For thin endometrium with uterine adhesions, hysteroscopic examination is required, and if adhesions exist, surgical decomposition should be performed; if the adhesions are heavy, a birth control ring or balloon should be placed in the uterine cavity to prop up the adhesion surface to prevent re-adhesion, and estrogen and progesterone cycle therapy is required to repair the endometrium to a better effect.
For those with particularly thin endometrium, after hysteroscopic repair of adhesions, a modified extra-long protocol combined with hormone replacement therapy may be used for repair, along with local electrical stimulation therapy, which may increase the efficacy.