Plans for pregnancy, and the endometrium is thin - what to do? How to quickly increase the thin endometrium of the uterus for conception

In nature, balance is very important, compliance with the rule of the "golden mean". Extreme variants are always rejected, because they cannot meet the requirements for the normal existence of the species. This rule can be perfectly demonstrated by the example of the endometrium or the mucous membrane of the uterine cavity.

There are diseases that lead to its hyperplasia, that is, to its excessive growth. The best known of these diseases is endometriosis. This disease often leads to infertility, to the appearance of heavy and painful periods and is a big problem in endocrine gynecology.

But there is another extreme, in which the endometrium is not at all subject to excessive growth and hyperplasia. On the contrary, it has an abnormally small thickness. And since it is on the thickness of this layer that a very important period of intrauterine development of a person depends - the implantation of the fetal egg into the wall of the uterus, this presents real difficulties for bearing.

Therefore, the problem of a thin mucous layer of the uterus is directly related to the problem of infertility. Very often, women ask a gynecologist if it is possible to get pregnant with a thin endometrium? We will try to answer this question, but before that, we will talk a little about what is the normal thickness of the endometrium for conception, and how it works.

The endometrium is the inner layer that lines the uterus. Unlike the lining of other hollow organs, such as the stomach, the lining of the uterus undergoes regular, cyclic changes.

In the event that fertilization has not occurred, the endometrium is rejected, and its remnants are excreted in the form of menstruation. In the same case, if fertilization has occurred, then its task after some time is to accept the fetal egg, to fix it in its thickness (this process is called implantation). It is this time that is the early "critical" period of pregnancy.

Next, you need to change the type of nutrition of the embryo. Previously, it was diffuse, in which it received nutrients from the surrounding fluid, and now it will be hematotrophic (with the help of blood vessels). In other words, without a normally arranged endometrium, the appearance of the chorion at first, and then the placenta, will be impossible.

The endometrium is normally two-layered. It is based on basal cells, which do not react in any way to changes in the female cycle. The task of the basal layer is to produce a functional top layer. It is he who, after fertilization, will be responsible for the prompt change in the nutrition of the embryo and the development of the fetus.

In the event that the thickness of this layer in a woman in the fertile period is insufficient, this can cause either miscarriage or infertility. How thick should the endometrium be to get pregnant and carry a baby?

Source: Prosto-Maria.ru

Pathology

As obstetric statistics show, the normal thickness of the functional uterine endometrium in women of childbearing age, which does not prevent the continuation of pregnancy, is 7 mm.

After menstruation, in the first days of the cycle, when the activity of the uterine mucosa is regulated by estrogens, it gradually increases, and ranges from 5 to 9 mm. After ovulation, when estrogens give way to progesterone, the endometrium prepares for a possible pregnancy. As a result, the thickness of the endometrium can reach 1.3 - 1.4 cm in thickness.

Pregnancy with a thin endometrium becomes problematic if its thickness does not exceed 5 mm during the progesterone phase of the cycle. In this case, it is possible to diagnose "endometrial hypoplasia", or its thinning.

Of course, there is a convention in any figures, and many more women form the question incorrectly. After all, fertilization or conception can occur in any condition of the uterine mucosa (for example, in a tube), but with its hypoplasia, further continuation of pregnancy will become impossible or difficult.

There are cases when pregnancy and thin endometrium were successfully combined, and even with a thickness of 4 mm, a woman managed to bear a child. But with such a thickness of the endometrium, the risk of developing obstetric pathology in early pregnancy increases greatly, which leads to its interruption or to the development of complications.

Indeed, under normal conditions, the task of the endometrium is to continue to thicken under the influence of progesterone after pregnancy has occurred. During the first weeks after pregnancy, the thickness of the inner uterine layer can be more than 2 cm, which is what the doctor often notices during a gynecological ultrasound.

The fertilized egg itself may not yet be noticeable, but it is already possible to determine a likely sign of pregnancy. But in the event that a woman's endometrial thickness is not enough for conception and gestation, This should be a permanent cause of miscarriage in the first trimester. Consider what should be the average norm of the endometrium for conception on the days of the cycle.

Norm

Consider what should be the thickness of the endometrium for conception and normal bearing of a child. Each obstetrician-gynecologist of the antenatal clinic has special tables that allow you to calculate whether the thickness of the inner lining corresponds to the normal course of the cycle, and whether there are signs of both hypoplasia and the hyperplastic process. Here is a table of endometrial thicknesses by cycle days for conception.

