Is the thin wall of the uterus possible to give birth. Pregnancy and successful delivery with thin endometrium - myth or reality

Today, a normal embryo and a receptive endometrium capable of accepting it are considered fundamental factors in achieving the desired pregnancy. That is why the thin endometrium, the causes of which can be very different, significantly reduces the possibility of getting pregnant, because it is believed that its thickness of less than 5 mm gives the minimum chances for a productive conception. That's why modern medicine She put all her energy into fighting this disease.

However, let's talk in more detail about this pathology, and also reliably determine those pathogenic factors that provoke its development. First of all, let us clarify that the endometrium itself is represented by the internal mucous membrane of the body of the uterus, lining its cavity and containing many blood vessels. Its main function is to provide optimal conditions so necessary for the implantation of the blastocyst in the uterus.

However, in gynecology, thin endometrium is often diagnosed, the causes of which can be caused by a number of pathological factors. This may be a violation of the blood supply in the uterus, which is inherent in both hereditary (congenital) and acquired (after inflammation, induced abortion, trauma, diseases of the uterus or neighboring organs) character. In addition, pathology can be formed against the background or as a result of

If we talk about such an anomaly as a thin endometrium, its causes can be directly related to abortion, with increased curettage. Such a harmful "event" not only violates the endometrium, but also brings enormous damage to the female body. When the entire functional layer of the uterus is removed, the patient is left without the platform from which the endometrium could develop, however, this phenomenon is extremely rare, but if there are places where the endometrial layer cannot be restored, pregnancy becomes very difficult.

If a pathology of the thin endometrium is detected, treatment should be prescribed immediately. How to detect this anomaly in a timely manner? Maturity and are clearly visible on ultrasound, and its permissible value should be at least 7 mm, only then a successful pregnancy is possible. However, it is important to clarify that pregnancy is quite real even with a thinner endometrium, however, the thinner its layer, the less chance of becoming pregnant.

If a thin endometrium is found, the causes are established, an immediate set of measures is needed to eliminate the pathology, which in most cases gives positive result. Therefore, today such concepts as "thin endometrium" and "pregnancy" are quite compatible.

So, productive treatment is like medication with a predominance of hormone therapy, and surgical with direct removal of the endometrial layer. In the second case, there is also the use of hormones to restore internal balance. female body.

Despite the fact that thin endometrium is almost impossible to identify on its own, since the pathology is asymptomatic, rarely accompanied by bleeding, systematic prevention is necessary. this disease. To do this, you need to monitor your health, eliminate it intensively in time to fight obesity, restore your emotional background, and eliminate stress. It is also advisable to carry out planned and at the slightest anxieties "like a woman" to seek help from a leading specialist.

This is the only way to prevent the progression of the anomaly thin endometrium, the causes of which must be eliminated in a timely manner.

Successful pregnancy is possible only if the endometrium of the uterus has a certain thickness sufficient to hold the embryo in it. With its insufficient development, a woman develops menstrual disorders, infertility or problems with bearing a fetus. If the endometrium is too thin, treatment is required to adjust hormonal background in the body, since its violation is the main cause of this pathology. An examination helps to establish the presence of a deviation from the norm.

Content:

How normal should the endometrium be?

The thickness of the mucous membrane in the uterus changes during the menstrual cycle and depends on the content of estrogens in the blood. After menstruation, it is minimal (about 5 mm). By the time of ovulation, it reaches 13-14 mm, and about 5 days before the onset of menstruation, reverse process. The thickness decreases, and with the onset of the next menstruation, the functional layer exfoliates and is removed from the uterus. After that, the process is repeated.

That should be the norm. But sometimes there are deviations that can take on a persistent character: too little mucosa grows in the new cycle, which indicates the presence of some kind of organ disease reproductive system or endocrine pathologies. Such a violation is reflected not only in the ability of a woman to bear children, but also in general condition her health, appearance.

If the thin endometrium is congenital pathology, then the girl has a weak breast development, there are signs such as short stature, a narrow pelvis, underdevelopment of the external genitalia (too short and narrow vagina), almost complete absence pubic hair.

