Why thin endometrium causes. Pregnancy and successful delivery with thin endometrium - myth or reality

Article outline

What is thin endometrium and why is it so dangerous? The endometrium is the mucous layer that lines the inside of the uterus and is essential for egg retention. But if there is too thin a layer of mucous in the uterus, the egg will simply have nothing to gain a foothold in, that is, a woman will not be able to get pregnant.

Why is there such a pathology? There are many causes of the disease, the main one is hormonal imbalance, but there may be others - inflammatory processes, abortion. What to do in this case can only be determined by the doctor after the examination. Causes and treatment are very closely interconnected, in order to normalize the thickness of the endometrium, it is necessary to determine what caused such a disease, and then begin the appropriate treatment.

Attention: You can not start taking medications on your own without consulting with a supervising doctor!

Why does the endometrium shrink?

The causes of thin endometrium are various, among the main factors why the endometrium does not have the proper thickness are the following:

• hormonal imbalance;
• diseases of the endocrine system;
• chronic inflammatory diseases;
• violations of the blood supply to the uterus;
• congenital anomalies of the uterus;
• polycystic ovaries;
• frequent use of Postinor (a means for emergency contraception).

The state of the endometrium is affected by such a reason as surgical interventions on the uterus, including abortions. Often a similar problem is diagnosed in women with insufficient physical development of the body, short stature, and a narrow pelvis. This does not mean that the insufficiency of the endometrial layer will be determined in all these cases, but the inability to become pregnant for a long time against the background of these factors should be the reason for going to the doctor.

Psychosomatics

Psychosomatic causes that do not have an external definition are also not uncommon. The treatment of such a problem requires the participation not so much of a gynecologist as of a psychotherapist or neuropathologist, since the main causes lie in depression and chronic fatigue.

signs

A thin layer of the endometrium often manifests itself in the form of the following signs:

• irregular cycle;
• discharge during menstruation is scanty, the duration is extremely short;
• there are frequent spotting between individual periods (you need to pay attention to the color of the discharge, brown and black require immediate medical attention);
• miscarriages, infertility.

Signs of endometrial thinning may include mild secondary sexual characteristics, anorgasmia. Outwardly, the symptoms may not appear, but it should be remembered that such a disease is quite dangerous and can lead to the most negative consequences.

How do menses behave?

Menstruation deserves special attention in the diagnosis. They are short-term, extremely scarce, but frequent spotting is observed in the intermenstrual cycle. Abundant periods are not observed at all, internal bleeding can only be detected during a miscarriage, which in itself is one of the causes of the disease. The menstrual cycle as a whole is disturbed, its unevenness is observed, discharge may not be observed at all for a long time or occur too often.

How to identify

Only diagnostics can determine how thin the epithelium is and how this can affect the possibility of a natural pregnancy. Typically, the following research methods are prescribed:

• ultrasound of the uterus;
• Ultrasound of the pelvic organs;
• urine, blood tests;
• study of the hormonal background;
• biopsy of uterine tissue;
• histology of uterine tissue.

Diagnosis will help answer the question of what caused the disease and how to treat the thinning of the epithelium. Most often, a hormonal failure is determined, in which case appropriate therapy will be indicated. If inflammatory processes are detected during the examination, then the treatment will be directed, first of all, to eliminating the root cause, after which measures will be taken to build up epithelial tissues.

Drug treatment

Drug treatment of thin endometrium involves the use of such drugs:

• Duphaston (a synthesized drug similar to progesterone, reduces the tone of the uterus, prevents flaking of the epithelium, intake - 11-25 days of the cycle, is prescribed only by a doctor);
• Melsmon (contains a placenta, is used to eliminate the symptoms of inflammatory processes, normalize the cycle, has a number of contraindications);
• Actovegin (normalizes blood circulation in the genital organs, accelerates the growth of the endometrium, the general course lasts 4-6 weeks, the exact scheme is calculated only by the observing doctor);
• Gormel (homeopathic remedy, the duration of treatment may be different, the dosage regimen is calculated only by a doctor).

Taking any medications, especially hormonal ones, can be prescribed by a doctor after an examination. It is not recommended to start self-administration, as this can cause a serious deterioration in the condition.

