Thin endometrium - is one of the reasons preventing natural conception. Its thickness is determined by several factors, including hormonal changes. It becomes most functional in the premenstrual period. The question of how to build up the endometrium is most relevant for women planning to become mothers.

The structure and functions of the endometrium

endometrium- mucous membrane of the uterine cavity. How quickly and successfully the fertilized can gain a foothold depends on its thickness, integrity and functionality.

The structure of the endometrium includes:

• epithelium - the cell layer lining the uterine cavity;
• capillaries, glandular ducts;
• stroma - supporting connective tissue, which produces collagen during the days of menstruation.

The main function of the endometrium is to create conditions favorable for fixation and normal development embryo in the uterine cavity. Normally, after the mucous membrane begins to change: its blood supply increases and secretory functions. In the future, the vessels of the endometrium take part in. Thanks to them developing fetus in the right measure receives oxygen and all the substances necessary for development.

Another function of the endometrium is a barrier. It prevents the development of adhesions: it does not allow the walls of the uterus to stick together, despite their constant contact.

The probability of pregnancy depends on the thickness and structure of the endometrium, as well as on the maturity of the glandular layer. The functionality of the mucous membrane is determined by the presence of estradiol, a hormone produced by the follicles. For him, the maturation of the endometrium and the further production of progesterone occur.

Causes of insufficient thickness of the endometrium

In order to determine how to quickly build up the endometrium for successful conception, you need to find out the reasons for its reduced functionality. A thin lining of the uterus may be due to the following factors:

• pathology endocrine system present from birth;
• dysfunctions in the production of endocrine glands, leading to a discrepancy between the level of hormones for the period menstrual cycle;
• insufficient blood supply to the uterus, Bladder, muscles pelvic floor and rectum, as a result of inflammation, operations, injuries, as well as congenital nature;
• damage to the mucous layer of the uterus, most often resulting from abortion and curettage;
• underdevelopment of the muscles of the pelvic floor and uterus;
• infectious diseases uterus;
• use of birth control pills.

Researchers are currently hypothesizing that the insufficient thickness mucous membrane may be heredity. But there is not enough clinical data to support this theory.

Thin endometrium

Enlargement of the endometrium with medication

To build up the endometrium short time nessesary to use medicines. Their appointment should be dealt with exclusively by a doctor, since only he will be able to choose the most effective drugs and develop a proper treatment plan.

Since the build-up of the endometrium occurs by increasing the amount of estradiol, hormonal drugs can quickly cope with the task. The scheme of their reception is determined by the phases of the cycle.

In the first half, injections of Divigel, Estradiol, Femoston and Proginova tablets are prescribed. These drugs increase the thickness of the endometrium by increasing blood circulation and glandular activity.

In the second phase, Duphaston and Utrozhestan are required. These drugs contribute to the formation and maturation of the endometrium. Both contain a large number of progesterone - a hormone necessary for fixing the embryo in the uterine cavity and a successful pregnancy.

Apart from hormonal drugs, the doctor can prescribe the medicines needed to treat diseases that are the causes of thin endometrium. The main objectives of such therapy are the restoration of the damaged mucous membrane, the elimination of infectious and inflammatory processes in the uterus. If a woman takes birth control pills, they will need to be cancelled.

Building up the endometrium with folk remedies

Thin endometrium is a solvable problem, since it can be increased by using drugs in combination with methods traditional medicine. Among the concoctions medicinal herbs the following are most effective:

• Sage decoction. Phytohormones increase the level of estrogen in the blood and stimulate the activity of the follicles. To prepare a decoction, you need 1 tbsp. l. dried crushed plant pour 250 ml of water, boil and cool for 10-15 minutes. Take a third of the volume up to 4 times a day. Treatment should be carried out according to the menstrual cycle: start from the 4th day of menstruation, end on the day;
• Decoctions of the red brush and boron uterus. These medicinal plants affect hormonal background have anti-inflammatory properties. The red brush must be taken in the first half of the cycle, starting on the last day of menstruation. Borovoy uterus in the second half of the cycle. Decoction recipe: 1 tbsp. l. pour dry grass into a container, pour 250 ml of boiling water and wrap for 3 hours. Drink 100 ml 3 times a day;
• Knotweed decoction. The drink improves the blood supply to the uterus, helps to restore the mucous membrane. To prepare a decoction glass dried herb you need to pour a liter of boiling water and insist for 5 minutes. Drink 1-2 glasses a day, replacing tea.