The presence of deviations in the development of the uterus can be indicated by the late onset of sexual development, when the first menstruation comes at 16 years of age and later. In adult women, such underdevelopment becomes the cause of frigidity.

Symptoms

The following symptoms speak of such a pathology:

Availability menstrual disorders(scanty and short periods);
irregular onset of menstruation with a predominance of shortened cycles;
inability to bear children.

Addition: A lack of estrogen in the body is indicated by the presence of symptoms in a woman similar to the manifestations of menopause, such as insomnia, irritability, loss of strength, depressed mood, decreased libido, painful sexual intercourse, and blood pressure jumps.

Insufficient thickness of the endometrium and pregnancy

Hormonal disorders that cause a violation of the development of the mucosa in the uterus lead to the fact that a woman's pregnancy does not occur or is interrupted at the very beginning. Even if at reduced level estrogen, the egg matures, then it will not be able to attach to the wall of the uterus if the thickness of the endometrium is less than 7 mm. The consequence of this is the onset ectopic pregnancy in which the embryo develops in the cervix.

In any case, if a woman has a thin endometrium, the pregnancy is terminated. Therefore, when planning the birth of a child, you need to carefully consider the appearance of menstrual disorders, undergo an ultrasound scan in advance to determine the cause of the failures. Sometimes you have to "build up" the endometrium by special treatment so that a woman can bear a child after natural insemination or IVF.

If pregnancy still occurs in the presence of such a pathology, then to preserve it, the use of special gels and estrogen-containing drugs is prescribed, which allow increasing the layer of the mucous membrane in the uterus.

Causes of insufficient development of the endometrium

Weak development of the uterine lining can occur for a number of reasons.

Endocrine pathologies. The endometrium is thin as a result of a lack of estrogen in the body. The reasons for the decrease in their level are:

disruption of the pituitary gland, lack of FSH hormonestimulating the production of estrogens in ovarian cells;
hyperthyroidism (excess production of hormones thyroid gland);
increased content androgens in a woman's body;
not proper nutrition (dramatic weight loss);
prolonged depression;
smoking;
uncontrolled use of progesterone drugs.

Circulatory disorders in the uterus. Insufficient blood supply leads to lack of oxygen and nutrients necessary for the development of epithelial cells. The cause of the violation can be diseases of the vessels and heart, misdevelopment or damage vasculature, as well as compression of the vessels of the uterus by tumors.

Underdevelopment of the uterus. If it has too little volume, then the full development of the mucosa becomes impossible.

Damage to the basal layer. The formation of a new endometrium occurs from the basal cells of its lower layer, adjacent to the wall of the uterus and having a constant thickness. If during curettage, during an abortion or diagnostic procedures the basal layer is partially removed, then the normal development of the functional layer will become impossible, and the endometrium will be thin.

Inflammatory and infectious processes in the uterus. They cause damage to the structure of the basal layer, the formation of scars and adhesions on it, making it difficult for the normal development of a new layer of the endometrium.

Diagnostics

When a woman complains of infertility and poor painful menstruation the doctor, by examining with the help of mirrors and palpation, determines the presence or absence of deviations in the development of the genital organs. To determine the thickness of the mucosa, the patient is sent for an ultrasound. The study is carried out by the transvaginal method.

Neoplasms in the uterus are detected using diagnostic hysteroscopy. Often, this immediately removes polyps, small myomatous nodes.

The blood is tested for various hormones. If you suspect the presence of inflammatory processes, a smear is taken from the vagina and cervix, the composition of its microflora is examined. A blood test is also carried out for the presence of antibodies to various types infections.

Video: How the endometrium grows

Treatment to build up a thin functional layer of the endometrium

To build up a thin endometrium, the treatment uses hormonal preparations various action. Estradiol preparations (divigel, dermestril, proginova). They are taken as oral tablets or treated with vaginal suppositories. These drugs stimulate cell division and accelerated growth mucous.

The production of estrogen helps to enhance some homeopathic remedies, such as gormel drops. Drugs are used (menopur and others) that stimulate ovulation, improve the production of gonadotropic hormones of the pituitary gland (they regulate the functioning of the ovaries).

