Thickening of the lining of the uterus can be treated with medication and surgery, depending on the disease that is causing the thickening.
Diseases that cause endometrial thickening are commonly seen as endometrial hyperplasia, endometrial polyps, and endometrial cancer.
1. Endometrial hyperplasia: often caused by polycystic ovary syndrome and anovulatory dysgerminosis. The endometrium is only affected by estrogen and not progesterone. When endometrial thickening is found and not considered to be malignant for the time being, ultrasound can be repeated after progesterone treatment under the guidance of a physician, and diagnostic curettage can be considered to clarify the presence or absence of endometrial pathology if the endometrial thickening persists.
2. Endometrial polyp: if the symptoms are not obvious and the polyp is small, it can be observed and followed up or treated with progesterone; if the symptoms are obvious and the polyp is large, it can be electrocuted under hysteroscopy.
3. Endometrial cancer: according to the scope of tumor involvement and histological type, combined with the patient’s age and systemic condition, appropriate treatment plan should be formulated, with surgery as the main treatment for early stage patients. After surgery, appropriate auxiliary treatment should be chosen according to high-risk factors.
If endometrial thickening is detected by ultrasound, it is necessary to consult a regular hospital to clarify the cause of the disease and carry out treatment.