Folk remedies

Treatment with folk remedies includes the following:

• tea on raspberry leaves, which can be drunk several times a day;
• tinctures of the boron uterus (sold in a pharmacy, taken daily, the duration of the course is determined by the doctor);
• natural pumpkin, pineapple juices, which can be consumed in any quantity;
• tinctures on sage, which should be taken in the first half of the menstrual cycle (course duration - four months);
• combined decoctions on chamomile, elderberry inflorescences, nettle, mint, initial drug, yarrow (taken thirty minutes before meals, three to four times a day).

To reach the required thickness, it will take at least four to six months, but the first results will be clearly visible after a couple of months from the start of treatment. However, the use of folk remedies must be agreed with the supervising physician and combined with traditional medicine methods. This is the only way to get a reliable and sustainable result.

Physiotherapy

Physiotherapy gives a stable, positive effect, in addition, such a method of treatment is gentle, it does not have negative side effects and significantly reduces the body's dependence on medications. For treatment, massages, ultrasound, mud baths, ultraviolet are usually prescribed. Procedures are recommended to be carried out in the first days after menstruation has ended, to enhance the effect, physiotherapy can be combined with physical exercises, exercise therapy.

Proper nutrition

To return the normal thickness of the mucosa, proper and nutritious nutrition is necessary. Mandatory are foods high in vitamins E and A, salicylates. The diet should include vegetables, fatty fish, berries, apples, honey, various dried fruits, cinnamon, paprika, thyme. The amount of tea and coffee should be limited, as well as overly fatty, sweet foods, fast food should be excluded altogether.

Along with a complete diet, we must not forget about maintaining physical fitness. You should walk more, go in for dancing, various sports, visit swimming pools.

vitamins

In the treatment of the endometrium, much attention is paid to proper nutrition and saturation of the body with microelements. Vitamin E, which is found in milk, raspberry leaves, citrus fruits, and many vegetables, is of the greatest importance. Pineapples, tangerines, grapefruits, in which there is a high level of vitamin A, will be useful.

Thin endometrium and pregnancy

When planning a pregnancy, the thickness of the endometrium is decisive, too thin a layer makes attachment of the egg simply impossible. It should be borne in mind that the maximum thickness of the mucosa is observed on the 24-27th day of the cycle, which is 1-1.3 cm in a normal situation. For conception, 0.9-1.3 cm is enough, this thickness is reached at about 11-14 days. But if there are problems with the endometrium, its thickness will be, as in the early stages of the cycle, that is, within 0.3-0.5 mm.

What does it mean during pregnancy? In the first trimester, spontaneous miscarriage is likely, which may be accompanied by severe uterine bleeding. It is also a big question whether it is possible to get pregnant at all. Even after a successful IVF procedure, a woman is prescribed a treatment that allows her to return the thickness of the endometrium to normal. Usually these are folk methods safe for pregnant women, vitamin complexes and some physiotherapy measures. Therefore, when deciding whether pregnancy can occur and what measures should be taken, you must immediately contact a specialist who will conduct an examination, prescribe a treatment regimen before IVF and during the most dangerous first trimester.

Effects

A thin layer of the endometrium in ordinary life causes inconvenience only in the presence of intermenstrual discharge, otherwise it does not cause any special problems for a woman. But for a pregnant woman, the consequences can be the most dangerous. These are uterine bleeding, the possibility of spontaneous miscarriage (usually only in the early stages).

IVF for thin endometrium

In some cases, it may not bring results, the only solution for thin endometrium is IVF. This is an artificial insemination procedure, which may require a long time and adherence to hormone therapy. But in most cases, women manage to get pregnant normally, although the doctor must observe the patient all the time until delivery.

The endometrium, which covers the inside of the body of the uterus, plays an extremely important role in the ability of women to perform their childbearing function. However, a small endometrium is often diagnosed, which is an obstacle to pregnancy. There are several methods of treatment that will help build up the lining of the uterus and find the joy of motherhood. You can read more about all this in our article.

The endometrium consists of a basal and functional layer. Its main role is to create the most comfortable conditions for fixing a fertilized egg in the cavity of the uterine body and further development of the fetus. If fertilization does not take place, the functional layer is sloughed off and excreted from the body through a process known as menstruation.

Thanks to the basal layer, it is restored. This is repeated monthly every menstrual cycle until menopause occurs. But the endometrium will be able to perform its function only if the thickness of the upper mucous layer meets certain standards in different phases of the menstrual cycle.

