Endometrial thickening, which some may confuse with endometriosis, is a common health problem for some women. It affects the regularity of the menstrual cycle and may sometimes be linked to fertility problems.
What is endometrial hyperplasia?
Endometrial hyperplasia is an abnormal increase in the lining of the uterus due to a hormonal imbalance. This can lead to irregular or heavy bleeding and can sometimes cause difficulty getting pregnant or complications if not treated early.
What causes endometrial thickening?
There are several causes of endometrial thickening, including:
- A hormonal imbalance between estrogen and progesterone.
- Polycystic ovary syndrome, which affects ovulation.
- Excessive obesity, due to its association with increased estrogen production.
- Use of certain hormonal medications, such as estrogen-only therapy.
- Advancing age and approaching menopause, which increases the risk of hormonal imbalance.
Symptoms of Endometrial Hyperplasia
Symptoms of endometrial hyperplasia (thickening) may include:
- Irregular vaginal bleeding or bleeding between periods.
- Heavy or prolonged menstrual bleeding.
- Bleeding after menopause.
- Pelvic pain and cramps.
- Sometimes difficulty getting pregnant.
- Irregular menstrual periods.
- Blood clots during menstruation.
Treatment for Endometrial Thickness
Treatment for endometrial thickening depends on the cause and the woman's health condition. The most prominent treatment methods include:
- Hormonal medications: such as progesterone pills or a hormonal IUD to regulate the growth of the lining.
- Uterine curettage or curettage: to remove the thickened lining in some cases.
- Surgical treatment: such as hysterectomy, which is used only in severe cases or when cancerous changes are present.
- Lifestyle changes: Weight loss and treatment of polycystic ovary syndrome can help reduce symptoms.
Important note: It is essential to promptly treat this condition and consult a specialist to avoid serious complications that may lead to uterine cancer.