, regular testing, and timely fertility assistance. Types of medication include: a) Clomiphene, a fertility drug, taken once daily from the 5th to 9th day of the cycle, with the duration extended by 2-3 days if necessary. b) Progestogens, which vary depending on the degree of atypia in the endometrium. Mild atypia can be treated with intramuscular injection of progesterone for 5-7 days starting on the 18th or 20th day of the cycle. Moderate to severe atypia may require continuous use of medroxyprogesterone acetate for three months as a treatment cycle, with endometrial biopsy or hysterectomy performed after each cycle to assess response to treatment and adjust medication dosages accordingly. Intrauterine device placement may also be considered.

2. Surgical treatment: Curettage and suction are not only important diagnostic methods but also therapeutic options. Local lesions may be cleared through curettage. In patients over 40 years of age with atypical endometrial hyperplasia and no fertility requirements, hysterectomy may be performed once diagnosed. However, for patients with hypertension, diabetes, obesity, or advanced age who have poor surgical tolerance, drug therapy under close follow-up and monitoring may be considered. Surgical removal of the uterus may be considered in young patients who have failed drug therapy, have persistent or worsening endometrial hyperplasia, are suspected of developing cancer, or have vaginal bleeding that cannot be controlled by curettage and drug therapy.

III. Hazards of Thin Endometrium

If a woman's endometrium is thin, it may lead to decreased menstrual flow or even infertility. In most cases, thin endometrium is closely related to factors such as premature ovarian failure and repeated curettage. Therefore, it is important to promptly undergo relevant examinations at the hospital to identify the underlying cause when thin endometrium is suspected. Specific treatment methods should be adopted based on the test results, and it is also necessary to focus on physical care during treatment, consume foods with high nutritional value, and avoid excessive fatigue and long-term stay-ups.