What is dangerous thin endometrium. Causes and treatment of a thin layer of the endometrium

In nature, balance is very important, compliance with the rule of the "golden mean". extreme options are always rejected because they cannot meet the requirements for the normal existence of the species. This rule can be perfectly demonstrated by the example of the endometrium or the mucous membrane of the uterine cavity.

There are diseases that lead to its hyperplasia, that is, to its excessive growth. The best known of these diseases is endometriosis. This disease often leads to infertility, to the appearance of heavy and painful periods and is big problem endocrine gynecology.

But there is another extreme, in which the endometrium is not at all subject to excessive growth and hyperplasia. On the contrary, it has an abnormally small thickness. And since a very important period depends on the thickness of this layer prenatal development human - implantation gestational sac into the wall of the uterus, then this is a real difficulty for bearing.

Therefore, the problem of a thin mucous layer of the uterus is directly related to the problem of infertility. Very often, women ask a gynecologist if it is possible to get pregnant with a thin endometrium? We will try to answer this question, but before that, we will talk a little about what is normal thickness endometrium for conception, and how it works.

The endometrium is the inner layer that lines the uterus. Unlike the lining of others hollow organs, for example, the stomach, the lining of the uterus undergoes regular, cyclical changes.

In the event that fertilization has not occurred, the endometrium is rejected, and its remnants are excreted in the form of menstruation. In the same case, if fertilization has occurred, then its task after some time is to accept the fetal egg, to fix it in its thickness (this process is called implantation). It is this time that is the early "critical" period of pregnancy.

Next, you need to change the type of nutrition of the embryo. Previously, it was diffuse, in which it received nutrients from the surrounding fluid, and now it will be hematotrophic (using blood vessels). In other words, without a normally arranged endometrium, the appearance of the chorion at first, and then the placenta, will be impossible.

The endometrium is normally two-layered. It is based on basal cells, which do not react to changes in any way. female cycle. The task of the basal layer is to produce a functional top layer. It is he who, after fertilization, will be responsible for the prompt change in the nutrition of the embryo and the development of the fetus.

In the event that the thickness of this layer in a woman in fertile period is insufficient, it can cause either miscarriage or infertility. How thick should the endometrium be to get pregnant and carry a baby?

Source: Prosto-Maria.ru

Pathology

As obstetric statistics show, the normal thickness of the functional uterine endometrium in women of childbearing age, which does not prevent the continuation of pregnancy, is 7 mm.

After menstruation, in the first days of the cycle, when the activity of the uterine mucosa is regulated by estrogens, it gradually increases, and ranges from 5 to 9 mm. After ovulation, when estrogens “give way” to progesterone, the endometrium is prepared for possible pregnancy. As a result, the thickness of the endometrium can reach 1.3 - 1.4 cm in thickness.

Pregnancy with a thin endometrium becomes problematic if its thickness does not exceed 5 mm during the progesterone phase of the cycle. In this case, it is possible to diagnose "endometrial hypoplasia", or its thinning.

Of course, there is a convention in any figures, and many more women form the question incorrectly. After all, fertilization or conception can occur in any condition of the uterine mucosa (for example, in a tube), but with its hypoplasia, further continuation of pregnancy will become impossible or difficult.

There are cases when pregnancy and thin endometrium were successfully combined, and even with a thickness of 4 mm, a woman managed to bear a child. But with such a thickness of the endometrium, the risk of developing obstetric pathology on early term pregnancy, which leads to its interruption or to the development of complications.

After all, in normal conditions the task of the endometrium is to continue to thicken under the influence of progesterone after pregnancy has occurred. During the first weeks after pregnancy, the thickness of the inner uterine layer can be more than 2 cm, which is what the doctor often notices during a gynecological ultrasound.

The fertilized egg itself may not yet be noticeable, but it can already be determined probable sign pregnancy. But in the event that a woman's endometrial thickness is not enough for conception and bearing, This should be permanent cause miscarriage in the first trimester. Consider what should be average rate endometrium for conception on the days of the cycle.