Source: bolshoyvopros.ru

The diagram shows that on the 14th day the largest diameter of the follicle falls, and ovulation occurs, and after that, the growth of the endometrium occurs slightly if fertilization does not occur. After ovulation, in the second half of the cycle, the normal thickness “does not reach” up to one and a half centimeters. Accordingly, the norm of the endometrium for conception can confidently be considered from 1 centimeter.

Is it possible to get pregnant if the endometrium is 7 mm? Yes, it is quite possible, but the chances are still the greatest if several conditions are met at the same time:

• dynamic observation of a gynecologist and pregnancy management;
• planned conception with possible medical support;
• elimination of extragenital pathology, which can create a risk of increased miscarriage.

We have determined what the endometrium should be for the conception of a child and its bearing in thickness. But what causes lead to hypoplasia of the inner layer?

The reasons

Why is the endometrium not growing? The reasons for this may lie both in various diseases and in the lifestyle of the patient. The most common causes of hypoplasia lie in the following diseases and conditions:

• Endocrine diseases and disorders of the hormonal function of the ovaries and the hypothalamic-pituitary system. Most often we are talking about a lack of gonadotropic hormones of the pituitary gland, which leads to a lack of estrogens. In some cases, the lack of estrogen can be caused by local causes, such as the appearance of ovarian cysts.

• Congenital and acquired circulatory disorders in the myometrium and endometrium. Lack of blood circulation leads to a decrease in the level of metabolism in the endometrium, and this leads to its poor growth or hypoplasia.
• Presence of polycystic ovaries.
• Congenital aplasia or hypoplasia of the uterus (or its underdevelopment).
• Frequent surgical manipulations, for example, curettage of the uterus, frequent abortions.

The reason for the small endometrium is currently the uncontrolled intake of hormonal drugs by young patients, including without the appointment of a gynecologist.

You should not use emergency contraception during unprotected sex, but use condoms. In this case, there will be no harm to the body of women (perhaps, except for an allergy to latex, which is not so common), and there is no risk of developing hypoplasia;

Very often, chronic inflammatory processes in the uterus, such as chronic endometritis, chronic forms of sexually transmitted diseases - trichomoniasis, gonorrhea, chlamydia, mycoplasma and ureaplasma infection, lead to endometrial hypoplasia.

All this leads to the development of adhesive and cicatricial processes that worsen the proliferation of the endometrium and its development.

In the end, a disordered lifestyle, constant chronic stress, irregular periods, smoking, alcoholism, and even more so drug addiction leads to a complete disruption of the hormonal regulation of the female cycle, the development of chronic beriberi, and depletion of the body.

Therefore, a woman preparing to become a mother needs not only to know how to prepare the endometrium for pregnancy, but also how to prepare her own body for motherhood entirely. What are the symptoms of endometrial hypoplasia, and how does this condition manifest itself?

Symptoms

Unlike endometriosis, the signs of uterine mucosal hypoplasia are not as noticeable, and many women are not even aware that they have this problem. Sometimes it is manifested only by habitual miscarriage, which occurs immediately after conception.

There are some symptoms that women may experience. These include:

• periodic amenorrhea, which is expressed in the absence of menstruation;
• very scanty and insufficient menstruation.

This symptom indicates insufficient development of the endometrium by the end of the cycle. But sometimes there are discharges like metrorrhagia in the middle of the cycle, in which even clots can separate. This sign will indicate that a sufficiently active and well-ripened endometrial tissue is not rejected when it should be.

In addition, symptoms of hypoplasia include late onset of menstruation, decreased libido, anorgasmia, insufficient female-type fat deposition, and hirsutism, as a sign of androgen excess. Indirectly, other symptoms of estrogen deficiency can serve in favor of endometrial hypoplasia.

All of the above signs and symptoms of a thin endometrium should definitely alert the woman, and she should tell the gynecologist about them. How can endometrial hypoplasia be diagnosed?

Diagnostics

It must be remembered that only a comprehensive examination of a woman makes it possible to diagnose endometrial hypoplasia. The diagnosis is based on ultrasound of the uterus, and moreover several times during the same cycle. In addition, the diagnosis of endometrial hypoplasia cannot be made without the patient having the following tests:

• a comprehensive blood test for hormones: estradiol, progesterone, pituitary gonadotropic hormones, and the study can be carried out at different periods of the cycle.
• a biopsy of the endometrium taken from different sites in which there is a high probability of the appearance of the most developed endometrium in the period following ovulation. It is during this period that the thickness of the endometrium for conception should be normal up to 14 mm.