Warning: All of these drugs have serious contraindications. They can only be used as directed by a doctor. Any independent use hormonal drugs in order to build up a thin endometrium can not only give reverse effect, but also lead to severe disorders of the cycle, the formation of tumors in the uterus and mammary glands, and a violation of the blood composition.

To improve blood circulation, physiotherapy methods are used, such as electrical stimulation, acupuncture, special massage and physiotherapy. General strengthening treatment with vitamins and immunomodulators is carried out. If necessary, anti-inflammatory antibiotic therapy is carried out. Sometimes to remove tumors in the uterus and restore normal development mucosa has to carry out the procedure of curettage of the uterine cavity.

For treatment, folk remedies based on medicinal plants (upland uterus, red brush and others). They are used only after consultation with the doctor.

The female body is arranged in a special way. Every month the uterus prepares for the onset of pregnancy, its the inner layer by the middle of the cycle, it actively grows, and if pregnancy does not occur, it is rejected. As a consequence, there is menstrual bleeding, in which unnecessary particles of the endometrium come out with the blood.

A sufficient thickness of the endometrium in the middle of the cycle, that is, during the period of ovulation, is necessary so that the embryo can attach to the uterine cavity and begin to feed from it. If the endometrium is too thin, then this will not happen, the embryo will die and pregnancy will not occur. Consider if the endometrium is thin, is it possible to get pregnant, what is the norm of the endometrium for conception and how to build up the endometrium so that pregnancy occurs.

Thin endometrium according to the results of ultrasound, it is called endometrial hypoplasia. The causes of thin endometrium can be as follows:

hormonal disorders, endocrine diseases in which the balance of female sex hormones is disturbed.
Injury to the endometrium during curettage, surgery in the uterine cavity.
Violation of the blood circulation of the uterus.
Underdeveloped uterus.
Frequent inflammatory and infectious diseases uterine cavity (endometritis).

To build up the endometrium, it is necessary first of all to identify the cause of the disease and eliminate it. To do this, a woman undergoes a pelvic ultrasound, passes laboratory tests, and, if necessary, performs laparoscopy and other instrumental studies.

The endometrium of the uterus and pregnancy are very closely interconnected with each other. It is the endometrium that is responsible for the formation of the placenta of the unborn child, for its nutrition and further development. Thin endometrium - common cause infertility, therefore, if pregnancy does not occur, doctors are definitely recommended to undergo an ultrasound scan and check the thickness of the uterine mucosa.

uterus device. Source: women-medcenter.ru

The endometrium changes throughout the cycle, let us consider in detail the dimensions of the mucous layer by day:

On days 1-4, the thickness is from 5 to 7 mm.
On the 5-6th day, the endometrium increases to 6-9 mm.
On the 10th day, the size of the thickness is already 10 mm.
By the end of growth, on days 10-14, the thickness of the endometrium can reach 1.5 cm.

By the end of the growth of the endometrium, ovulation occurs. If the egg is not fertilized, then by the end of the cycle, the endometrium loosens and begins to be rejected. There is menstruation.

What kind of endometrium should be in order to become pregnant, women are interested. For conception to be successful, the endometrium must be normal. Not thin and not too thick. In this case, the embryo is easily implanted in the wall of the uterus and pregnancy will occur.

Pregnancy

Is it possible to get pregnant if the endometrium is 7 mm or less, it is difficult to say for sure. AT medical practice there are cases when conception occurred even with a very thin endometrium, about 4-5 mm. But such cases are rather a happy accident.

In addition, the influence is also accompanying illnesses. If a woman has a whole bunch of pathologies in the form of an inflammatory process, a hormonal disorder, then pregnancy will not occur. And the fault will not be a thin endometrium, but other diseases.

Even if a pregnancy with a thin endometrium has occurred, there is a high risk that it will be pathological. That is, there is a high probability of miscarriage, fetal hypoxia due to placental insufficiency. Possible Complications during childbirth in the form of a weak labor activity may require a caesarean section.