Norm

Consider what should be the thickness of the endometrium for conception and normal bearing of a child. Every obstetrician-gynecologist antenatal clinic there are special tables that allow you to calculate whether the thickness of the internal lining normal course cycle, and are there any signs of both hypoplasia and hyperplastic process. Here is a table of endometrial thicknesses by cycle days for conception.

Source: bolshoyvopros.ru

The diagram shows that on the 14th day the largest diameter of the follicle falls, and ovulation occurs, and after that, the growth of the endometrium occurs slightly if fertilization does not occur. After ovulation, in the second half of the cycle, the normal thickness “does not reach” up to one and a half centimeters. Accordingly, the norm of the endometrium for conception can confidently be considered from 1 centimeter.

Is it possible to get pregnant if the endometrium is 7 mm? Yes, it is quite possible, but the chances are still the greatest if several conditions are met at the same time:

dynamic observation of a gynecologist and pregnancy management;
planned conception with possible medical support;
elimination of extragenital pathology, which can create a risk of increased miscarriage.

We have determined what the endometrium should be for the conception of a child and its bearing in thickness. But what causes lead to hypoplasia of the inner layer?

Causes

Why is the endometrium not growing? Reasons for this may lie in various diseases and in the patient's lifestyle. Most common causes development of hypoplasia lie in the following diseases and states:

Endocrine diseases and disorders hormonal function ovaries and hypothalamic-pituitary system. Most often we are talking about a lack of gonadotropic hormones of the pituitary gland, which leads to a lack of estrogens. In some cases, a lack of estrogen can be caused by local reasons such as ovarian cysts.

Congenital and acquired circulatory disorders in the myometrium and endometrium. Lack of blood circulation leads to a decrease in the level of metabolism in the endometrium, and this leads to its poor growth or hypoplasia.
Presence of polycystic ovaries.
Congenital aplasia or hypoplasia of the uterus (or its underdevelopment).
Frequent surgical manipulations, for example, curettage of the uterus, frequent abortions.

The reason for the small endometrium is currently uncontrolled intake by young patients hormonal drugs, including without the appointment of a gynecologist.

You should not use emergency contraception during unprotected sex, but use condoms. In this case, there will be no harm to the body of women (perhaps, except for an allergy to latex, which is not so common), and there is no risk of developing hypoplasia;

Very often, the presence of chronic inflammatory processes in the uterus leads to endometrial hypoplasia, such as chronic endometritis, chronic forms sexually transmitted diseases - trichomoniasis, gonorrhea, chlamydia, mycoplasma and ureaplasma infection.

All this leads to the development of adhesive and cicatricial processes that worsen the proliferation of the endometrium and its development.

In the end, a disordered lifestyle, constant chronic stress, irregular periods, smoking, alcoholism, and even more so drug addiction leads to complete violation hormonal regulation female cycle, the development of chronic beriberi, depletion of the body.

Therefore, a woman preparing to become a mother needs not only to know how to prepare the endometrium for pregnancy, but also how to prepare her own body for motherhood entirely. What are the symptoms of endometrial hypoplasia, and how does this condition manifest itself?

Symptoms

Unlike endometriosis, the signs of uterine mucosal hypoplasia are not as noticeable, and many women are not even aware that they have this problem. Sometimes it is manifested only by habitual miscarriage, which occurs immediately after conception.

There are some symptoms that women may experience. These include:

periodic amenorrhea, which is expressed in the absence of menstruation;
very scanty and insufficient menstruation.

This symptom indicates insufficient development of the endometrium by the end of the cycle. But sometimes there are discharges like metrorrhagia in the middle of the cycle, in which even clots can separate. This sign will indicate that a sufficiently active and well-ripened endometrial tissue is not rejected when it should be.

In addition, symptoms of hypoplasia include late start menstruation, reduced libido, anorgasmia, insufficient deposition of fat along female type and hirsutism, as a sign of androgen excess. Indirectly, other symptoms of estrogen deficiency can serve in favor of endometrial hypoplasia.

