In the case of thin endometrium you can take fenugreek, but whether it works or not depends mainly on what causes the thin endometrium, and it is best to find the cause and treat it symptomatically for the best results. Some women have repeated miscarriages and scrapings that cause damage to the basal layer of the endometrium, making it more difficult for the endometrium to grow. This makes the endometrium persistently thin for a long time, a situation that may lead to adhesions in the uterine cavity. Therefore, it is recommended that if a patient has a low or absent menstrual flow, an ultrasound and hysteroscopy should be performed to determine whether there are cavity adhesions. After ruling out cavity adhesions, the patient can be treated with medications such as estrogen, progesterone, and fentanyl. It can also be treated with herbal medicine, which is sometimes effective compared to western medicine.