If a woman has a pregnancy with a thin endometrium, she needs to immediately register with a gynecologist. This condition requires special control and often medical support, otherwise the likelihood of complications is high.

It should be noted that auxiliary reproductive technologies with a thin endometrium are not used. Because the probability successful IVF with hypoplasia is very small. The procedure is likely to be a waste of money. First you need to undergo treatment, restore normal function uterus and only then can we talk about planning a pregnancy.

Treatment

Before prescribing treatment for a thin endometrium and planning a pregnancy, you need to undergo a comprehensive examination. For this, a woman is examined by a gynecologist and sent for the following tests:

blood test for hormones;
smear from the vagina and cervix;
Ultrasound of the pelvic organs;

According to the results of the study, it will be possible to confirm the thin endometrium, as well as to establish the cause of such a violation. Further treatment will directly depend on the cause of the pathology.

If thin endometrium was detected during pregnancy, then probable cause violations - lack of progesterone in the body. If the hormone deficiency has been confirmed, then hormonal support with progesterone preparations, for example, Duphaston, Utrozhestan, will be prescribed.

Medical

If a we are talking about preparing for pregnancy and a woman thinks how to build up the endometrium, then it is necessary to be examined. If inflammation has been detected, the woman will be treated with antibiotics, anti-inflammatory drugs. It is possible that by eliminating inflammation, it will be possible to normalize the functioning of the uterus.

At hormonal disorders You will need to visit an endocrinologist. If endocrine disorders are detected, therapy will be specific, depending on the pathology found. AT general order usually appointed combined contraceptives. Such funds help restore the menstrual cycle and build up the endometrium.

Actovegin is prescribed to improve blood circulation in the body. It is also possible to use homeopathic remedies, for example, Gormel. AT complex treatment women are assigned vitamin complexes to strengthen general immunity.

Physiotherapy

To build up the endometrium, it is necessary to improve blood circulation in the uterus. Physiotherapy helps a lot with this. Such procedures improve the nutrition of the tissues of the genital organs, eliminate inflammatory processes, but it is necessary to undergo physiotherapy in complex treatment under the supervision of a gynecologist.

With a thin endometrium, the following methods of physiotherapy are used:

Magnet;
Ultrasound;
Laser;
Balneotherapy.

Massage is useful for thin endometrium. AT without fail appointed physiotherapy, with a bias towards the pelvic area and pelvic floor. The following exercises are effective:

Deep squats, lunges;
Press exercises;
Exercise bike, scissors;

You need to do it every day to have an effect. If a woman does not really like strength exercises, you can sign up for aerobics, dancing, and swimming. It is not so important what kind of sport the patient will do. The most important thing is for a woman to move. Then the blood circulation will be restored and the endometrium will begin to grow normally.

Food

The reproductive function of a woman largely depends on her lifestyle, and especially nutrition. The use of fatty, sweet foods, with dyes, carcinogens and chemical additives is one of the causes of obesity, hormonal failure and thin endometrium. hunger strikes strict diets also not in the best way affect the fertility of the patient.

According to statistics, full and too thin women suffer from infertility much more often than women with a normal physique. Therefore, nutrition should be healthy and balanced.

If a woman wants to build up the endometrium and become pregnant, she needs to normalize her weight. If there is obesity or malnutrition, the correct balanced diet. To follow it, you need to follow the following recommendations:

Eat 5-6 small meals a day, 3 main meals, 2-3 snacks.
Steam, boil, bake or grill without oil.
Sugar is excluded from the diet, it is replaced with fruits, dried fruits, honey.
Only fresh and healthy foods, there should not be any ready-made dishes with an incomprehensible composition in the diet.
It is recommended to give up alcohol and smoking. Bad habits disrupt blood circulation in the uterus and reduce the treatment to nothing.

It is not necessary to exclude fats or carbohydrates from the diet, all trace elements are necessary for the normal functioning of the body. But you have to use healthy carbohydrates, that is, cereals, bran, and not sugar and flour. And fats should be healthy, vegetable, for example, nuts, olive oil, linseed oil etc. Oils must not be heated, they are added to salads.

