In women with regular menstrual cycles, the thickness of the endometrium is not constant, but varies with the change of the cycle. Postmenopausal women, on the other hand, do not have a very thick endometrium, usually around 2-4 mm, because they no longer have menstrual periods. In some people, it is even thinner, appearing as a line under ultrasound. Therefore, the thickness of the endometrium after menopause is not the thicker the better.
A woman’s body hormone levels drop dramatically after menopause and therefore the endometrium does not grow back. If the thickness of the endometrium exceeds 5 mm, malignant tumors are likely to occur, the most common being endometrial cancer. Therefore, if a postmenopausal woman has irregular vaginal bleeding and undergoes ultrasound examination of the uterine adnexa, and the thickness of the endometrium is found to be more than 5 mm, she needs to undergo diagnostic scraping and send it for pathological examination to rule out the possibility of endometrial cancer. If postmenopausal women take estrogen drugs without authorization, it may also stimulate temporary thickening of endometrium, which may increase the possibility of endometrial cancer if taken for a long period of time, therefore, normal postmenopausal women should apply hormone drugs under the guidance of doctors and follow up regularly.
Postmenopausal women should not think that they are no longer likely to suffer from gynecological diseases because they are already menopausal, and regular gynecological checkups are indispensable.