All of the above signs and symptoms of a thin endometrium should definitely alert the woman, and she should tell the gynecologist about them. How can endometrial hypoplasia be diagnosed?

Diagnostics

It must be remembered that only comprehensive examination women allows you to diagnose endometrial hypoplasia. The diagnosis is based on ultrasound of the uterus, and moreover several times during the same cycle. In addition, the diagnosis of endometrial hypoplasia cannot be made without the patient having the following tests:

a comprehensive blood test for hormones: estradiol, progesterone, pituitary gonadotropic hormones, and the study can be carried out in different periods cycle.
a biopsy of the endometrium taken from different sites in which there is a high probability of the appearance of the most developed endometrium in the period following ovulation. It is during this period that the thickness of the endometrium for conception should be normal up to 14 mm.

The above are the main diagnostic procedures, without which it is impossible to deliver accurate diagnosis. But if the causes of thin endometrium are known, then what should be the treatment? What are the basic principles of endometrial enlargement for a normal pregnancy?

Treatment

It should be recalled that only the attending gynecologist should prescribe all drugs. Treatment of a thin endometrium is a delicate process that may involve not only certain food products for the growth of the endometrium and follicles. Often, according to indications, an appointment is required hormone therapy, as well as other drugs. Consider the basic principles of how to increase the endometrium for conception.

Medications

Most often, gynecologists deal with hormonal deficiency. Therefore, in the first half of the cycle there may be a lack of estrogens, and in the second half of the cycle there may be a lack of progesterone. It is necessary to determine which hormones are lacking and prescribe compensatory therapy.

In some cases, patients need estradiol, and in some cases, progestins, such as Duphaston or Utrozhestan. These drugs can replace progesterone and prepare the endometrium of the uterus for a possible pregnancy.

They increase the proliferation of the endometrium, at the same time reduce muscle tone uterus, which also favors the implantation of the fetal egg, and also prevents the exfoliation of the endometrium. The appointment of such drugs, as well as combined oral contraceptives or COCs, must be carried out under the supervision of a doctor, and taken according to the scheme, depending on the days of the cycle.

In some cases, in order to achieve a normal concentration of endogenous progesterone, ovulation stimulation is required. This procedure is especially delicate for thin endometrium.

In the event that stimulation is carried out independently, in the form of self-medication, then drugs such as Klostilbegit can lead to more more development endometrial hypoplasia. It is necessary to stimulate ovulation in combination with estrogen-containing drugs, and always under the supervision of a specialist.

Folk

How to increase the thickness of the endometrium to get pregnant without drugs? First of all, in the absence of chronic microbial diseases, physiotherapy is indicated. According to the doctor's prescription, UHF, magnetotherapy, diadynamic currents, amplipulse, sinusoidally modulated currents can be prescribed.

In some cases, in the stage of stable remission, it is shown Spa treatment: bathing, electrophoresis with medicines including vitamins and enzymes. These procedures lead to the resorption of scars and adhesions, the rise of immunity, the normalization menstrual cycle.

how to grow endometrium folk remedies? Among the most favorite folk remedies, we can mention the infusion of the hog uterus. It can be bought at a pharmacy, the herb is taken daily for several teaspoons of infusion, prepared from ready-made bags filled with a glass of boiling water, according to the instructions.

Combined help well herbal preparations containing yarrow, nettle, elderberry, mint and chamomile. Many women celebrate good healing action tea from crimson leaves. It can be drunk as regular tea, several times a day, it promotes an anti-inflammatory mild effect and contributes to the normalization of the endometrium in case of uterine lesions.

Diet

How to build up the endometrium for conception with proper diet? To do this, you must adhere to the following principles:

It is advisable to consume more fiber, especially pumpkin and pineapple. In the event that you do not have allergies, you can eat them without restriction, as well as drink pumpkin and pineapple juice.
Should be included in your diet easily digestible foods, such as fatty varieties of marine fish, and lean meats.
It is very useful to stimulate the immune system to use dried fruits, nuts, honey and red wine.
It is useful to use berries such as raspberries, which contain high level salicylates. Raspberries can be considered natural aspirin, it gently helps to reduce inflammation, including in gynecology.
It is not forbidden to use a small amount of natural spices. Contribute to the stimulation of endometrial growth cinnamon, sweet paprika, curry.