Proper nutrition greatly increases the chances of successful conception and helps a woman bear healthy child.

Folk

Treatment of thin endometrium is best done under the supervision of a doctor, because it is important to eliminate the cause of the violation. Self-medication blindly can only complicate the situation and worsen the condition of a woman. For example, if a patient starts drinking herbs with phytohormones in case of hormonal failure, she can only increase the imbalance.

Folk remedies are used in complex therapy thin endometrium, the following agents can be used:

- A decoction of sage;
- pumpkin juice;
- Raspberry leaves etc.

Before use folk remedies you need to make sure that there is no allergy to the components of the product.

The endometrium is sensitive to the hormonal background of a woman, and it is this feature that affects its size. The endometrium becomes noticeably thicker, enriched with glands, which provide improved blood supply to the tissue in the latter, premenstrual phase cycle. This ensures successful - that is, ensures the possibility of conception.

Why do we need the endometrium, what should it be?

Endometrium is called lining inside the uterus. It is a system that consists of many components, in particular:

Epithelium - integumentary and glandular;
blood vessels;
stroma - base, connective tissue, which during menstruation develops into mature cells that produce collagen and a number of other substances.

Creating favorable conditions for the attachment and development of the embryo in the uterus is the main function of the endometrium. If conception occurs, the number of blood vessels and glands begins to grow in the endometrium in order to:

Vessels of the endometrium have become part of the placenta;
Oxygen was delivered to the developing fetus;
Provided nutrients to the embryo.

Endometrial thickness for conception and pregnancy

So, we found out that the endometrium is one of the important elements of conception. The chance of getting pregnant depends on:

Thickness and structure of the endometrium;
Successfully reaching the desired threshold of maturity superficial glands of the endometrium.

It is these moments that provide, in fact, attachment gestational sac to the walls of the uterus and the beginning of its development into an embryo.

The maturation of the endometrium depends on estradiol- a hormone produced by proper development follicles.

Estradiol provides:

maturation of the endometrium;
Accumulation of progesterone receptors - one more important hormone- in epithelial tissue endometrium.

Pregnancy will not occur if, for some reason, the endometrium does not mature. Reasons for such problems include:

congenital conditions, at which the production essential hormones insufficient or absent;
Hormonal- if for some reason the hormonal background of a woman does not allow the endometrium to reach at the right time desired phase development (thin endometrium);
Circulatory disorders in the uterus- congenital or acquired. Similar problems may occur after trauma, inflammation, diseases of the uterus and adjacent organs, as well as in;
Injury to the endometrium itself- usually resulting from an abortion. Complete removal endometrium with active curettage is extremely rare, but even partial removal This layer makes pregnancy very difficult.

Depending on the causes of the violation in the maturation and development of the endometrium, the doctor prescribes certain drugs. BUT ethnoscience knows his own ways to help deal with this problem.

Effective ways to build up the endometrium: drugs

For the rapid build-up of the endometrium, as a rule, use medications . It should be noted that the thin endometrium is difficult to treat.

Since the build-up of the endometrium directly depends on estrogen, respectively, it is prescribed:

Hormonal treatment: as a rule, these are injections of estradiol, divigel.
Drops "Gormel" — homeopathic remedy, which is used to regulate the hormonal conditions of a woman. Its action is aimed at enhancing the production of estrogen. The effect of the drug is quite mild and effective.

It is believed that drugs such as "Duphaston" and "Utrozhestan" build up the endometrium. This is not true. These drugs help the endometrium to form and mature. These drugs contain progesterone: "Duphaston" consists of synthesized progesterone and does not have side effects, "Utrozhestan" - from natural.

Folk ways to quickly build up the endometrium

Can help build up the endometrium Alternative medicine:

These methods are considered effective by improving blood circulation in the pelvic organs.

Women often use folk remedies to increase the thickness of the endometrium.

Remember, self-treatment and self-diagnosis can lead to irreparable consequences. Before taking any drug or herb - consult a doctor. Herbs sometimes have at least strong action than drugs.

