Recognizing the causes of thickening of the uterine wall along with the symptoms and how to deal with it

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Recognizing the causes of thickening of the uterine wall along with the symptoms and how to deal with it
Recognizing the causes of thickening of the uterine wall along with the symptoms and how to deal with it
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Thickening of the uterine wall is one of the abnormalities in the female reproductive system. This condition, also known as endometrial hyperplasia, can have a variety of causes and is generally characterized by vaginal bleeding or changes in menstrual patterns

The uterine wall or endometrium consists of two layers of tissue attached to the uterine muscle. The first layer is generally not changed, while the second layer is dynamic and can change with the fluctuation of the hormone estrogen throughout the menstrual cycle.

Recognize the causes of thickening of the uterine wall along with the symptoms and how to deal with it - Alodokter

There are times when abnormalities in the amount of hormones in the uterus cause the uterine wall to thicken abnormally and trigger certain complaints. Therefore, it is important for every woman to know the causes and symptoms of thickening of the uterine wall so that treatment can be carried out immediately.

Causes of Thickening of the Wall of the uterus

Endometrial hyperlapsia or thickening of the uterine wall occurs when the hormone estrogen in a woman's body is too high, while the hormone progesterone is too low. These two hormones play an important role in menstruation and pregnancy.

During ovulation, estrogen plays a role in thickening the endometrium, while progesterone prepares the uterus for pregnancy. If pregnancy does not occur, progesterone levels drop and trigger the uterus to shed its lining as a menstrual period.

Women who have endometrial hyperplasia produce low progesterone, so the uterus cannot shed the endometrial lining and the lining continues to thicken.

There are several factors that can increase a woman's risk of endometrial hyperplasia, including:

  • Age over 35 years
  • Family history of uterine cancer or ovarian cancer
  • Changes in hormones before menopause (premenopause) or during menopause
  • Side effects of estrogen hormone therapy
  • Irregular menstrual cycle
  • Reproductive organ disorders, such as infertility or polycystic ovary syndrome (PCOS)
  • Overweight or obesity
  • Certain diseases, such as diabetes, thyroid disorders, or gallbladder disease
  • Smoking habit

Various Symptoms of Thickening of the Wall of the uterus

The thickening of the uterine wall may not cause any symptoms or complaints. However, some women with this condition may experience several symptoms which include:

  • Menstrual period lasts longer
  • The amount of blood that comes out during menstruation is more than usual
  • Irregular menstrual cycle, for example the distance between last month's cycle and this month is less than 21 days
  • Bleeding from the vagina even after menopause

Signs and symptoms of endometrial hyperplasia can sometimes resemble the symptoms of other diseases, such as endometriosis and uterine cancer. Therefore, you need to see a doctor so that the cause can be identified and appropriate treatment can be carried out.

How to Overcome Thickening of the Wall of the uterus

To confirm the diagnosis, the doctor will perform a physical examination and several supporting tests, such as blood tests, transvaginal ultrasound, hysteroscopy, and uterine wall biopsy.

After that, the doctor will take action according to the cause of the thickening of the uterine wall that you are experiencing. The following are some of the steps that doctors generally prescribe:

Progesterone hormone therapy

Thickening of the uterine wall generally occurs due to a lack of the hormone progesterone. Therefore, doctors can provide progesterone hormone therapy through progesterone birth control pills, IUDs containing the hormone progesterone, or hormone injections.

Uterus removal surgery or hysterectomy

This method is generally used when hormone therapy is not successful in treating the thickening of the uterine lining or if endometrial hyperplasia is suspected due to the growth of uterine cancer cells.

The hysterectomy method can also be an option to treat the condition of thickening of the uterine lining in postmenopausal women.

Thickening of the uterine wall is not a dangerous condition and is generally curable. However, as previously mentioned, the symptoms of this condition can sometimes mimic other dangerous diseases.

Therefore, if you experience symptoms of thickening of the uterine wall, you should immediately consult a doctor for proper examination and treatment.

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