At the same time, it is necessary to strictly monitor the restriction of tea, especially strong, coffee, refined fatty foods, french fries, muffins, fast carbohydrates, fried and smoked.

It can be said that pregnancy small endometrium possible. You need to try in every possible way to increase it, but first of all, you need to normalize your menstrual cycle and the physiological rhythm of hormone production. And in this it plays an important role healthy lifestyle life.

Regular and good sleep, dosed exercise stress, popular and useful species sports, positive emotions very good influence on the correct hormonal background. And this means that a woman, in cooperation with gynecologists and following their prescriptions, has a very real chance to get rid of such a problem as endometrial hypoplasia and infertility caused by it.

Every woman suffering from infertility has her own history of treatment, her own causes of the disease, but everyone has one dream. Gynecologists and pharmacists are constantly looking for new drugs and treatments for this disease. After all, the main thing is not only to make the correct diagnosis, but also to choose individual treatment, which will result in the birth healthy baby.

Thin endometrium - what to do?

A common cause of female infertility is a thin layer of the endometrium, and treatment in this case can be carried out with hormonal medications, pseudohormones, herbal decoctions. Going to your goal will not be easy, but reaching it is quite possible.

How to treat thin endometrium with herbs?

Many women refuse to hormonally treat thin endometrium, since folk remedies also help with this problem. Very good results for follicles gives sage with a thin endometrium, you need to brew 1 teaspoon in a glass of water and drink during the day in the first phase of the cycle. Also helps a lot upland uterus with a thin endometrium, being a pseudohormone that is transformed in a woman's body. It also has an anti-inflammatory effect. Even modern medicine offers homeopathic drops of "Tazalok" to solve this problem, which normalize the menstrual cycle and regulate the synthesis of endogenous gonadotropic hormones. This drug has virtually no side effects.

How to build up a thin endometrium with drugs?

The endometrium grows within 14 days, its growth is stimulated by estradiol preparations. To build up the endometrium, doctors prescribe the drug Proginova, Estradiol or Femoston in the first phase of the cycle, in the second phase they recommend taking duphaston. Dufaston with a thin endometrium helps to form its structure, acts like a synthetic progesterone - "accompanies" the overgrown endometrium, it should be taken in the second half of the cycle. All these drugs are synthetic and have many contraindications, so their use should be discussed with your doctor and assess the risk yourself.

Often, a thin endometrium is detected after taking OK, but it all depends on the woman's body. Stopping oral contraceptives and taking regulon within two months can lead to positive results restoration of the growth of the optimal endometrium.

If the endometrium is thin, the reasons may have the most different nature. However, in any case, hypoplasia (the medical name for the problem presented) needs proper treatment, since pathology can lead to serious problems with the onset of pregnancy and gestation.

What is hypoplasia?

The endometrium is a mucous membrane that lines the inner surface of the uterus. The endometrium contains epithelial cells, an integument, blood vessels, and a ground substance. The shell plays extremely important role For successful conception and successful pregnancy. After all, it is to the endometrium that the embryo is attached, and the vessels located in it supply nutrition and oxygen to the fetus.

The layer of the endometrium, its structure and thickness undergo certain changes depending on the phase of the menstrual cycle. It increases in thickness after ovulation period and in the absence of fertilization, it exfoliates and again decreases in size. On average, the normal thickness of the endometrium should be between 0.5 and 1.5 centimeters. If the endometrial layer is thinner than 0.4, then we are talking about pathological condition, called hypoplasia, characterized by the superficial development of the mucous uterine layer.

What causes pathology?

