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Thickening of the uterine wall is a disorder in the female reproductive system. This condition, also known as endometrial hyperplasia, can have a variety of causes, and is generally characterized by vaginal bleeding or changes in menstrual patterns.
The uterine or endometrial wall is made up of two layers of tissue attached to the muscles womb. The first layer generally does not change, while the second layer is dynamic and can change as the hormone estrogen fluctuates throughout the menstrual cycle.
There are times when abnormalities in the amount of hormones in the uterus cause the uterine wall to thicken abnormally and trigger certain complaints. Therefore, it is important for every woman to know the causes and symptoms of thickening of the uterine wall so that treatment can be done immediately.
Causes of the thickening of the uterine wall
Menstrual cycle influenced by the hormones estrogen and progesterone. During ovulation, the ovaries or ovaries release eggs and estrogen. If fertilization occurs, this hormone will make the uterine wall thick and full of blood vessels, making it ideal for the future fetus (embryo) to grow.
However, when sperm is not fertilized, the levels of the hormones estrogen and progesterone in a woman's body will decrease. The unfertilized egg will come out with blood from the vagina during menstruation. This will make the uterine wall thin again until the next ovulation period.
If the amount of the hormone estrogen in a woman's body is too high, while the progesterone hormone is too low, this condition can cause the uterine wall to thicken abnormally. This condition of the thickening of the uterine wall due to hormonal disorders is called endometrial hyperplasia.
There are several factors that can increase a woman's risk of developing endometrial hyperplasia, including:
- Age over 35 years
- Family history of uterine or ovarian cancer
- Hormonal changes before menopause (premenopause) or at menopause
- Side effects of estrogen hormone therapy
- Irregular menstrual cycles
- Disorders of the reproductive organs, such as infertility or polycystic ovary syndrome (PCOS)
- Overweight or obese
- Certain diseases, such as diabetes, thyroid disorders, or gallbladder disease
- Smoking habits
Symptoms of thickening of the uterine wall
Thickening of the walls uterus may not cause any symptoms or complaints. However, some women with this condition may experience some symptoms which include:
- Menstrual periods last longer
- The amount of blood that comes out during menstruation is greater than usual
- Irregular menstrual cycles, for example, the distance between the last month's cycle and this month is less than 21 days
- Bleeding from the vagina even after menopause
Signs and symptoms of endometrial hyperplasia it can sometimes resemble the symptoms of other diseases, such as endometriosis and uterine cancer. Therefore, you need to see a doctor so that the cause can be identified and appropriate treatment can be done.
How to Overcome Uterine Wall Thickening
To confirm the diagnosis , the doctor will perform a physical examination and several supporting examinations, such as blood tests, transvaginal ultrasound, hysteroscopy, and uterine wall biopsy.
After that, the doctor will perform treatment measures according to the cause of the thickening of the uterine wall that you are experiencing. The following are some of the steps that doctors generally give:
Progesterone hormone therapy
The thickening of the uterine wall generally occurs due to a lack of progesterone. Therefore, doctors can provide progesterone hormone therapy through progesterone birth control pills, IUD containing progesterone hormone, or hormone injections.
Surgical removal of the uterus (hysterectomy)
This method is generally used if hormone therapy is not successful in treating the thickening of the uterine wall or if endometrial hyperplasia is suspected to be due to the growth of uterine cancer cells.
The hysterectomy method can also be an option for treating conditions of thickening of the uterine wall in women who have menopause.
Thickening of the uterine lining is not a dangerous condition and is generally curable. However, as previously mentioned, the symptoms of this condition can sometimes resemble other dangerous diseases.
Therefore, if you experience symptoms of uterine wall thickening, such as abnormal menstrual cycles, menstrual blood that is heavier than Usually, or bleeding from the vagina after menopause, you should immediately consult a doctor for proper examination and treatment.
Label : Health
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