The main diagnostic procedures are listed above, without which an accurate diagnosis cannot be made. But if the causes of thin endometrium are known, then what should be the treatment? What are the basic principles of endometrial enlargement for a normal pregnancy?

Treatment

It should be recalled that only the attending gynecologist should prescribe all drugs. Treating a thin endometrium is a delicate process that may involve more than just specific foods for endometrial growth and follicles. Often, according to indications, the appointment of hormonal therapy, as well as other drugs, is required. Consider the basic principles of how to increase the endometrium for conception.

Medications

Most often, gynecologists deal with hormonal deficiency. Therefore, in the first half of the cycle there may be a lack of estrogens, and in the second half of the cycle there may be a lack of progesterone. It is necessary to determine which hormones are lacking and prescribe compensatory therapy.

In some cases, patients need estradiol, and in some cases, progestins, such as Duphaston or Utrozhestan. These drugs can replace progesterone and prepare the endometrium of the uterus for a possible pregnancy.

They increase the proliferation of the endometrium, at the same time reduce the muscle tone of the uterus, which also favors the implantation of the fetal egg, and also prevents the exfoliation of the endometrium. The appointment of such drugs, as well as combined oral contraceptives or COCs, must be carried out under the supervision of a doctor, and taken according to the scheme, depending on the days of the cycle.

In some cases, in order to achieve a normal concentration of endogenous progesterone, ovulation stimulation is required. This procedure is especially delicate for thin endometrium.

In the event that stimulation is carried out independently, in the form of self-treatment, then drugs such as Klostilbegit can lead to an even greater development of endometrial hypoplasia. It is necessary to stimulate ovulation in combination with estrogen-containing drugs, and always under the supervision of a specialist.

Folk

How to increase the thickness of the endometrium to get pregnant without drugs? First of all, in the absence of chronic microbial diseases, physiotherapy is indicated. According to the doctor's prescription, UHF, magnetotherapy, diadynamic currents, amplipulse, sinusoidally modulated currents can be prescribed.

In some cases, in the stage of stable remission, spa treatment is indicated: bathing, electrophoresis with drugs, including vitamins and enzymes. These procedures lead to the resorption of scars and adhesions, the rise of immunity, the normalization of the menstrual cycle.

How to build up the endometrium with folk remedies? Among the most favorite folk remedies, we can mention the infusion of the hog uterus. It can be bought at a pharmacy, the herb is taken daily for several teaspoons of infusion, prepared from ready-made bags filled with a glass of boiling water, according to the instructions.

Combined herbal preparations containing yarrow, nettle, elderberry, mint and chamomile help well. Many women note the good healing effect of raspberry leaf tea. It can be drunk like regular tea, several times a day, it promotes an anti-inflammatory mild effect and helps to normalize the endometrium in case of uterine lesions.

Diet

How to build up the endometrium for conception with the right diet? To do this, you must adhere to the following principles:

• It is advisable to consume more fiber, especially pumpkin and pineapple. In the event that you do not have allergies, you can eat them without restriction, as well as drink pumpkin and pineapple juice.
• Easily digestible foods, such as fatty sea fish, and lean meats should be included in your diet.
• It is very useful to stimulate the immune system to use dried fruits, nuts, honey and red wine.
• It is useful to use berries such as raspberries, which contain a high level of salicylates. Raspberries can be considered a natural aspirin, they gently help to reduce inflammation, including in gynecology.
• It is not forbidden to use a small amount of natural spices. Contribute to the stimulation of endometrial growth cinnamon, sweet paprika, curry.

At the same time, you need to strictly monitor the restriction of tea, especially strong, coffee, refined fatty foods, french fries, muffins, fast carbohydrates, fried and smoked.

We can say that pregnancy with a small endometrium is possible. You need to try in every possible way to increase it, but first of all, you need to normalize your menstrual cycle and the physiological rhythm of hormone production. And a healthy lifestyle plays an important role in this.

Regular and full sleep, dosed physical activity, popular and useful sports, positive emotions have a very good effect on the correct hormonal background. And this means that a woman, in cooperation with gynecologists and following their prescriptions, has a very real chance to get rid of such a problem as endometrial hypoplasia and infertility caused by it.