The site site warns: the recipes given here do not replace drug treatment and do not cancel a trip to the doctor. Use all the tips presented only after examination and on the recommendation of a doctor!

The health of a woman's reproductive system depends on many factors. The uterus and its structures are extremely sensitive to hormone levels. By different reasons this balance can be upset. One such problem is thin endometrium. It is important to understand why hypoplasia develops, what it can lead to and how to cope with this disease.

The endometrium is a special mucous tissue that lines inner surface uterus. Every month, its functional layer is updated: a new one grows, and the former leaves the body along with menstrual blood. This mucous is rich blood vessels and is formed in order to create favorable conditions for the implantation of a fertilized egg and subsequent gestation.

Normally, the endometrial layer begins to grow from the first day of a new cycle. At first it is only 0.5 cm, and by the end it reaches 1.3 cm.

The volume of this tissue does not affect the quality of sexual life, and changes usually do not cause unpleasant symptoms. However, for the onset of pregnancy is a fundamental factor.

The main reason why a doctor can detect a thin uterine endometrium is an unstable hormonal background. When the problem persists for a long time, disease develops.

Exhaustion, malnutrition of the endometrium sometimes occur against the background of an abortion or miscarriage. The problem is exacerbated if the uterine cavity was scraped. Less commonly, the disease is diagnosed due to congenital circulatory disorders of this area of the body.

The following factors can provoke thinning of the uterine mucosa:

transferred surgical interventions on the uterus;
trauma;
congenital bleeding tendencies;
inflammatory pathologies of the organ;
disorders of the thyroid gland;
stagnation of blood in the pelvic organs;
infectious diseases of the genitourinary sphere;
prolonged use of oral contraceptives;
myoma;
adenomyosis.

A thin endometrial layer can lead to the following difficulties:

miscarriage and breakdown in the early stages;
heavy bleeding after a miscarriage or abortion;
infertility;
impossibility of IVF.

Although the disease is most dangerous and unpleasant for those who want to get pregnant, characteristic symptoms violations can be noticed even by women who feel quite healthy. It is possible to accurately establish the disease and the causes of its development only after a medical examination.

The first symptoms of thinning of the endometrium

If the endometrium is small, a woman may notice certain characteristics. When the following symptoms you need to contact a gynecologist:

menstrual irregularities, frequent delays or changes in duration;
painful periods;
too little discharge.

Since it is very difficult to get pregnant with a thin endometrium, in the presence of pathology, women complain of infertility. Long unsuccessful attempts to conceive a child become the reason for an examination.

With a thinned endometrium, women may experience anorgasmia, a weak expression of secondary sexual characteristics. The first menstruation comes at the age of 16 and later.

Uterine discharge with a thin mucous membrane, even during menstruation, is scarce. The duration of menstruation is reduced, the amount of blood released decreases. Since this disorder is often provoked hormonal failure, "red" days women's calendar can move a few days forward or backward.

Ovulation in a woman with a thin endometrium and an imbalance in hormones does not occur every month, and it is difficult to accurately determine these days.

Thin endometrium and pregnancy

A normal pregnancy can proceed even with a thin layer of the endometrium, but it is much more difficult to bear it, the risk of miscarriage is very high. Conception usually occurs normally if ovulation has occurred. However, the ability of the embryo to gain a foothold in the uterus and receive nutrition at first is in question.

Progesterone and estrogen levels fluctuate during the menstrual cycle. If pregnancy occurs, then under their control the exit of the overgrown tissue layer does not occur, for the fetus favorable conditions development.

Thin endometrium and Duphaston are a frequent combination, since the drug is prescribed to pregnant women with impaired growth of the mucous layer. It reduces tone and, being a synthetic analogue of progesterone, helps to maintain pregnancy. Reception medicinal product does not cause negative reactions in the mother's body and does not affect the condition of the fetus.

Despite the good assimilation of this medication, pregnant women taking the drug should be under the supervision of a physician. Timely use of Duphaston can stop the rejection of the fetal egg, even if it has already begun.