Important! Use of any herbal decoction must be agreed with the doctor. Folk recipes can significantly affect the hormonal background, work individual bodies and the state of the organism as a whole.

Lifestyle for Endometrial Buildup

No matter how carefully all the doctor's prescriptions are followed, it is possible to increase the endometrium for conception only with integrated approach. Important role plays the lifestyle that a woman leads. Proper nutrition and adequate physical activity are the conditions for the health of the body as a whole and reproductive system in particular.

A balanced diet helps maintain endometrial thickness and functionality. For successful conception daily nutrition women should include:

• sources of vitamin E: leafy vegetables, whole grains, bran, vegetable oils;
• sources of vitamin C: blackcurrant, lemons, bell pepper, grapefruit, kiwi;
• sources of salicylates(substances that prevent the formation of blood clots): strawberries, raspberries, honey, raisins, prunes, thyme, curry, paprika, ginger, cinnamon;
• omega 3 sources fatty acids : rapeseed and linseed oil, tuna, nuts, salmon.

At insufficient blood supply pelvic organs requires moderate physical activity. Swimming, running, fitness, as well as oriental dancing can contribute to the thickening of the mucous membrane. Exist special exercises leading to the strengthening of the muscles of the perineum and small pelvis (Kegel technique, wumbling). But before starting classes, it is worth consulting with a doctor, in some cases physical exercise may aggravate the situation.

The doctor can give an exact answer to the question of how to build up the endometrium. He will conduct all the necessary examinations and, based on the results, will make effective program treatment. Modern approach to restore the functions of the uterine mucosa includes the use of drugs, folk remedies, as well as compliance with the rules of nutrition and physical activity.

The endometrium is the inner mucous membrane of the body of the uterus, lining its cavity and containing a large number of blood vessels. Its main function is to provide the optimal conditions that are necessary for the implantation of the embryo into the uterus.

Thin endometrium is diagnosed very often. This state of affairs may be due to the presence of pathological factors: impaired blood supply in the uterus (congenital or acquired), uterine hypoplasia, or the presence of hormonal imbalance.

The causes of thin endometrium can be directly related to abortion or to increased curettage of the uterine cavity. Such procedures disrupt the endometrium and cause female body significant damage. When the functional uterine layer is completely removed, the woman is left without a platform from which the endometrium could develop in the future, and if there are places where the thickness of the endometrium cannot be returned to its previous state, the onset of pregnancy becomes very difficult.

Treatment of the disease

If such a pathology is detected, treatment should be prescribed without delay. The disease is detected during the procedure of ultrasound examination (ultrasound), where the maturity and thickness of the endometrium is determined. Its permissible values ​​\u200b\u200bmust be at least 7 mm, only in this case pregnancy is possible. It is quite possible to get pregnant with a thinner layer of the endometrium, but the thinner it is, the less chance.

Productive treatment is: medication ( hormone therapy) and surgical (direct removal of the endometrial layer). At surgical intervention also applies hormonal treatment to eliminate the internal imbalance in the female body.

Thin endometrium is almost impossible to identify on its own, because this species pathology is completely asymptomatic, only in rare cases accompanied by bleeding. That is why it is necessary to systematically carry out the prevention of this disease. To do this, you need to carefully monitor your health, eliminate any menstrual irregularities in time, fight obesity intensively (if necessary), restore your emotional background and try to minimize stress. It is also recommended to conduct a planned ultrasound of the pelvic organs, and with the slightest concern, seek advice from a qualified specialist. Thus, the progression of the disease can be prevented.

The endometrium is the mucous membrane of the uterus that lines its cavity. It contains many epithelial cells and blood vessels, due to which the attachment and development of the fetal egg is carried out. Thanks to the bloodstream throughout pregnancy, nutrition and further growth of the child is possible.

Normal physiological state the endometrium is supported by hormones. Depending on the phase of the menstrual cycle, certain changes in the structure and thickness of its structure occur. It becomes maximally mature in the second phase, when the uterus is preparing for pregnancy. If fertilization does not occur, then the endometrium exfoliates, this phenomenon is called menstruation. By virtue of various reasons this process can be disturbed, which requires mandatory diagnostics and medical correction, otherwise the disease becomes more complicated and leads to undesirable consequences.

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Causes

The main reason that leads to the depletion of the endometrium lies in hormonal imbalance. With insufficient production of certain hormones, there is no proper stimulation of the production of the epithelium.

