What to do if the endometrium is uneven

Endometrial unevenness can be improved by adjusting lifestyle, medication, hysteroscopy, dilation and curettage, hormone therapy, etc. Uneven endometrium may be caused by endocrine disorders, endometritis, endometrial polyps, endometrial hyperplasia, adenomyosis and other reasons.

1. Adjust your lifestyle

Maintaining a regular schedule helps regulate endocrine and avoid staying up late or being overworked. Appropriate exercise such as walking or yoga can promote pelvic blood circulation and reduce sitting time. Increase the intake of nuts and dark vegetables rich in vitamin E in the diet, and reduce the intake of high-sugar and high-fat foods.

2. Drug treatment

Progesterone capsules can be used to regulate the menstrual cycle and improve endometrial abnormalities caused by insufficient luteal function. Fuke Qianjin Tablets can relieve endometrial thickening caused by chronic endometritis. Dydrogesterone tablets are suitable for patients with simple endometrial hyperplasia and need to be used periodically under the guidance of a doctor.

3. Hysteroscopy

Hysteroscopy can directly observe the morphology of the endometrium and find tiny polyps or adhesion lesions. During the examination, a biopsy can be performed simultaneously to confirm the pathological diagnosis, which has diagnostic value for patients with abnormal bleeding and intimal unevenness. It is a minimally invasive operation and the postoperative recovery is quick.

4. Dilation and curettage

Diagnostic dilation and curettage can obtain endometrial tissue for pathological examination to rule out malignant lesions. For abnormal uterine bleeding that does not respond to medical treatment, dilation and curettage can quickly stop bleeding and remove thickened endometrium. It is necessary to prevent infection after surgery and monitor the recovery of menstruation.

5. Hormone treatment

Sequential therapy with estrogen and progesterone can reestablish normal menstrual cycle and is suitable for patients with perimenopausal endometrium. The levonorgestrel sustained-release intrauterine system can locally inhibit endometrial hyperplasia and reduce menstrual flow. Periodic ultrasound review of changes in the endometrium is required during medication.

It is recommended to keep the vulva clean and dry, and avoid bathing and sex during menstruation. Record menstrual cycle changes every month, including menstrual flow, color, and duration. If non-menstrual bleeding or dysmenorrhea worsens, please review the ultrasound immediately. You can drink rose tea every day to help promote blood circulation and remove blood clots, but avoid taking estrogen-containing health products. Annual gynecological examinations and cervical cancer screenings are performed. Women over 40 are recommended to increase breast examinations.