What to do if the endometrium is thin

Thin endometrium can be improved by adjusting lifestyle, supplementing estrogen, improving blood circulation, Chinese medicine conditioning, and surgical treatment. Thin endometrium may be caused by endocrine disorders, uterine cavity manipulation injury, inflammation and infection, malnutrition, congenital developmental abnormalities and other reasons.

1. Adjust your lifestyle

Maintaining a regular schedule can help improve endocrine function and avoid staying up late and overexertion. Proper aerobic exercise such as walking, yoga, etc. can promote pelvic blood circulation. Increase the intake of high-quality protein and vitamin E in your diet, such as soy products, nuts, dark vegetables, etc., and avoid spicy, cold, and spicy foods. Long-term mental stress may affect hormone secretion, so stress needs to be relieved through meditation, music, etc.

2. Supplement estrogen

For thin endometrium caused by low estrogen levels, drugs such as estradiol valerate tablets, estradiol gel, and conjugated estrogen tablets can be used under the guidance of a doctor. These drugs can directly promote endometrial hyperplasia, and hormone levels and endometrial thickness need to be monitored regularly during use. Some patients may need to use progesterone capsules for artificial cycle treatment.

3. Improve blood circulation

When endometrial blood perfusion is insufficient, aspirin enteric-coated tablets, sildenafil tablets and other drugs can be used to improve microcirculation. Local hot compresses on the lower abdomen or foot baths can also help increase pelvic blood supply. Traditional Chinese medicine acupuncture selects acupuncture points such as Guanyuan, Uterus, and Sanyinjiao, which can regulate the flow of qi and blood. Hyperbaric oxygen therapy can be used to enhance tissue oxygenation when necessary.

4. Traditional Chinese Medicine Conditioning

For patients with kidney deficiency and blood stasis, Chinese patent medicines such as Menstruation-Promoting Pregnancy Pills, Wuji Baifeng Pills, and Dingkun Dan can be taken, along with moxibustion at the Shenque point. The type of Qi and blood deficiency is suitable for drugs such as Bazhen Granules and Guipi Pills. Traditional Chinese medicine cycle therapy is usually divided into three stages: menstrual phase, follicular phase, and luteal phase. Commonly used medicinal materials include angelica, chuanxiong, dodder, wolfberry, etc.

5. Surgical treatment

If the endometrium is thin due to intrauterine adhesions, hysteroscopic adhesion separation is required, and an intrauterine device or balloon stent is placed after surgery to prevent re-adhesion. For congenital uterine dysplasia, uterine orthopedic surgery may be necessary. New therapies such as stem cell transplantation are still in the clinical research stage and need to be chosen with caution.

Foods rich in phytoestrogens such as black beans, pomegranates, and pumpkin seeds can be consumed appropriately on a daily basis, but the daily intake needs to be controlled. Avoid frequent uterine cavity operations and take contraceptive measures to reduce artificial abortion. It is recommended to do more than 30 minutes of moderate-intensity exercise 3-5 times a week to maintain your weight within the normal range. During treatment, ultrasound should be reviewed regularly to monitor changes in the endometrium. Abnormal vaginal bleeding requires prompt medical attention. Women preparing for pregnancy should choose the best time to conceive under the guidance of a doctor.