On medical sites, you can find a table that indicates the optimal size of the functional layer of the endometrium in one or another phase of the cycle. If the thickness of the endometrium is less than normal, pregnancy is either impossible at all, or big problems arise with its onset. In this case, hypoplasia is diagnosed and treatment is prescribed, which depends on the causes that led to this pathology.

Thin endometrium: causes

Why can't the top layer of the endometrium grow? This phenomenon can be influenced by many factors, the main of which are:

• malfunctions of the hormonal or endocrine system;
• violation of the blood supply to the uterus of an acquired or congenital nature;
• trauma to the mucous membrane, which is the result of surgery (for example, curettage or abortion);
• frequent inflammatory processes caused by infection.

The reasons for the small layer of the endometrium are sometimes hidden in the underdevelopment of the uterus. According to some scientists, the causes of thin endometrium may be hereditary.

Thin endometrium and pregnancy

In the presence of an ailment characterized by a thin layer of the endometrium, the ability to get pregnant and carry a baby is very problematic. Even if you manage to get pregnant with such a disease, there is a great danger of miscarriage. After all, it is the endometrium that is both the “protector” and the “breadwinner” of the embryo at the very first stage of its development.

And although a small endometrium is not a sentence of pregnancy, it is still better to build it up first, and then plan to conceive. Fortunately, modern medicine and folk recipes provide great opportunities for this.

how to grow endometrium

If, on the basis of various studies and analyzes, a thin endometrium is diagnosed, before proceeding directly to treatment, it is necessary to determine the cause of its occurrence. To build up a small endometrium in case of hormonal disorders, drugs containing progesterone are used, such as, for example, Duphaston.

If hypoplasia is a consequence of a chronic inflammatory process of the genital organs, we must first take care not how to increase the thickness of the upper layer of the endometrium, but how to eliminate the cause of its occurrence. When the problem of pathology is insufficient uterine blood supply, in order to build up the endometrium, along with drugs, non-drug treatments are used, such as:

• healthy food,
• massage,
• special therapeutic exercises.

You can build up the endometrium without hormones, using herbs and such folk recipes and alternative medicine methods as.

The inner layer of the uterus plays an important role - it nourishes the fetus. But there is such a pathology as a thin endometrium. It is because of him that the embryo cannot develop and grow normally. It is necessary to find out the causes of occurrence and prescribe the correct treatment.

The endometrium is called the inner mucous layer of the uterine wall with a large number of blood vessels. He takes an active part during pregnancy - the embryo is attached to it and feeds from it.

It is he who allows the fetus to breathe and eat, and most importantly, to develop properly. Thin endometrium is a pathology during gestation, and it must be treated.

The less female hormones in the body, the smaller the layer.

With a thin endometrium, a woman does not feel discomfort in everyday life, but when planning a pregnancy, it is highly undesirable, as it can provoke a miscarriage or non-attachment of the fetus.

Most often, the normal inner layer of the uterus increased to 10-13 mm in the last days of the cycle helps the egg to fixate more easily.

And that means getting pregnant is easier. But a small layer, on the contrary, does not allow this. In this case, a long course of treatment is required.

Symptoms

If a girl is not pregnant or is not planning a pregnancy, then it is difficult to notice this problem.

But in case of frequent miscarriages or in the absence of pregnancy during its planning, you should consult a doctor and undergo an examination. In this case, most often they find a thin layer of the endometrium.

But still there are several symptoms that can be noticed without medical intervention:

1. Irregular, short or light periods. The thinner the layer, the more irregular and less menstruation.
2. Frequent miscarriages and infertility.
3. Decreased libido and pain during intercourse.
4. Headaches, unstable mood.
5. High blood pressure.
6. Pain in the muscles, joints and lower back.
7. Bloody discharge outside of menstruation.
8. Hot flashes and excessive sweating.
9. Filled chest.

Read also: Ectasia of the veins of the small pelvis - dilation of the veins of the myometrium in a woman

If these signs appear, you should consult a doctor. It is the lack of thickness of the layer in the uterus that leads to infertility, and in this case they begin to gradually increase it. It grows slowly, the recovery procedure is long.

Diagnostics

If signs of pathology are detected, it is necessary to contact a gynecologist. He will prescribe an examination and further treatment.

According to statistics, every third woman in the world has a thin endometrium. There are modern examination technologies to detect the disease.