In medicine, there are cases when this pathology is diagnosed in women with normal level all essential hormones. This is due to the presence of provoking factors that can contribute to the development of pathology. Among them are:

• damage to the basal layer of the endometrium due to trauma;
• a history of abortions and missed pregnancies;
• congenital and acquired uterine circulation disorders;
• diagnostic and therapeutic curettage;
• surgery on the uterus;
• inflammatory diseases of the reproductive system, including infectious ones;
• endocrine disorders;
• congenital anomalies in the development of the uterus and appendages;
• venous congestion in the pelvic cavity;
• prolonged or uncontrolled use of oral contraceptives, intrauterine devices;
• ovarian disease, especially follicular cyst and polycystic;
• oncological diseases of the genital organs.

There is a theory about genetic predisposition to endometrial hypoplasia, but at the moment there is no practical evidence of it. Due to this given reason determined by the method of exclusion, provided that there are no other provoking factors.

Endometrium in the uterine cavity



Symptoms

The clinical manifestations of a thin endometrium are quite specific, based on which timely diagnosis It's not hard to do just by the symptoms. Signs of a thin endometrium do not cause significant discomfort, but they can lead to serious consequences.In the presence of this disease, a woman may note:

• change in the duration of the menstrual cycle or lack of ovulation;
• spotting in the middle of the cycle;
• scanty and light menstrual flow;
• prolonged absence of a desired pregnancy, subject to regular sexual intercourse;
• habitual miscarriage, missed pregnancies;
• narrow pelvis;
• late onset of menstruation, after 16 years;
• weak or complete absence libido, problems with sexual desire;
• intermittent bleeding with clots.



Possible Complications

The endometrium consists of two layers: basal and functional. Them full development during the menstrual cycle is extremely important for normal implantation and a favorable course of pregnancy. Some of the main complications are spontaneous abortions, miscarriages and infertility.

The presence of a thin endometrium does not imply absolute infertility, since the conception and attachment of the fetal egg is still possible. But this disease aggravates prenatal and postpartum periods, develop conditions such as tubal or ectopic pregnancy, habitual miscarriage, weak labor activity, pronounced and prolonged toxicosis, bleeding in last trimester and after childbirth.

Some time ago, the presence of a thin endometrium was considered absolute contraindication for pregnancy. Doctors said that a woman is not able to get pregnant and endure healthy child. Modern clinical cases found in medical practice, prove the opposite. Even with difficulties in attaching the fetal egg to the mucous membranes, it is possible to carry out artificial insemination through the IVF procedure.



Features of diagnostics

Diagnosis of thin endometrium is not difficult, since in addition to the characteristic clinical picture this pathology can be confirmed with instrumental and laboratory methods research. Among the general diagnostic methods allocate clinical analysis blood, general analysis urine, vaginal swab.

Of particular value is ultrasound procedure pelvic organs. It is carried out throughout the entire period of maturation of the endometrium on certain days. This is due to the fact that the physiological growth of the endometrium occurs daily. With the help of special sensitive sensors, it is possible to measure the thickness of the mucosa with high accuracy.

The norms of endometrial thickness by cycle days are presented in the table.

Data ultrasound diagnostics compare with results biochemical research blood for progesterone, luteotropic and follicle-stimulating sex hormones. The most informative and indicative are the results obtained after sampling the biomaterial on the 20-23rd day of the menstrual cycle.

Instrumental and minimally invasive method is diagnostic hysteroscopy. Using special equipment and a camera inserted into the uterine cavity, the doctor examines the structure and composition of the endometrium, determines the presence of anatomical defects, and, if necessary, takes a biopsy for further histological radiation of the tissue.



Hysteroscopy of the endometrium

Treatment

In the presence of a thin endometrium, pregnancy planning is of fundamental importance. Unprepared reproductive organs and disturbed hormonal levels will in every possible way interfere with normal fertilization and attachment of the fetal egg.

In order to increase the thickness of the mucosa, a woman is prescribed combined courses oral contraceptives. They are able to compensate for the hormonal deficiency or regulate their excess, and therapy is also carried out with the help of estradiol and progesterone, prominent representatives are Utrozhestan and Dufaston.