And the woman herself - in vain. Often this problem is encountered with polycystic ovary syndrome.

Causes of thin endometrium

The uterine mucosa is a hormone-dependent tissue, so the most common causes of its occurrence are hormonal.

Possible causes of thin endometrium:

• Hormonal. The growth of the endometrium before ovulation occurs most of all under the influence of estrogen. Estrogen provides thickness. And it provides its secretory function. If the concentration of hormones is normal, but the receptors that are sensitive to them are damaged, then the thickness of the endometrium does not increase enough for implantation.
• Conditionally hormonal. A lack of vitamin D leads to disruption of the steroid hormones.
• Vascular. Autoimmune diseases and pathologies of the blood coagulation system lead to disruption of the blood supply to the uterus, thereby the necessary amount of nutrients does not enter the endometrium. Therefore, even if the endometrium is thin and grows poorly.
• Mechanical. Damage to the basal layer of the endometrium during medical manipulations - curettage, or as a result of infectious damage to the inner layer of the uterine mucosa leads to the fact that the endometrium does not grow, since damage to the basal layer is the loss of stem cells, from which the functional layer grows.
• Congenital anomalies in the development of the uterus. For example, hypoplasia or aplasia of the uterus leads to the fact that a mechanical obstacle is created for the growth of the endometrium.

With a thin endometrium, IVF is performed using the technique. At the same time (two days when the endometrium is receptive and able to implant a blastocyst) is calculated.

Two programs allow you to build up the endometrium during IVF:

1. (hormone replacement therapy). In this case, estrogens are prescribed (tablets - Proginova, Estrafem or in the form of a gel - Divigel, Estragel) at a dose of 4-8 mg per day. From the moment when the endometrium reaches 8 mm and becomes three-layer, progesterone preparations (Utrozhestan, Proginova) are added for 5-6 days, depending on the one chosen for the transfer. continue to prescribe progesterone and estrogen as support.
2. Transfer program in the presence of ovulation. At the beginning of the program, only vitamins can be prescribed: folic acid - for the prevention of defects, vitamin D. When the follicle reaches full maturity, one of the tactics is chosen. The first is the introduction of an ovulation trigger hCG. The second is a clear monitoring of the onset of ovulation, ultrasound is done every day for this. As soon as ovulation has come, the reproductologist prescribes progesterone preparations for 5-6 days and the transfer day is appointed.

The effectiveness of endometrial build-up of both programs is equivalent and the doctor picks it up individually.

Against the background of preparation, sometimes the endometrium remains thin, because hormonal factors are not the only reasons that prevent the endometrium from growing. In this case, it is necessary to carry out additional treatment prior to the transfer. The choice of therapy depends on the diagnosed disorders: antibiotic therapy, which allows you to get rid of the infection, drugs to improve blood circulation (Kurantil, Actovegin), surgical treatment.

The lion's share of success in the IVF program belongs to the embryo. The second most important is the endometrium. The presence of endometrial pathology will not provide the necessary soil for the growth and development of the embryo.

What is endometrium?

The uterus has three layers:

Outside, the uterus breaks the peritoneum, this layer is called serous. Outwardly, it looks like a thin film.

The thickest layer is muscular, it occupies an intermediate position.

And there is an inner layer - the endometrium. It is also called the mucous layer. The peculiarity of this layer is that every month it is rejected and grows again. Between the mucous membrane and the muscle layer lies a thin membrane. It contains the cells from which a new endometrium grows every month.

The development of the endometrium is dependent on hormonal changes. The greatest role is played by estrogens and gestagens. Both those and others are produced in the ovaries, their concentration varies depending on the day of the menstrual cycle. At the end of the previous menstrual cycle, there is a decrease in hormones and, as a result, a spasm of the spiral arteries that feed the endometrium. As a result, the endometrium is rejected, outwardly this is manifested by menstruation. At the same time, under the influence of follicle-stimulating hormone, the follicle begins to mature, in addition to the egg, estrogens are also formed in it. Increasing levels of estrogen lead to the growth of endometrial cells, to the formation of glands and the endometrial framework. This entire phase until the moment of ovulation is called follicular (the follicle grows) or proliferative (the endometrial cells grow - proliferation).