To determine the thickness of the endometrium of the uterus, the following examinations are prescribed:

• Ultrasound of the uterus - the thin endometrium in the uterus is determined at any stage of the menstrual cycle, and it needs to be done several times to accurately detect hypoplasia.
• Blood test to determine the hormonal background.
• Biopsy of the uterus.
• Histological analysis of uterine tissues.
• Analysis of urine.

The above procedures help not only to detect pathology, but also to understand the cause of the thin thickness of the endometrium. And only after identifying these factors, you can understand what to do and prescribe further treatment.

Therapy Methods

Treatment of thin endometrium can be carried out in several ways - therapeutic, medicinal and traditional medicine methods. One or another type is prescribed depending on the reasons that provoked it.

As for traditional medicine, in this case, phytoestrogens are used - herbal preparations that contain a large amount of female hormones - estrogens.

They, in turn, have a beneficial effect on the thickness of the inner layer of the uterus. Help seeds and grains of cereals and legumes, as well as herbs - chamomile, chaga and others.

But the action of traditional medicine cannot fully restore the balance of female hormones.

Traditional medicine only serves as a preventive measure and additional help in the treatment of thin endometrium. Before using traditional methods, you need to seek the advice of your doctor.

But the methods of therapeutic treatment are very effective. These include:

1. Taking hormones (with low levels of estrogen and progesterone).
2. Therapeutic massage.
3. Gymnastics.
4. Physiotherapy procedures.
5. magnetic therapy.
6. Mud baths.
7. Water therapy.

Read also: Signs of endometrial hyperplastic process - mixed form

These methods can effectively cure pathology in case of poor blood flow or in the presence of inflammatory infectious processes in the uterus.

If the endometrium does not grow, then surgical operations are used. In this case, the upper small layer is surgically removed, stimulating the growth of a new healthy endometrium.

All therapeutic procedures are recommended to be used in combination with proper nutrition and a healthy lifestyle, as well as frequent walks in the fresh air. You need to give up bad habits, soda, fast food and eat more foods that contain phytoestrogens.

Coagulation

Coagulation is a procedure for burning the tissues of the uterus, followed by removal of the upper layer of the epithelium. In this case, damage to the uterus occurs, and then it begins to heal with the growth of a new healthy epithelium.

Nowadays, this is a safe procedure that allows you to restore the previous elasticity of the uterus, it is absolutely harmless for nulliparous girls.

There are 4 ways of coagulation: electrocoagulation, chemical, radio wave and argon plasma.

Each method has its own contraindications, so it is prescribed by the attending gynecologist. Also, each method has its own advantages and disadvantages.

Scraping

Scraping is also called "cleansing". This procedure can only be prescribed by a gynecologist.

When scraping, the upper layer of the uterine epithelium is removed, leaving the germ layer. It is from it that a new layer of the desired thickness grows.

Curettage is carried out both for diagnostic purposes and for treatment. For diagnostic purposes, a sample is taken and the pathology and root cause are determined. In the case of treatment, the entire mucosa (top layer) is scraped off.

This procedure effectively treats pathology and is one of the most comfortable gynecological interventions.

Medical treatment

For the growth of the desired layer - from 7 millimeters - a balance of female hormones is necessary.

In this case, drugs containing estrogen and progesterone, which are prescribed by a doctor, are excellent. Most often, oral preparations are used in tablets.

Drug treatment is used when thin endometrium is associated with hormonal imbalance. A certain type of medication and a course of treatment are prescribed.

The reasons

A small endometrium is dangerous because it is the cause of infertility or termination of the current pregnancy due to constant miscarriages.

The endometrium is the inner lining of the uterus that contains blood vessels. He is responsible for creating favorable conditions for fixing a fertilized egg. If pregnancy does not occur, the function of the endometrium is to remove the unfertilized egg from the body along with menstrual blood. Any pathology of the mucous layer (thickening, thinning) leads to failures in carrying a pregnancy. On average, its norm for unhindered fixation of the egg is 0.7 cm.

A thin layer of the endometrium is one of the most common pathologies that is noted in women of reproductive age. Often this problem causes infertility.

Causes and signs of pathology

The thickness of the mucous layer can be different and depends on the day of the menstrual cycle. In the early days, it does not exceed 0.5-0.9 cm, and a few days before the onset of menstruation it reaches 1.3 cm. If the thickness is below 0.5 cm, we are talking about hypoplasia (thinning) of the endometrium.

