If the endometrium is very thick in menopausal women, to rule out some malignant lesions in the endometrium, diagnostic scraping should be done to scrape down the endometrium for pathological tests. If the patient has heavy bleeding and the ultrasound shows that the endometrium is very thick, the effect of medicine to stop the bleeding is usually very poor, so scraping is needed. If you are a young woman who has not had a period for a long time and you find that the endometrium is thick, you do not need to scrape the uterus, you can take progestin medication to make the endometrium shed once.