According to statistics, a thin endometrium is observed in every third of the fair sex. According to gynecologists, for a thin endometrium, the causes of occurrence can be a violation hormonal balance V female body. In addition, the following reasons can provoke hypoplasia:

Violation and injury of the uterine mucosa, leading to damage to the basal layer of the endometrium.
Previous abortions.
Violations of the uterine circulation of a congenital or acquired nature.
Scraping.
Transferred surgical operations on the uterus.
Inflammatory lesions of the uterus.
Violations in the functioning of the endocrine system.
Uterine pathology, expressed in its underdevelopment.
Availability infectious diseases urinary system.
Violation of blood flow and stagnation of blood in the pelvic organs.
Genetic factor leading to uterine dysfunction.
Prolonged and uncontrolled use of contraceptives.
The presence of sexual infections.
Previously transferred surgical interventions in the region of the ovaries.
Adenomyosis.
Myoma.
Presence of polycystic ovary syndrome.

In addition, there is a theory about the hereditary nature of the pathologically thin endometrial layer. However this hypothesis to date, there is no exact evidence and confirmation.

Signs of pathology

Thin endometrium the uterus is accompanied next characteristic features and manifestations, thanks to which it is possible to carry out the diagnosis of pathology in a timely manner, to ensure the proper therapeutic course. Specialists highlight the following symptoms inherent in hypoplasia:

Menstrual disorders.
The appearance of smearing discharge, observed during menstruation in the middle of the cycle.
Scanty little discharge of menstrual blood.
Infertility.
Complicated spontaneous abortions accompanied by internal bleeding.
Weak expression of secondary sexual characteristics.
Excessively narrow pelvis.
Late onset of menstruation (from sixteen years and older).
Anorgasmia.
Periodic, having a breakthrough character.

It is important to know that a thin endometrium is enough dangerous pathology fraught with severe complications. Therefore, if you find the above signs, it is recommended to seek advice from an endocrinologist and undergo the necessary examination.

Of course, pregnancy should proceed under the strict supervision of a specialist, in compliance with all medical advice and against the background of absolute rest, but the pathology must be treated. In order to avoid possible problems and complications in planning pregnancy, you should be examined and treated before conception.

What is the danger of thin endometrium?

The normal state and full development of the endometrium is necessary condition for successful conception and pregnancy. The mucous membrane of the uterus consists of two layers: basal and functional. The functional layer is responsible for the implantation of a fertilized egg and the development of the fetus until the completion of the formation of the placenta. Therefore, with thinning of the uterine endometrium, there is a high probability of complications such as infertility, spontaneous abortion.

The following adverse effects are also possible:

Ectopic pregnancy.
Miscarriage.
Weak generic activity.
Pronounced, prolonged toxicosis.
Complication of the birth process.
Abundant intense bleeding during the postpartum period.

It used to be that pregnancy was an incompatible concept, but modern medicine has proven that a woman suffering from such a problem is quite capable of becoming a mother and giving birth to a healthy baby. In case of difficulties with conception, IVF is recommended - artificial insemination.

Diagnostic methods

Identification of hypoplasia is carried out on the basis of a detailed study of the symptoms, general clinical picture and history results. However, to clarify the diagnosis and determine the causes of the pathology, the patient is assigned the following studies:

Ultrasound examination of the uterus, carried out several times during the menstrual cycle and necessary to determine the thickness of the endometrium.
General blood analysis.
A blood test to determine the concentration of progesterone, follicle-stimulating and luteotropic sex hormones. To get the maximum accurate results blood sampling for analysis is recommended on the twentieth or twenty-first day of the menstrual cycle.
Performing a uterine biopsy.
Conducting a pipel biopsy.
Ultrasound examination of the pelvic organs.
Hysteroscopy, which is an examination of the uterine cavity using a special optical device.
Taking a scraping of uterine tissue for adduction histological examination. This procedure It is recommended to carry out shortly before the onset of menstruation.

Treatment methods

Treatment of hypoplasia should be aimed at eliminating the causes of the pathology, as well as building up and increasing the endometrial layer.