Why is the endometrium thin?

Among the predisposing factors are:

• hormonal imbalance;
• endocrine diseases;
• congenital disorders in the blood supply to the uterus;
• chronic inflammatory processes in the genitals;
• Availability ;
• underdevelopment of the uterus;
• frequent use of emergency contraception (Postinor).

It should be noted the negative impact of surgical procedures that were performed on the uterus. Especially dangerous are the consequences of scraping during abortions. In some women with thin endometrium, underdevelopment of the mammary glands, a narrow pelvis, short stature, later are noted.

The disease has no specific signs, so many women who are not planning a pregnancy may not be aware of the presence of a problem. Usually, the diagnosis of hypoplasia is established in the process of determining the reason why the pregnancy either does not occur or is interrupted in the early stages.

Scanty periods may indicate thinning. Painful periods, the presence of large blood clots, discharge in the middle of the menstrual cycle should also alert. Sometimes during the reproductive years, uterine bleeding may occur. These symptoms should be the basis for a visit to the gynecologist.

The probability of pregnancy with this pathology

In most cases, the thinning of the mucous layer of the uterus worries women planning to conceive or those who have had a long-awaited pregnancy after previous failures. What to do if the endometrium is thin and how does this affect the development of the fetus?

First of all, in women, the ability to become pregnant naturally decreases, since the thin mucous layer of the uterus prevents the ovum from fixing.

Is it possible to get pregnant with a thin endometrium?

Medicine knows cases when conception occurred even with a thickness of 0.4 cm. But, if pregnancy does occur, the risk of its interruption at an early stage, the appearance, bleeding, further weakness of labor and other complications during childbirth increases.

After conception has occurred, the endometrium continues to grow. In the first trimester, its thickness reaches 2 cm or more. Often, it is its significant increase that allows the doctor to determine pregnancy on an ultrasound scan, since the fetal egg itself may still not be noticeable. In the early stages of pregnancy, the thin endometrium requires increased attention from doctors and the appointment of immediate treatment, since it can occur at any time.

Separately, mention should be made of the IVF procedure when diagnosing a thin endometrium. This procedure is highly undesirable in such a pathology, since the chances of the embryo being successfully implanted in the uterus are extremely small. The probability of pregnancy with a thickness below 0.7 cm is no more than 15%. Therefore, the patient is advised to postpone the procedure and take appropriate measures.

Diagnosis and treatment

After studying the general symptoms, the patient is prescribed:

• Ultrasound of the uterus, which is carried out several times at different phases of the cycle;
• general urine and blood tests;
• responsible for the onset and successful course of pregnancy;
• Ultrasound of the pelvic organs;
• taking samples of uterine tissue for histological examination;
• biopsy of the body of the uterus.

These studies allow not only to establish the very fact of thinning of the endometrium, but also to determine the causes of the pathology.

Treatment for thin endometrium depends on the causes that caused it. In most cases, this is an imbalance of the hormonal system. Therefore, pregnant women with this pathology need hormonal therapy with drugs containing progesterone. Treatment regimens, dosage, duration of therapy are carried out exclusively by the attending physician on an individual basis.

If hypoplasia is caused by chronic inflammatory diseases of the genital organs, drug therapy should be aimed at eliminating the source of inflammation. In some cases, there may be indications for surgical treatment. It consists in removing the inner layer and further hormone therapy. These methods contribute to the renewal of the mucous layer of the uterus and the normalization of its thickness.

In case of circulatory disorders, treatment is indicated using conservative methods, among them: massage, physiotherapy, hirudotherapy, acupuncture, therapeutic exercises.

Medical therapy

To ensure a normal pregnancy, it is necessary to build up a thin endometrium. The patient can be prescribed combined, normalizing hormone levels, a course of treatment with estradiol, drugs containing progesterone (Utrozhestan, Duphaston).

• Duphaston

Although this drug is an artificially synthesized hormone, it successfully performs all the tasks that are inherent in progesterone. The tool effectively prepares the uterus for the upcoming pregnancy, relieves its muscle tone, prevents epithelial detachment. The usual scheme for taking the drug is from the 11th to the 25th day of the cycle, but you cannot make a decision on taking it yourself. Reception is carried out only on the recommendation of a doctor.

