Thin Endometrium: Causes and Treatment

Thin endometrium is a condition that affects millions of women. In this article, we will explore the causes of thin endometrium, its impact on reproductive health, and treatment methods aimed at restoring normal endometrial thickness.

What is the Endometrium?

The endometrium is the mucous membrane lining the uterine cavity. It consists of two layers: the basal layer, from which it grows, and the functional layer, which changes throughout the menstrual cycle.

How Does the Endometrium Grow?

During the first phase of the cycle, the endometrium begins to grow under the influence of estradiol, a hormone produced by the ovaries. When ovulation occurs in the middle of the cycle, the growth of the endometrium stops, and a corpus luteum forms at the site of the ruptured follicle, which begins to produce progesterone.

What Affects Endometrial Growth?

If ovulation doesn't occur or if the follicles do not grow properly, the endometrium may remain thin. It is important to understand that proper follicle maturation and ovulation are necessary for the correct growth of the endometrium.

How is Thin Endometrium Treated?

• Estradiol: Used to stimulate endometrial growth, but it does not always guarantee ovulation.
• Clostilbegit: A medication for ovulation stimulation, although it may suppress endometrial growth.
• Ultrasound: Used to assess the thickness and structure of the endometrium, which is more important than just its thickness.

When is Treatment Necessary for Thin Endometrium?

Treatment is only necessary if thin endometrium prevents conception or causes reproductive health issues. In other cases, increasing its thickness may be ineffective or even undesirable.

Conclusion

The normal thickness of the endometrium plays a key role in a woman's ability to conceive, but its structure and condition are much more important than just measuring its thickness. If there is a suspicion of endometrial pathology, it is necessary to consult a doctor to determine the appropriate treatment approach.