After ovulation, another phase begins - it is accordingly called the luteal (a corpus luteum is formed, lat. corpus luteum ) or secretory (accumulation and secretion of nutrients in the endometrium). Toward the end of the luteal phase, hormone levels drop and everything starts all over again. However, when pregnancy occurs, the corpus luteum continues to work for several more weeks, until the placenta takes over the hormonal function.

How to evaluate the endometrium, its quality?

It is possible to evaluate various parameters - the stage of development, structural features, the severity of the receptor apparatus, structural features of the glands, etc., but the most accessible for evaluation is the thickness of the endometrium. The thickness of the endometrium indirectly reflects all other parameters.

The endometrium changes during the menstrual cycle:

• During menstruation 2-4 mm.
• On days 6-14 5-8 mm.
• On days 12-14 - up to 11 mm.
• After ovulation, from 15 to 28 days 7-16 mm.

What should be the thickness of the endometrium in the IVF program?

Why is endometrial thickness so important? It is unlikely that the matter is actually in the thickness of the endometrium, except for the implantation of embryos in places where there is no endometrium with its receptors at all - for example, in the fallopian tubes, on the intestines, mesentery, liver, ovary, in the cervix. It has been suggested that it may be due to the concentration of oxygen. The maximum concentration of oxygen is observed closer to the base of the endometrium, and the closer to the surface or to the uterine cavity, the less oxygen. Embryos develop better in an oxygen-depleted environment, for this they even came up with special three-gas incubators, where there is 4 times less oxygen than in ordinary air. It turns out that with a thin endometrium, the embryo is closer to the area with a higher oxygen tension, which prevents its implantation and development. ).

Why is the endometrium not growing? Why is it too thin?

There are several reasons for this situation.

Hormonal.

The thickness of the endometrium directly depends on the level of estrogen. With their deficiency, the endometrium does not grow and its atrophy occurs, with an excess of estrogens, on the contrary, excessive development of the endometrium is possible - its hyperplasia.

If the cause of underdevelopment of the endometrium is estrogen deficiency, then it is quite easily solved by prescribing estrogens in the form of tablets.

vascular disorders.

Like any tissue in the body, the endometrium needs nutrition. Nutrition occurs through the system of blood vessels.

Violation of the blood supply will lead to underdevelopment of the endometrium. On the other hand, pregnancy is possible even with ligation of the main vessels supplying the uterus.

The use of clostilbegit.

Clostilbegit is one of the oldest drugs used to treat infertility. Clostilbegit is an antiestrogen, it blocks estrogen receptors and creates the illusion in the body that there is not enough estrogen. The body is trying to correct the situation and makes the ovaries work in an enhanced mode, which leads to the maturation of the follicles, but at the same time interferes with the development of the endometrium. As we said, estrogens are needed for the development of the endometrium, but if the receptors are blocked, then no matter how much estrogen surrounds the cell, they will not be able to get inside, and without this they will not be able to have an effect.

The effect of clostilbegit is temporary. After the end of treatment for several weeks (maximum 60 days), no traces of clostilbegit remain. Those. if the cause is clostilbegit, then everything will return to normal by the next menstrual cycle or through a cycle.

Myoma of the uterus.

Uterine fibroids are the most common benign tumor of the female genital organs. It grows from muscle tissue. The influence of fibroids on the reproductive system is multilateral and depends mainly on three points: the size, location and number of nodes. When applied to the endometrium, we are talking about nodes located immediately below the endometrium, they are called submucosal or submucosal nodes. The presence of such nodes reduces the chances of success. This is explained by the fact that the nodes interfere with the blood supply to the endometrium and, accordingly, its growth. Removing such nodes can correct the situation.

Postponed curettage of the uterine cavity.

Curettage of the uterine cavity can be performed for various reasons: termination of pregnancy, stopping uterine bleeding, removal of endometrial polyps, etc.

This removes the entire functional layer of the endometrium to the basement membrane, the place where it grows again every month. In the process of curettage, damage to this membrane can also occur and, as a result, a violation of the ability of the endometrium to adequately recover.

One study examined endometrial thickness in relation to past curettage:

Asherman's syndrome.

With a sufficiently deep damage to any functional tissue, a scar is formed. For example, if there is severe inflammation, a wound, a burn, etc. on the skin, then a scar will remain on the skin, outwardly it will differ from ordinary skin - there will be no glands, there will be no hairline, there will be a different density, etc. Those. functional fabric will change.