First trimester

The effect of Duphaston on the endometrial layer is the most beneficial. The drug stops the synthesis of substances that provoke spontaneous abortion, improving the nutrition of the uterus. Doctors recommend starting taking this drug long before the start of pregnancy. It is better to start treatment with Duphaston 4-6 months in advance.

After ovulation and fertilization of the released egg have occurred, the use of Duphaston is not interrupted. If withdrawal of treatment is required, this is done gradually. An abrupt cessation of the supply of progesterone in a woman's body leads to a miscarriage.

There is no single scheme for taking and canceling Duphaston. The level of hormones in the blood plays an important role individual characteristics women. Vaginal discharge may also differ from person to person. different women when taking Duphaston, as this is affected by the initial level of hormones.

Second

In the second trimester, the active development of the fetus continues. Although it is possible to get pregnant with a thin endometrium, problems can accompany the entire gestation period.

The uterine mucosa, especially at first, performs important features in the nutrition of the embryo and the retention of the fetal egg in the cavity of the reproductive organ. When it is thin, the processes are complicated.

Whitish discharge during pregnancy is usually considered normal. However, if they become yellowish, brownish, or have blood impurities, emergency medical attention is required.

Third

Although in the third trimester the main nutrition and provision of the fetus occurs through the placenta, the full state of the endometrium is a sign healthy woman. After the baby is born, the placenta leaves the body, and the endometrial tissue will again be updated monthly.

Dangerous manifestations with a thin endometrium in the third trimester are rare. The most risky period is the beginning of gestation. To maintain a pregnancy, it is important to follow all the recommendations of the attending physician, lead a sedentary lifestyle and tune in to a favorable outcome of the birth process.

Features of the pathology during menstruation

Discover in yourself thin layer the endometrium of a woman can only after diagnostic procedures. However, according to characteristic changes menstruation can be suspected of having problems.

Thin endometrium causes the following changes in the nature of monthly discharge:

critical days become short-term;
between menstruation appear spotting;
copious periods never happen;
internal bleeding occurs only with a miscarriage.

With a thin endometrial layer, there is often a violation of menstruation. They either linger or long time generally absent. Sometimes a woman notices a shortening of the menstrual cycle when the bloody issues come on too often.

Also in adolescence in girls with a tendency to endometrial hypertrophy, there is a weak development of sexual characteristics. They have a late first menstruation, and the cycle cannot be settled for a long time.

A woman may suspect the presence of a deviation from the norm by own feelings. However, put accurate diagnosis and, taking into account the causes of the violation, it is possible to increase the endometrium only with the help of an experienced gynecologist.

Prevention of the risk of thin endometrium

A thin layer of the endometrium is the reason for the inability to become pregnant and bear a healthy child. If a woman plans to conceive, such a diagnosis cannot be treated irresponsibly. Every third representative of the weaker sex who wants to become a mother faces this problem.

Hypotrophy of endometrial tissue near the cervix and in other parts of the organ is fraught with consequences. With regular attempts to get pregnant, a woman can suffer from spontaneous miscarriages every month. The more often this happens, the more the pathology progresses.

Prevention of violation follows from the reasons, causing pathology. Since most often the thinning of the endometrium occurs due to hormonal imbalance, control over this area will allow a woman to protect her body from such a pathology.

It is possible to maintain normal hormones by taking oral contraceptives. Such drugs are prescribed by a doctor only after laboratory tests blood and get test results.

If, while taking Duphaston or some other drug, a woman has an profuse bleeding it is important to visit a doctor. Can only be assessed by ultrasound Current state endometrium and, if necessary, adjust therapy.

If you plan to conceive, you should first go through full course treatment. When the endometrium is grown to a normal layer, you can become pregnant.

The normal or small thickness of the endometrial mucosa changes throughout the menstrual cycle. After the completion of monthly bleeding, it is minimal. By the onset of ovulation, the layer increases to largest sizes- this is necessary so that in the event of conception, the fetus has the opportunity to gain a foothold. If pregnancy does not occur, under the influence of hormones secreted by the ovaries, reverse processes are triggered.