Duphaston contains an artificially synthesized hormone that is necessary to maintain the normal function of the endometrium. It is prescribed not only in the treatment of thin endometrium, but also to maintain pregnancy, for the purpose of prevention, when there is a threat of spontaneous abortion. The substance in the composition, which has properties similar to progesterone, relieves tone from the uterus, resists premature detachment endometrium. Select dosages, regulate the course of treatment and the frequency of admission in the competence of only a doctor, but according to general requirements the drug should be taken from the 11th to the 25th day of the menstrual cycle.

efficient auxiliary drug is Actovegin. Its main function is to improve blood supply and blood supply to organs. It is the lack of oxygen and other nutrients causes hypoplasia. Accept this medicine you need 2 tablets 3 times a day for 1.5-2 months. He has practically no side effects and does not have a negative effect even at the time of pregnancy. For many pregnant women, in order to prevent the threat of miscarriage, the medicine is prescribed from the 16th week.

The physiotherapeutic effect before the onset of pregnancy and during its course will differ, due to the impossibility of using some methods during the period of fetal development.

At the planning stage and for the purpose of treating a thin endometrium, electromyostimulation of the pelvic muscles and massage of the same area are prescribed. So it is possible to increase blood flow and cope with atrophy of blood vessels and soft tissues. Even after 1 course of treatment, there is a pronounced positive trend. Other methods of exposure are electrophoresis with medicines, magnetotherapy, ultrasound, mud and mineral baths.

Alternative medicine

In the presence of a thin endometrium, folk remedies play an important role, since many herbal remedies can improve blood circulation and stimulate the development of epithelial cells.

The most popular is the infusion of sage. Prepare and use it as follows:

1. 1. Add 200 ml of boiling water to one spoonful of crushed dry extract.
2. 2. Let it brew for several hours.
3. 3. Take for 4 months in the first 14 days of the menstrual cycle. Dosage - 100 ml 1-2 times a day.

In a similar way, an infusion of a boron uterus is prepared.

Women are recommended to use special teas and decoctions daily. healing properties possess raspberry leaves, elderberry inflorescences, yarrow, mint, nettle, chamomile and others. They can be consumed separately, but the collection has a greater effect. Dry extracts of plants are mixed in equal proportions, brewing in boiling water before use. Drink this decoction 30 minutes before meals 3-4 times a day.

Treatment folk remedies does not provide basic therapeutic effect, but renders auxiliary action. With a combination of non-traditional and drug therapy, thickening of the endometrium can be observed after two to three months. It is necessary to consult a doctor about the presence of contraindications and the admissibility of using herbal remedies, as some of them can aggravate the course of the pathological process.

Diet and lifestyle for endometrial hypoplasia

Proper nutrition with a thin endometrium has key value. Some vitamins, such as A, E and K, as well as trace elements, in the form of salicylates, can improve blood circulation and nutrition of internal organs.

IN daily diet must include bold sea ​​fish, tomatoes, Bell pepper, cucumbers, beans, cabbage and spinach. good healing effect possess apples, currants, raspberries and grapes. Dried fruits, honey and red wine stimulate hematopoiesis and blood circulation.

With this pathology, you should not limit the use of spices and spices. Paprika, thyme, cinnamon and some other oriental aromatic additives will be most welcome, although many other diseases are considered prohibited.

Woman recommended active image life, compliance with the regime of work and rest, limitation in psycho-emotional experiences. If necessary, sedatives are prescribed. It is recommended to visit the sports sections and the swimming pool. Every day it is necessary to perform special gymnastic exercises that improve blood microcirculation in the pelvic area.

The female body is arranged in a special way. Every month, the uterus prepares for the onset of pregnancy, its inner layer actively grows by the middle of the cycle, 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 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 of the uterine cavity (endometritis).

To build up the endometrium, it is necessary first of all to identify the cause of the disease and eliminate it. For this, a woman undergoes an ultrasound scan of the pelvis, lab tests, 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. In medical practice, there are cases when conception occurred even with 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 bouquet pathologies in the form of an inflammatory process, hormonal disorders, 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 monitoring and often medical support otherwise there is a high risk of complications.

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 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. In general, they usually assign 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. IN 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.

For thin endometrium following methods physiotherapy:

• Magnet;
• Ultrasound;
• Laser;
• Balneotherapy.

Massage is useful for thin endometrium. IN without fail appointed physiotherapy, with an emphasis on 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, in the pool. 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.

Nutrition

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

According to statistics, overweight and too thin women are much more likely to suffer from infertility 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, none ready meals with an incomprehensible composition in the diet should not be.
• It is recommended to give up alcohol and smoking. Bad habits disrupt the blood circulation in the uterus and nullify the treatment.

No need to exclude fats or carbohydrates from the diet, all trace elements are necessary for normal functioning organism. 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 a healthy baby.