If damage to the endometrium occurs, then scar tissue forms on it. Damage can be caused by curettage of the uterine cavity, especially produced in the early postpartum period, can be caused by severe inflammation of the endometrium.

As the tissue heals, adhesions (synechia) or scar tissue may form there. In extreme cases, infection of the uterine cavity occurs.

Atrophic cicatricial changes in the uterine cavity and are called Asherman's syndrome, this is an extreme form of cicatricial changes.

With ultrasound, we will not see cyclic changes in the endometrium, it will not grow, because. on scar tissue does not have estrogen receptors and is not able to increase.

Chronic endometritis.

Acute or chronic inflammation can damage the basement membrane of the endometrium. In India, the leading cause of thin endometrium is chronic endometritis caused by genital tuberculosis.

Thin endometrium- is one of the reasons preventing natural conception. Its thickness is determined by several factors, including hormonal changes. It becomes most functional in the premenstrual period. The question of how to build up the endometrium is most relevant for women planning to become mothers.

The structure and functions of the endometrium

endometrium- mucous membrane of the uterine cavity. How quickly and successfully the fertilized can gain a foothold depends on its thickness, integrity and functionality.

The structure of the endometrium includes:

• epithelium - the cell layer lining the uterine cavity;
• capillaries, glandular ducts;
• stroma - the supporting connective tissue that produces collagen during menstruation.

The main function of the endometrium is to create conditions favorable for the fixation and normal development of the embryo in the uterine cavity. Normally, after the mucous membrane begins to change: its blood supply and secretory functions increase. In the future, the vessels of the endometrium take part in. Thanks to them, the developing fetus receives oxygen and all the substances necessary for development in the right way.

Another function of the endometrium is a barrier. It prevents the development of adhesions: it does not allow the walls of the uterus to stick together, despite their constant contact.

The probability of pregnancy depends on the thickness and structure of the endometrium, as well as on the maturity of the glandular layer. The functionality of the mucous membrane is determined by the presence of estradiol, a hormone produced by the follicles. For him, the maturation of the endometrium and the further production of progesterone occur.

Causes of insufficient thickness of the endometrium

In order to determine how to quickly build up the endometrium for successful conception, you need to find out the reasons for its reduced functionality. A thin lining of the uterus may be due to the following factors:

• pathologies of the endocrine system present from birth;
• dysfunctions in the production of endocrine glands, leading to a discrepancy between the level of hormones and the period of the menstrual cycle;
• insufficient blood supply to the uterus, bladder, pelvic floor muscles and rectum, as a result of inflammation, operations, injuries, as well as congenital nature;
• damage to the mucous layer of the uterus, most often resulting from abortion and curettage;
• underdevelopment of the muscles of the pelvic floor and uterus;
• infectious diseases of the uterus;
• use of birth control pills.

Currently, researchers are suggesting that heredity may be the cause of insufficient mucosal thickness. But there is not enough clinical data to support this theory.

Thin endometrium

Enlargement of the endometrium with medication

In order to build up the endometrium in a short time, it is necessary to use drugs. Their appointment should be dealt with exclusively by a doctor, since only he will be able to select the most effective drugs and competently draw up a treatment regimen.

Since the build-up of the endometrium occurs by increasing the amount of estradiol, hormonal drugs can quickly cope with the task. The scheme of their reception is determined by the phases of the cycle.

In the first half, injections of Divigel, Estradiol, Femoston and Proginova tablets are prescribed. These drugs increase the thickness of the endometrium by increasing blood circulation and glandular activity.

In the second phase, Duphaston and Utrozhestan are required. These drugs contribute to the formation and maturation of the endometrium. Both contain a large amount of progesterone, a hormone necessary for fixing the embryo in the uterine cavity and a successful pregnancy.

In addition to hormonal drugs, the doctor may prescribe medications necessary to treat diseases that are the causes of thin endometrium. The main objectives of such therapy are the restoration of the damaged mucous membrane, the elimination of infectious and inflammatory processes in the uterus. If a woman takes birth control pills, then they will need to be canceled.