• Melsmon

The placental preparation Melsmon contains a placenta taken from women whose childbirth proceeded without complications. It is widely used in cosmetology, but is also used to normalize the menstrual cycle, relieve chronic fatigue syndrome, and eliminate symptoms of inflammation.

The drug is not used during pregnancy, with violations of the endocrine system, renal or hepatic insufficiency, high blood pressure.

• Actovegin

Actovegin is designed to maximize blood circulation in the genital area. Increasing blood circulation is the key to successfully overcoming hypoplasia. The standard regimen involves the use of 1-2 tablets three times a day. Usually the course of treatment lasts 4-6 weeks, determined by the doctor on an individual basis. It is also possible to take the drug during pregnancy, starting from the 16th week, when the formation of the placenta ends.

• Gormel

This remedy belongs to homeopathic medicines. It activates the synthesis of estrogen. It consists of natural ingredients and alcohol tincture. The scheme of taking the drug is as follows: 10 drops are mixed with half a glass of water and the mixture is drunk half an hour or an hour before meals three times a day. The duration of treatment can vary from one to three times a month, depending on the results obtained.

Since the drug contains alcohol, it should not be taken during pregnancy. Contraindications are also injuries and diseases of the brain, kidney failure. The drug should be completed before the stage of active pregnancy planning.

With a thin endometrium, it should be carried out only as prescribed by a doctor and under his strict control. The use of the drug Klostilbegit can lead to even greater thinning, therefore, it is usually taken simultaneously with the estrogen-containing Proginova.

Physiotherapy

Physiotherapy, indicated for thin endometrium, has several advantages. They have a gentle therapeutic effect, do not cause side effects, reduce drug dependence. Usually they are prescribed in complex therapy.

The treatment uses magnetotherapy, ultrasound, ultraviolet, massage, mud baths. The most favorable period for treatment is the first days after the end of menstruation. You can enhance the effect of physiotherapy by following the rules of nutrition, taking walks in the fresh air, and regularly doing therapeutic exercises.

Treatment with folk remedies

In addition to the use of medications, you can build up the endometrium with the help of folk remedies.

1. Sage tea. A teaspoon of the crushed plant is poured into 200 ml of boiling water and infused for several hours. The resulting infusion is taken for four months in the first half of the menstrual cycle.
2. Infusion of boron uterus. 2-3 teaspoons of the plant or ready-made sachets purchased at the pharmacy are poured with a glass of boiling water. After insisting for a quarter of an hour, you can take it daily.
3. Pineapple and pumpkin, which are allowed to be eaten in unlimited quantities, provided that there is no allergy to these products. You can use pineapple and pumpkin juice.
4. Raspberry leaf tea. Prepared leaves are poured with boiling water and tea is drunk in small quantities several times a day.
5. A combined decoction prepared from elderberry inflorescences, yarrow herbs, mint, chamomile, nettle, medicinal initials. A mixture of components taken in equal proportions is poured into 1 liter of boiling water, infused for an hour and taken half an hour before meals 3-4 times a day.

Regular treatment with folk remedies gives positive results after a few months. However, the use of any traditional medicine should be supported by drug therapy and carried out in consultation with the attending physician. It should be noted that some herbs have contraindications for use if the patient has other diseases.

Diet

The basis of successful treatment is proper nutrition. It must include foods rich in vitamins A and E, as well as foods high in salicylates. The diet should include fatty fish, vegetables (tomatoes, sweet peppers, spinach, cucumbers, beans, cabbage), fruits and berries (grapes, apples, currants, raspberries), dried fruits, honey, red wine.

A variety of spices are useful, such as paprika, thyme, cinnamon, curry. At the same time, a woman needs to limit the intake of fatty and sweet foods, as well as fast food, strong coffee and tea.

An active lifestyle plays an important role in building up the endometrium. It is useful to play sports and dance, visit the pool. This stimulates active blood circulation, which has a positive effect on his condition.

Thin endometrium (hypoplasia) is a condition that is diagnosed in about 1/3 of women of childbearing age. Endometrium - inner mucosa, the thickness of which in the normal state is 7-12 mm. It is to the endometrium that the embryo is attached, so if its thickness is less than 4 mm, this poses a serious threat to pregnancy.

• hormonal imbalance:
• abortions and curettage;
• inflammatory diseases of the uterus;
• a history of surgery on the uterus or ovaries;
• abuse (Postinor, Escapel, Ginepriston).

