When endometrial thickening occurs with dribbling menstruation, it can be treated with progesterone medication or surgery, depending on the condition.
Endometrial thickening is defined as a thickness of the endometrium of more than 12 millimeters measured under ultrasound. Endometrial thickening is mainly related to hormone levels.
If endometrial simple hyperplasia and complex hyperplasia are benign lesions, no treatment is needed if the patient does not have clear symptoms; if irregular vaginal bleeding or excessive menstrual flow and prolonged menstrual period occur frequently, drugs such as progesterone can be used for treatment, and segmental diagnostic scraping can be performed if necessary.
If the diagnosis is atypical hyperplasia of the endometrium, it is a precancerous lesion, and patients usually need active treatment.
For those who have fertility requirements, they need to go to the hospital and apply high potency progesterone under the guidance of specialists for drug treatment, such as megestrol acetate, which is the most commonly used, usually for 3 consecutive courses of oral treatment, and undergo regular review; for those who do not have fertility requirements, total hysterectomy is feasible in order to seek a radical cure.
In conclusion, if menstrual bleeding is caused by endometrium, the cause of the problem should be identified as soon as possible in the hospital and active treatment should be carried out.