To achieve these goals, two main therapeutic methods are used: conservative and surgical. Let's consider them in more detail. Conservative treatment It consists mainly in the use of hormonal preparations containing progesterone or dydrogesterone (for example, Duphaston). This method of treatment is prescribed in cases where the cause of the disease was a hormonal imbalance. The selection of the drug, the determination of its dosage and duration of administration, should be carried out exclusively by the attending physician on an individual basis.

In addition, to conservative way treatments include the following:

Physiotherapy.
Massage.
Physiotherapy.
Electrophoresis.
Hirudotherapy.
acupuncture
Phytotherapy.

The above procedures are usually prescribed to patients whose development of hypoplasia was provoked by impaired uterine circulation, inflammatory processes in the pelvic organs. In addition, physiotherapy to a large extent promotes the growth of the endometrial layer.

Surgical treatment is surgical intervention aimed at removing the inner layer of the endometrium, which is powerful tool activation of the processes responsible for the growth of endometrial tissue and its thickening. With a thin endometrium, the causes largely determine the way to deal with pathology. The choice of therapeutic technique is selected by a specialist, taking into account a number of factors to ensure the most effective treatment.

Violations at work reproductive system very common in modern medical practice. And today, many women are interested in: what is the danger of thin endometrium? Causes such violation can be very different. And a patient with such a diagnosis needs help.

Thin endometrium: what does it mean?

As you know, the endometrium is the inner layer that lines the uterus. Its role in reproductive function is extremely important. The endometrium itself also consists of two parts. The bottom layer is represented by basal cells, which remain unchanged. The upper part is functional - it is she who is responsible for the implantation of a fertilized egg and further development embryo until the formation of a full-fledged placenta. Upper layer increases every month. If fertilization does not occur, the tissues are torn off under the influence of hormones and come out during menstruation. In order for a woman to become pregnant, the thickness of the endometrium must be at least seven millimeters. However, today often the representatives of the weaker sex are faced with the diagnosis of "thin endometrium". The causes and signs of such a violation are of interest to many patients. After all, as you know, thinned functional layer often causes infertility.

Thin endometrium: causes of pathology

Such a violation can be the result of various factors:

Since the development and maturation of the functional layer of the inner lining of the uterus occurs under the influence of hormones, it is hormonal disruptions that most often cause thinning.
Frequent abortions can lead to the same consequences. First, scraping leads to damage to the upper tissues. Secondly, an interrupted pregnancy is a huge stress for the body, which is associated with the same hormonal disruptions.
The risk group includes women with chronic diseases reproductive system.
There are other factors that can result in a thin endometrium. The reasons often lie in the violation of the blood supply to the uterus. With a lack of blood circulation, tissues do not receive enough oxygen and nutrients to grow.

Thin endometrium and pregnancy

If the endometrium is underdeveloped, then the chances of getting pregnant are sharply reduced. It is this pathology that often causes a woman's infertility. In some cases, fertilization and implantation can occur. But the thinned functional layer of the uterus increases the risk of spontaneous abortion. Fortunately, modern medicine offers a very successful methods treatment.

Thin endometrium: treatment

First of all, it is necessary to additional research and find out what exactly caused such a violation - the choice of therapy depends on this. For example, when hormonal disruptions the problem is quite easily eliminated by taking progesterone hormonal preparations. If thin endometrium is the result chronic inflammation in the pelvis, then, of course, this is what you first need to cure, primary disease. And with insufficient blood supply, in addition to special medicines, they recommend proper nutrition, massage and special therapeutic exercises that enhance blood circulation. Some methods are also considered very effective. alternative medicine in particular, leech therapy and acupuncture.

The endometrium is the mucous membrane of the uterus that lines its cavity. It contains many epithelial cells and blood vessels, due to which the attachment and development of the fetal egg is carried out. Thanks to the bloodstream throughout pregnancy, nutrition and further growth of the child is possible.

Normal physiological state the endometrium is supported by hormones. Depending on the phase of the menstrual cycle, certain changes in the structure and thickness of its structure occur. It becomes maximally mature in the second phase, when the uterus is preparing for pregnancy. If fertilization does not occur, then the endometrium exfoliates, this phenomenon called menstruation. For various reasons, this process can be disturbed, which requires mandatory diagnostics and medical correction, otherwise the disease becomes more complicated and leads to undesirable consequences.