Also, diseases of the endocrine system, infections of the genitourinary system, underdevelopment of the uterus can also provoke hypoplasia.

Signs of a thin endometrium

Many women are not even aware of the presence of hypoplasia until they visit a routine examination by a gynecologist or experience miscarriage or. It is very important to diagnose the disease before conception in order to receive the necessary treatment and avoid serious complications during pregnancy. The reason for contacting a gynecologist is:

• violation of the menstrual cycle, too scarce or, conversely, abundant discharge;
• insufficiently expressed secondary sexual characteristics;
• uterine bleeding, accompanied by clots and severe pain.

If you have at least one of the above symptoms, you should see a gynecologist. Since most spontaneous miscarriages occur in the early stages, when a woman takes it for the beginning of the menstrual cycle and does not go to the doctor, this can negatively affect her health.

Why is thin endometrium dangerous for the female body?

A fully developed endometrium is essential for normal conception and a healthy pregnancy. Hypoplasia is one of the most common causes of infertility. Even if a woman with a thin endometrium manages to get pregnant, miscarriages in the early stages in this case are quite common. In pregnant women with hypoplasia, labor is more pronounced, much weaker, and there is a risk of heavy bleeding during and after childbirth. In some cases, the only way to find the joy of motherhood for women with this diagnosis is IVF.

If a thin endometrium is already diagnosed in a pregnant woman, it is necessary to provide her with maximum rest. Often, expectant mothers with such a diagnosis end up in a hospital for preservation at an early stage and stay there for quite a long time. A woman has to take care of herself, lead a sedentary lifestyle and regularly take drugs prescribed by a specialist to maintain pregnancy.

Diagnostics

Thanks to timely diagnosis, a woman's chances for successful treatment and a happy motherhood increase significantly. The doctor can make the primary diagnosis based on the patient's complaints, anamnesis and the results of the examination. But in order to accurately determine that the thin endometrium is the cause of all the problems, it is necessary to undergo a series of additional examinations: ultrasound of the pelvic organs and uterus, take blood and hormone tests, undergo a biopsy of the uterus, and provide material for a histological examination.

Treatment

Thin endometrium is a condition requiring mandatory treatment, which can be conservative or surgical. If the cause of the disease is hormonal failure, the patient is prescribed therapy with drugs containing progesterone. Drug treatment of thin endometrium is a rather lengthy process that requires an average of 1-3 months, depending on the individual characteristics of the woman's body. Along with taking medications, the patient is shown physiotherapy and therapeutic exercises. In cases where the disease was provoked by other pathologies of the pelvic organs, it is imperative to treat them.

If more serious factors have become the cause of the development of hypoplasia, then surgical intervention will be required, which involves the surgical removal of the thin inner layer of the endometrium. Further, it will be necessary to ensure the growth of the required thickness of the inner shell with the help of intensive hormone therapy.

Do not be afraid of taking hormones, only first-generation drugs had serious side effects. With the right medication and following all the recommendations of the doctor, you can achieve a positive result. Unfortunately, the exact statistics of how many women managed to get pregnant after treatment is unknown, since such auxiliary factors as age, lifestyle, diseases of the reproductive system play an important role in this process. More likely to conceive a child in the first months after hormone therapy are healthy young women without bad habits, abortions and serious gynecological diseases in history.

Also effective in the treatment of thin endometrium are traditional medicine. Doctors recommend taking a decoction of sage three times a day for the duration of treatment. Only with a responsible and integrated approach will you be able to achieve a positive result and get rid of such an unpleasant diagnosis as a thin endometrium.

IVF - is it worth it?

If all attempts at independent conception have not been successful, then the last hope is to feel the joy of motherhood. With a thin endometrium, the procedure is performed only when the endometrium grows up to 8-9 mm. And that does not always guarantee a positive result. Look at the statistics, a woman's age plays a big role. Therefore, this procedure is effective mainly up to 35 years. By the age of 40, numerous unsuccessful IVFs will not only weaken the female body, but will also cause psycho-emotional disorders. If several attempts have failed, it may be worth considering adoption and not spending years visiting clinics.

If you decide to take such a responsible step as IVF, you should be aware of all the possible consequences. The onset of pregnancy is not yet a triumph over infertility. Check out the statistics, preterm birth, perinatal and infant mortality is 2-4 times higher than with natural childbirth.