Endometrial thickness 17

An endometrial thickness of 17 mm may indicate endometrial thickening, which needs to be comprehensively evaluated based on the menstrual cycle and clinical symptoms. Endometrial thickening may be related to abnormal hormone levels, endometrial polyps, endometrial hyperplasia, adenomyosis, endometrial cancer and other factors. The details need to be further clarified through B-ultrasound examination, hysteroscopy or pathological biopsy.

Physiological thickening is common in the luteal phase of the menstrual cycle. At this time, the action of progesterone thickens the endometrium in preparation for implantation of the fertilized egg, and usually does not require intervention. Pathological thickening may be accompanied by increased menstrual flow, prolonged menstrual periods or non-menstrual bleeding, and is related to long-term anovulation, polycystic ovary syndrome and other endocrine diseases. Endometrial polyps appear as localized bulges in the uterine cavity and can cause irregular bleeding. Endometrial hyperplasia is divided into simple and complex with or without atypical hyperplasia, the latter is a precancerous lesion. Adenomyosis is accompanied by progressive aggravation of dysmenorrhea, and ultrasound shows thickening of the muscle layer with honeycomb-like changes. Endometrial cancer is more common in postmenopausal women, but young patients with a family history or long-term estrogen exposure also need to be vigilant.

It is recommended to avoid strenuous exercise in the near future and reduce the intake of spicy foods. It is more accurate to review the vaginal ultrasound 3-7 days after menstruation. If the vaginal thickness continues to thicken or there is abnormal bleeding, you should see a gynecologist in time. Diagnostic dilation and curettage is recommended for patients over 40 years old, and hysteroscopic biopsy is feasible for young nulliparous patients. If pathological diagnosis is simple hyperplasia, periodic treatment with progesterone can be used, while for complex atypical hyperplasia, hysterectomy should be considered. Maintain a regular daily routine, control body mass index within the range of 18.5-24, and regular gynecological examinations can help early detection and early intervention.