Thick endometrium but low menstrual flow may be caused by polycystic ovary syndrome, anovulatory abnormal uterine bleeding, endometrial cancer, etc. It can be treated with general treatment, medication and surgery.
1. Polycystic Ovary Syndrome (PCOS): This disease is caused by low level of estrogen and low level of progesterone, and prolonged estrogen stimulation without progesterone antagonism leads to thickening of uterine lining, which results in menstrual flow that is heavy at times and light at times. It can be treated with oral medications such as ethinyl estradiol cyproterone, dydrogesterone, and progesterone. At the same time, the use of compound cyproterone acetate, spironolactone and other drugs to reduce androgen levels.
2. Anovulatory Abnormal Uterine Bleeding: The hypothalamic-pituitary-ovarian gonadal axis of adolescent women is immature, hormone levels are disturbed, and progesterone is lacking. Menopausal women experience fluctuating hormone levels, and hormone level disorders can lead to thickening of the uterine lining. Progesterone, estradiol, norethindrone and other drugs can be used for treatment.
3. Endometrial cancer: If endometrial hyperplasia with atypical hyperplasia occurs, it is necessary to be cautious about the possibility of endometrial cancer, especially for postmenopausal women or menopausal women, diagnostic curettage can be carried out. While curettage is being carried out, in addition to judging the seriousness of the disease, it can also treat the symptom of endometrial thickening.
Thick endometrium but low menstrual flow may also be caused by other reasons, such as long-term use of birth control pills or taking drugs such as tamoxifen, postmenopausal estrogen supplementation, obesity, etc., and should be promptly consulted for a clear diagnosis and standardized treatment. The use of the above drugs should be in accordance with medical advice.