Show all

Causes

The main reason that leads to the depletion of the endometrium lies in hormonal imbalance. With insufficient production certain hormones there is no proper stimulation of the production of the epithelium.

In medicine, there are cases when this pathology is diagnosed in women with normal level all essential hormones. This is due to the presence of provoking factors that can contribute to the development of pathology. Among them are:

damage to the basal layer of the endometrium due to trauma;
a history of abortions and missed pregnancies;
congenital and acquired uterine circulation disorders;
diagnostic and therapeutic curettage;
surgery on the uterus;
inflammatory diseases of the reproductive system, including infectious ones;
endocrine disorders;
congenital anomalies in the development of the uterus and appendages;
venous congestion in the pelvic cavity;
prolonged or uncontrolled use of oral contraceptives, intrauterine devices;
ovarian disease, especially follicular cyst and polycystic;
oncological diseases of the genital organs.

There is a theory about a genetic predisposition to endometrial hypoplasia, but in currently there is no practical evidence for it. Due to this given reason determined by the method of exclusion, provided that there are no other provoking factors.

Endometrium in the uterine cavity

Symptoms

The clinical manifestations of a thin endometrium are quite specific, based on which timely diagnosis It's not hard to do just by the symptoms. Signs of a thin endometrium do not cause significant discomfort, but they can lead to serious consequences.In the presence of this disease, a woman may note:

change in the duration of the menstrual cycle or lack of ovulation;
spotting in the middle of the cycle;
scanty and light menstrual flow;
prolonged absence of a desired pregnancy, subject to regular sexual intercourse;
habitual miscarriage, missed pregnancies;
narrow pelvis;
late onset of menstruation, after 16 years;
weak or complete absence libido, problems with sexual desire;
intermittent bleeding with clots.

Possible Complications

The endometrium consists of two layers: basal and functional. Their full development during the menstrual cycle is extremely important for normal implantation and favorable course pregnancy. Some of the main complications are spontaneous abortions, miscarriages and infertility.

The presence of a thin endometrium does not imply absolute infertility, since the conception and attachment of the fetal egg is still possible. But this disease aggravates prenatal and postpartum periods, develop conditions such as tubal or ectopic pregnancy, habitual miscarriage, weak labor activity, pronounced and prolonged toxicosis, bleeding in the last trimester and after childbirth.

Some time ago, the presence of a thin endometrium was considered absolute contraindication for pregnancy. Doctors said that a woman is not able to get pregnant and endure healthy child. Modern clinical cases found in medical practice, prove the opposite. Even with difficulties in attaching the fetal egg to the mucous membranes, it is possible to carry out artificial insemination through the IVF procedure.

Features of diagnostics

Diagnosis of thin endometrium is not difficult, since in addition to the characteristic clinical picture this pathology can be confirmed with instrumental and laboratory methods research. Among the general diagnostic methods allocate clinical analysis blood, general analysis urine, vaginal swab.

Of particular value is ultrasonography pelvic organs. It is carried out throughout the entire period of maturation of the endometrium on certain days. This is due to the fact that the physiological growth of the endometrium occurs daily. With the help of special sensitive sensors it is possible with high precision measure the thickness of the mucosa.

The norms of endometrial thickness by cycle days are presented in the table.

Data ultrasound diagnostics compared with the results of a biochemical blood test for progesterone, luteotropic and follicle-stimulating sex hormones. The most informative and indicative are the results obtained after sampling the biomaterial on the 20-23rd day of the menstrual cycle.

Instrumental and minimally invasive method is diagnostic hysteroscopy. Using special equipment and a camera inserted into the uterine cavity, the doctor examines the structure and composition of the endometrium, determines the presence of anatomical defects, and, if necessary, takes a biopsy for further histological radiation of the tissue.