The thickness of the endometrial layer begins to shrink. With the beginning of a new cycle, along with menstrual blood, all the overgrown mucous membrane leaves the uterus. In its place, a new functional layer begins to form.

Pathology develops when in the first phase of the menstrual cycle due to lack of estrogen or endocrine disorders the mucous layer of the uterus does not grow in in full. Thin endometrium can be with poor blood supply to the pelvic organs. congestion also increase the likelihood of developing the disease.

If pregnancy does occur, the woman should be under the constant supervision of doctors. To preserve the fetus, Dufaston can be prescribed, as it helps maintain a sufficient level of progesterone in the blood. Reception does not stop immediately, the dosage of the drug is reduced at about the 20th week. Cancellation is carried out gradually.

Labor activity occurs after the termination of the use of Duphaston. There are cases when conception and successful implantation occurred when the endometrium was only 4 mm thick. However, such situations rather an exception than the rule.

Diagnosis of pathology

To make an accurate diagnosis, it is necessary to undergo a series of examinations. First, the attending physician will carefully listen to the complaints that have arisen, ask the woman to describe in detail the nature of the menstrual flow, the duration of the cycle.

To make sure that the endometrial layer of the uterus is thinning, the following diagnostic measures will be required:

Ultrasound of the uterus with a frequency of different phases cycle;
general blood and urine tests;
blood test for hormones;
histology of uterine tissues;
biopsy.

Complete medical examination allows you to determine the causes of endometrial hypotrophy and choose the right method of therapy. Most diagnostic procedures are not performed during menstruation, but immediately after it is completed.

If the thinning of the endometrial layer occurred after curettage, the woman's recovery may take longer. Before starting to build up the mucosa, it is important to eliminate the negatively influencing factors.

Treatment Details

Treatment of thinned endometrium - Long procces. Do not rush to become pregnant, because both therapy and gestation can be complicated. If another breakdown occurs, it only injures the delicate layer more reproductive organ and lead to an increase in the recovery period.

With a thin endometrium, a woman should pay attention to her lifestyle. Hormonal balance depends on both internal and external factors. Emotional background, degree physical activity and nutrition may increase the benefit of Duphaston and other medicinal products.

Products for external use

Treatment of thin endometrium should be comprehensive. In addition to receiving medications, external therapy is required.

Acupuncture is used to improve blood circulation and blood supply to the pelvic organs. Physiotherapy has a positive effect on thin endometrium. Especially often, doctors recommend taking a course of electrophoresis.

Hirudotherapy and phytotherapy - known methods used in pathologies of the gynecological sphere. A woman must understand that no methods of treatment can be carried out independently. You should always consult a doctor, as there may be contraindications.

Proper nutrition is essential. The diet should include foods rich in vitamins A and E. Women should always have fresh fruits and vegetables on the table. Limit the consumption of sweets as much as possible fast food and coffee.

Important active image life. There should be no overload, but moderate exercise will have a positive effect on women's health.

Oral preparations

In order to get pregnant normally and bear a child, it is important to treat endometrial hypotrophy in advance.

It is impossible to completely cure the pathology with the help of folk remedies, although such methods in combination with the main therapy give positive results.

To build up the normal layer of the endometrium, doctors prescribe progesterone. Previously, intramuscular oily injections of the hormone were used, but thanks to the appearance of the drug in tablets, it was possible to reduce the frequency of side effects, such as suppuration at the injection site and allergies.

In the fight against a thin layer of endometrial tissue, the following drugs are used:

Duphaston;
Melsmon;
Actovegin;
Gormel.

Any medicines can be used only as prescribed by a doctor after passing a full examination. The action of Duphaston with thin endometrium is especially valuable, since the drug helps to reduce the tone of the uterus, prevents premature detachment of the epithelial tissue.

It is important to take vitamin complexes. They contribute good nutrition all tissues and systems. If pregnancy occurs, before taking vitamins, you should consult with your doctor.

Thin endometrium can cause infertility. If a woman gets rid of this problem in advance, pregnancy will occur without pathologies, the child will be born healthy.