Building up the endometrium with folk remedies

Thin endometrium is a solvable problem, since it can be increased by using drugs in combination with traditional medicine methods. Among the decoctions of medicinal herbs, the following are most effective:

• Sage decoction. Phytohormones increase the level of estrogen in the blood and stimulate the activity of the follicles. To prepare a decoction, you need 1 tbsp. l. dried crushed plant pour 250 ml of water, boil and cool for 10-15 minutes. Take a third of the volume up to 4 times a day. Treatment should be carried out according to the menstrual cycle: start from the 4th day of menstruation, end on the day;
• Decoctions of the red brush and boron uterus. These medicinal plants affect the hormonal background, have anti-inflammatory properties. The red brush must be taken in the first half of the cycle, starting on the last day of menstruation. Upland uterus - in the second half of the cycle. Decoction recipe: 1 tbsp. l. pour dry grass into a container, pour 250 ml of boiling water and wrap for 3 hours. Drink 100 ml 3 times a day;
• Knotweed decoction. The drink improves the blood supply to the uterus, helps to restore the mucous membrane. To prepare a decoction, a glass of dried grass should be poured with a liter of boiling water and insisted for 5 minutes. Drink 1-2 glasses a day, replacing tea.

Important! The use of any herbal decoction should be agreed with the doctor. Folk recipes can significantly affect the hormonal background, the work of individual organs and the state of the body as a whole.

Lifestyle for Endometrial Buildup

No matter how carefully all the doctor's prescriptions are carried out, it is possible to increase the endometrium for conception only with an integrated approach. An important role is played by the lifestyle that a woman leads. Proper nutrition and sufficient physical activity are the conditions for the health of the body in general and the reproductive system in particular.

A balanced diet helps maintain endometrial thickness and functionality. For successful conception, a woman's daily diet should include:

• sources of vitamin E: leafy vegetables, whole grains, bran, vegetable oils;
• sources of vitamin C: black currant, lemons, bell pepper, grapefruit, kiwi;
• sources of salicylates(substances that prevent the formation of blood clots): strawberries, raspberries, honey, raisins, prunes, thyme, curry, paprika, ginger, cinnamon;
• sources of omega-3 fatty acids: rapeseed and linseed oil, tuna, nuts, salmon.

With insufficient blood supply to the pelvic organs, moderate physical activity is necessary. Swimming, running, fitness, as well as oriental dancing can contribute to the thickening of the mucous membrane. There are special exercises that lead to strengthening the muscles of the perineum and small pelvis (Kegel technique, wumbling). But before starting classes, you should consult a doctor, in some cases, physical activity can aggravate the situation.

The doctor can give an exact answer to the question of how to build up the endometrium. He will conduct all the necessary examinations and, based on the results, will draw up an effective treatment program. The modern approach to restoring the functions of the uterine mucosa includes the use of drugs, folk remedies, as well as compliance with the rules of nutrition and physical activity.

Every woman suffering from infertility has her own history of treatment, her own causes of the disease, but everyone has one dream. Gynecologists and pharmacists are constantly looking for new drugs and treatments for this disease. After all, the main thing is not only to make the correct diagnosis, but also to choose an individual treatment, the result of which will be the birth of a healthy baby.

Thin endometrium - what to do?

A common cause of female infertility is a thin layer of the endometrium, and treatment in this case can be carried out with hormonal medications, pseudohormones, herbal decoctions. Going to your goal will not be easy, but reaching it is quite possible.

How to treat thin endometrium with herbs?

Many women refuse to hormonally treat thin endometrium, since folk remedies also help with this problem. Sage gives very good results for follicles with a thin endometrium, you need to brew 1 teaspoon in a glass of water and drink during the day in the first phase of the cycle. The upland uterus also helps well with a thin endometrium, being a pseudohormone that is transformed in a woman's body. It also has an anti-inflammatory effect. Even modern medicine offers homeopathic drops of "Tazalok" to solve this problem, which normalize the menstrual cycle and regulate the synthesis of endogenous gonadotropic hormones. This drug has virtually no side effects.

How to build up a thin endometrium with drugs?

The endometrium grows within 14 days, its growth is stimulated by estradiol preparations. To build up the endometrium, doctors prescribe the drug Proginova, Estradiol or Femoston in the first phase of the cycle, in the second phase they recommend taking duphaston. Dufaston with a thin endometrium helps to form its structure, acts like a synthetic progesterone - "accompanies" the overgrown endometrium, it should be taken in the second half of the cycle. All these drugs are synthetic and have many contraindications, so their use should be discussed with your doctor and assess the risk yourself.

Often, a thin endometrium is detected after taking OK, but it all depends on the woman's body. Refusal of oral contraceptives and the adoption of regulon within two months can lead to positive results in the restoration of the growth of the optimal endometrium.