Hysteroscopy of the endometrium

Treatment

In the presence of a thin endometrium, pregnancy planning is of fundamental importance. Unprepared reproductive organs and disturbed hormonal levels will in every possible way prevent normal fertilization and attachment of the fetal egg.

In order to increase the thickness of the mucosa, a woman is prescribed combined courses oral contraceptives. They are able to compensate for the hormonal deficiency or regulate their excess, and therapy is also carried out with the help of estradiol and progesterone, Utrozhestan and Dufaston are prominent representatives.

Duphaston contains an artificially synthesized hormone, which is necessary to maintain normal function endometrium. It is prescribed not only in the treatment of thin endometrium, but also to maintain pregnancy, for the purpose of prevention, when there is a threat of spontaneous abortion. The substance in the composition, which has properties similar to progesterone, relieves tone from the uterus, resists premature detachment endometrium. Select dosages, regulate the course of treatment and the frequency of admission in the competence of only a doctor, but according to general requirements the drug should be taken from the 11th to the 25th day of the menstrual cycle.

efficient auxiliary drug is Actovegin. Its main function is to improve blood supply and blood supply to organs. It is the lack of oxygen and other nutrients causes hypoplasia. Accept this medicine you need 2 tablets 3 times a day for 1.5-2 months. He has practically no side effects and does not provide negative impact even at the time of pregnancy. For many pregnant women, in order to prevent the threat of miscarriage, the medicine is prescribed from the 16th week.

The physiotherapeutic effect before the onset of pregnancy and during its course will differ, due to the impossibility of using certain methods during the period of fetal development.

At the planning stage and for the purpose of treating a thin endometrium, electromyostimulation of the pelvic muscles and massage of the same area are prescribed. So it is possible to increase blood flow and cope with atrophy of blood vessels and soft tissues. Even after 1 course of treatment, there is a pronounced positive trend. Other methods of exposure are electrophoresis with drugs, magnetotherapy, ultrasound, mud and mineral baths.

Alternative medicine

In the presence of a thin endometrium, folk remedies play an important role, since many herbal remedies can improve blood circulation and stimulate the development of epithelial cells.

The most popular is the infusion of sage. Prepare and use it as follows:

1. Add 200 ml of boiling water to one spoonful of crushed dry extract.
2. Let it brew for several hours.
3. Take for 4 months in the first 14 days of the menstrual cycle. Dosage - 100 ml 1-2 times a day.

In a similar way, an infusion of a boron uterus is prepared.

Women are recommended to use special teas and decoctions daily. healing properties possess raspberry leaves, elderberry inflorescences, yarrow, mint, nettle, chamomile and others. They can be consumed separately, but the collection has a greater effect. Dry extracts of plants are mixed in equal proportions, brewing in boiling water before use. Drink this decoction 30 minutes before meals 3-4 times a day.

Treatment with folk remedies does not give the main therapeutic effect, but has an auxiliary effect. With a combination of unconventional and drug therapy thickening of the endometrium can be observed after two to three months. It is necessary to consult a doctor about the presence of contraindications and the admissibility of the use of herbal remedies, as some of them can aggravate the course of the pathological process.

Diet and lifestyle for endometrial hypoplasia

Proper nutrition with a thin endometrium is key. Some vitamins, such as A, E and K, as well as trace elements, in the form of salicylates, can improve blood circulation and nutrition of internal organs.

IN daily diet must include bold sea fish, tomatoes, Bell pepper, cucumbers, beans, cabbage and spinach. good healing effect possess apples, currants, raspberries and grapes. Dried fruits, honey and red wine stimulate hematopoiesis and blood circulation.

With this pathology, you should not limit the use of spices and spices. Paprika, thyme, cinnamon and some other oriental flavorings will come in handy, although they are considered forbidden for many other diseases.

Woman recommended active image life, compliance with the regime of work and rest, limitation in psycho-emotional experiences. Assigned if necessary sedatives. It is recommended to visit sports clubs and swimming pool. Every day it is necessary to perform special gymnastic exercises that improve blood microcirculation in the pelvic area.