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 grass with phytohormones when hormonal failure, it 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 using folk remedies, you must make sure that there is no allergy to the components of the remedy.

Endometrium - the inner lining of the uterus blood vessels. He is responsible for creating favorable conditions to secure the fertilized egg. If pregnancy does not occur, the function of the endometrium is to remove the unfertilized egg from the body along with menstrual blood. Any pathology of the mucous layer (thickening, thinning) leads to failures in carrying a pregnancy. On average, its norm for unhindered fixation of the egg is 0.7 cm.

A thin layer of the endometrium is one of the most common pathologies that is noted in women of reproductive age. Often this problem causes infertility.

Causes and signs of pathology

The thickness of the mucous layer can be different and depends on the day of the menstrual cycle. In the first days, it does not exceed 0.5-0.9 cm, and a few days before the onset of menstruation it reaches 1.3 cm. If the thickness is below 0.5 cm, we are talking about hypoplasia (thinning) of the endometrium.

Why is the endometrium thin?

Among the predisposing factors are:

• hormonal imbalance;
• endocrine diseases;
• congenital disorders in the blood supply to the uterus;
• chronic inflammatory processes in the genitals;
• Availability ;
• underdevelopment of the uterus;
• frequent use of funds emergency contraception(Postinor).

It should be noted Negative influence surgical procedures that were performed on the uterus. Especially dangerous are the consequences of scraping during abortions. In some women with thin endometrium, underdevelopment of the mammary glands, a narrow pelvis, short stature, later are noted.

The disease has no specific signs, so many women who are not planning a pregnancy may not be aware of the presence of a problem. Usually, the diagnosis of hypoplasia is established in the process of determining the reason why the pregnancy either does not occur or is interrupted for early dates.

Scanty periods may indicate thinning. Painful periods should also alert, the presence big clots in the blood, discharge in the middle of the menstrual cycle. Sometimes in reproductive age may occur uterine bleeding. These symptoms should be the basis for a visit to the gynecologist.

The probability of pregnancy with this pathology

In most cases, the thinning of the mucous layer of the uterus worries women planning to conceive or those who have long-awaited pregnancy after previous failures. What to do if the endometrium is thin and how does this affect the development of the fetus?

First of all, women are less likely to get pregnant. naturally, since the thin mucous layer of the uterus prevents the fixation of the fetal egg.

Is it possible to get pregnant with a thin endometrium?

Medicine knows cases when conception occurred even with a thickness of 0.4 cm. But, if pregnancy does occur, the risk of its interruption at an early stage, the appearance, bleeding, further weakness of labor and other complications during childbirth increases.

After conception has occurred, the endometrium continues to grow. In the first trimester, its thickness reaches 2 cm or more. Often, it is its significant increase that allows the doctor to determine pregnancy on an ultrasound, since the fetal egg itself may still not be noticeable. In early pregnancy, the thin endometrium requires heightened attention on the part of physicians and the appointment of immediate treatment, since at any time it can come.

Separately, mention should be made of the IVF procedure when diagnosing a thin endometrium. This procedure highly undesirable in this pathology, since the chances of the embryo successfully implanting in the uterus are extremely small. The probability of pregnancy with a thickness below 0.7 cm is no more than 15%. Therefore, the patient is advised to postpone the procedure and take appropriate measures.

Diagnosis and treatment

After studying common symptoms the patient is prescribed:

• Ultrasound of the uterus, which is carried out several times on different phases cycle;
• general urine and blood tests;
• responsible for the onset and successful course of pregnancy;
• Ultrasound of the pelvic organs;
• taking samples of uterine tissue for histological examination;
• biopsy of the body of the uterus.

These studies allow not only to establish the very fact of thinning of the endometrium, but also to determine the causes of the pathology.

Treatment for thin endometrium depends on the causes that caused it. Most of the time it's an imbalance. hormonal system. Therefore, pregnant women with this pathology need hormonal therapy with drugs containing progesterone. Treatment regimens, dosage, duration of therapy are carried out exclusively by the attending physician on an individual basis.

If hypoplasia is caused by chronic inflammatory diseases genital organs, drug therapy should be aimed at eliminating the focus of inflammation. In some cases, there may be indications for surgical treatment. It consists in removing the inner layer and further hormone therapy. These methods contribute to the renewal of the mucous layer of the uterus and the normalization of its thickness.

For circulatory disorders, treatment is indicated with conservative methods, among them: massage, physiotherapy, hirudotherapy, acupuncture, therapeutic exercises.

