What to do if the endometrium is 17mm thick

Endometrial thickness of 17 mm can be intervened by adjusting lifestyle, drug treatment, dilation and curettage surgery, traditional Chinese medicine conditioning, and regular review. Endometrial thickening may be related to endocrine disorders, inflammatory stimulation, polyp hyperplasia, drug effects, tumor lesions and other factors.

1. Adjust your lifestyle

Maintaining a regular schedule can help regulate hormone levels. It is recommended to sleep for 7-8 hours a day. Reduce the intake of high-fat foods and increase dietary fiber-rich foods such as broccoli and oatmeal in an appropriate amount. Perform aerobic exercise, such as brisk walking or swimming, 3-5 times a week, lasting more than 30 minutes each time. Avoid staying up late and experiencing excessive mental stress. Meditation can be used to relieve anxiety.

2. Drug treatment

Progesterone drugs such as progesterone capsules can help transform and thicken the endometrium and need to be taken continuously for 10-14 days. Ovulation induction drugs such as clomiphene citrate tablets are suitable for patients with anovulatory bleeding. NSAIDs such as ibuprofen extended-release capsules can relieve accompanying pelvic pain. You must strictly follow your doctor's instructions when using medications, and do not adjust the dosage on your own. Abnormal vaginal bleeding during medication requires immediate medical attention.

3. Dilation and curettage surgery

Diagnostic dilation and curettage can not only confirm the pathological diagnosis but also quickly stop bleeding, and is suitable for patients who are ineffective in drug treatment. Hysteroscopic endometrial resection can accurately remove abnormal hyperplasia. Infections need to be prevented after surgery, and bathing and sexual intercourse are prohibited within 2 weeks. The tissue specimens obtained should be sent for pathological examination to rule out the possibility of malignant transformation. Hormone therapy is required before and after surgery to regulate the endometrium cycle.

4. Traditional Chinese Medicine Conditioning

For patients with Qi and blood deficiency, Wuji Baifeng Pills can be taken together with moxibustion at Guanyuan point. Blood stasis syndrome can be treated with Shaofu Zhuyu Granules combined with acupuncture. For patients with kidney yang deficiency, it is recommended to use Yougui Pills combined with Du Vessel massage. The traditional Chinese medicine conditioning cycle usually requires more than 3 menstrual cycles. During treatment, you need to avoid eating cold, spicy foods and keep your lower abdomen warm.

5. Regular review

After drug treatment, the ultrasound should be reviewed after the next menstrual period is clean. Monitor changes in six hormone levels every 3-6 months. Postmenopausal women with endometrial thickening require hysteroscopy every six months. If repeated intimal thickening or abnormal bleeding is found, a biopsy should be performed. Establishing a long-term follow-up plan can help detect disease progression early.

It is recommended to keep the vulva clean and dry and choose pure cotton breathable underwear. Avoid strenuous exercise and heavy physical labor during menstruation. Record changes in the menstrual cycle, including bleeding volume and duration. If you experience prolonged menstruation, sudden increase in menstrual flow, or non-menstrual bleeding, you should seek medical attention promptly. Patients over 40 years old are recommended to undergo annual gynecological cancer screening, including HPV testing and pelvic ultrasound.