Within one year after menopause, the endometrial thickness of 7mm is normal, but after one year after menopause, the endometrial thickness of 7mm is considered abnormal, which is the thickening of the uterus, and it cannot be excluded that it is caused by the effect of medication or endometrial lesions.
The thickness of the endometrium is very much related to the level of estrogen. After menopause, the level of estrogen in the body decreases, so the endometrium will become thinner. However, within one year after menopause, the thickness of endometrial lining may be more than 5mm because the ovaries can still secrete a small amount of oestrogen. Most of the endometrial lining thicknesses are normal if there is no discomfort, obesity and high risk factors such as tamoxifen, which may cause endometrial cancer.
One year after menopause, the ovaries no longer ovulate, the level of estrogen further decreases, and the endometrium no longer proliferates after losing the support of hormones. Under normal circumstances, the thickness of the endometrium can not be more than 5mm, and if it is more than 5mm, it is considered abnormal.
One year after menopause, endometrial thickness of 7mm may be benign hyperplasia, for example, exogenous supplementation of estrogen may stimulate the endometrial lining and cause thickening; there are also some patients with malignant lesions, for example, endometrial carcinoma may appear irregular thickening of the endometrial lining accompanied by uneven echogenicity during ultrasound examination.
The endometrial thickness of 7mm is found after menopause, and further segmental diagnostic scraping or hysteroscopy can be done, which should be based on the patient’s clinical manifestations and then combined with the examination results to determine whether it is normal or not.