Medical therapy

To provide normal pregnancy, it is necessary to build up a thin endometrium. The patient can be prescribed combined, normalizing hormone levels, a course of treatment with estradiol, drugs containing progesterone (Utrozhestan, Dufaston).

• Duphaston

Although this drug is an artificially synthesized hormone, it successfully performs all the tasks that are inherent in progesterone. The tool effectively prepares the uterus for the upcoming pregnancy, relieves its muscle tone, prevents epithelial detachment. The usual scheme for taking the drug is from the 11th to the 25th day of the cycle, but you cannot make a decision on taking it yourself. Reception is carried out only on the recommendation of a doctor.

• Melsmon

The placental preparation Melsmon contains a placenta taken from women whose childbirth proceeded without complications. It is widely used in cosmetology, but is also used to normalize the menstrual cycle, relieve the syndrome chronic fatigue, eliminate the symptoms of inflammation.

The drug is not used during pregnancy, in violation of the endocrine system, renal or liver failure, high blood pressure.

• Actovegin

Actovegin is designed to maximize blood circulation in the genital area. Increasing blood circulation is the key to successfully overcoming hypoplasia. The standard regimen involves the use of 1-2 tablets three times a day. Usually the course of treatment lasts 4-6 weeks, determined by the doctor on an individual basis. It is also possible to take the drug during pregnancy, starting from the 16th week, when the formation of the placenta ends.

• Gormel

This tool belongs to homeopathic medicines. It activates the synthesis of estrogen. Its composition includes natural ingredients And alcohol tincture. The scheme of taking the drug is as follows: 10 drops are mixed with half a glass of water and the mixture is drunk half an hour or an hour before meals three times a day. The duration of treatment can vary from one to three times a month, depending on the results obtained.

Since the drug contains alcohol, it should not be taken during pregnancy. Contraindications are also injuries and diseases of the brain, kidney failure. The drug should be completed before the stage of active pregnancy planning.

With a thin endometrium, it should be carried out only as prescribed by a doctor and under his strict control. The use of the drug Klostilbegit can lead to even greater thinning, therefore, it is usually taken simultaneously with the estrogen-containing Proginova.

Physiotherapy

Physiotherapy, indicated for thin endometrium, has several advantages. They are gentle therapeutic effect, do not cause side effects, reduce drug dependence. Usually they are prescribed in complex therapy.

The treatment uses magnetotherapy, ultrasound, ultraviolet, massage, mud baths. Most favorable period for treatment - the first days after the end of menstruation. You can enhance the effect of physiotherapy by following the rules of nutrition, taking walks on fresh air by doing physical therapy regularly.

Treatment with folk remedies

In addition to using medications, you can build up the endometrium with the help of folk remedies.

1. Sage tea. A teaspoon of the crushed plant is poured into 200 ml of boiling water and infused for several hours. The resulting infusion is taken for four months in the first half of the menstrual cycle.
2. Infusion of boron uterus. 2-3 teaspoons of the plant or ready-made sachets purchased at the pharmacy are poured with a glass of boiling water. After insisting for a quarter of an hour, you can take it daily.
3. Pineapple and pumpkin, which are allowed to be eaten in unlimited quantities, provided that there is no allergy to these products. You can use pineapple and pumpkin juice.
4. Raspberry leaf tea. Prepared leaves are poured with boiling water and tea is drunk in small quantities several times a day.
5. A combined decoction prepared from elderberry inflorescences, yarrow herbs, mint, chamomile, nettle, medicinal initials. A mixture of components taken in equal proportions is poured into 1 liter of boiling water, infused for an hour and taken half an hour before meals 3-4 times a day.

Regular treatment with folk remedies gives positive results just a few months later. However, the use of any traditional medicine should be supported drug therapy and carried out in consultation with the attending physician. It should be noted that some herbs have contraindications for use if the patient has other diseases.

Diet

The foundation successful treatment – proper nutrition. It must necessarily include foods rich in vitamins A and E, as well as foods with high level salicylates. The diet should include fatty varieties fish, vegetables (tomatoes, sweet peppers, spinach, cucumbers, beans, cabbage), fruits and berries (grapes, apples, currants, raspberries), dried fruits, honey, red wine.

A variety of spices are useful, such as paprika, thyme, cinnamon, curry. At the same time, a woman needs to limit the intake of fatty and sweet foods, as well as fast food, strong coffee and tea.

An active lifestyle plays an important role in building up the endometrium. It is useful to play sports and dance, visit the pool. It stimulates active circulation which positively affects his condition.