What is Uterine Wall Thickening?

The uterus, one of the organs of the female reproductive system, is the organ where the embryo formed by fertilization of the egg settles and continues its development until birth.

Uterine Wall Thickening

 The outer wall of the uterus is the myometrium, and the inner wall is the endometrium. is defined as. The inner part of the uterus, which is a muscle tissue, thickens a little every 28 days to prepare itself for the pregnancy process due to the hormonal change in the menstrual cycle. Uterine wall thickening continues throughout pregnancy.

In the periods when pregnancy does not occur, the endometrium is shed and thinned as platelets, again under the influence of hormones. The tissue particles spilled from the uterus are thrown out of the body through the vagina along with some blood. Thickening of the inner wall of the uterus beyond normal is defined as thickening of the uterine wall, or in other words, endometrial hyperplasia. The thickening of the uterine wall is basically caused by the increase in the number of cells in the region and the overgrowth of the glands due to the excessively secreted estrogen hormone. suffers. The uterus, consisting of muscle tissue, with limited mobility and opening to the vagina, is 5 to 6 cm in length in women who have never given birth. while it is 6 to 7 cm in women who have given birth before. size. The changes that occur in the uterus during the menstrual cycle are caused by hormones secreted from the brain. This process begins when the hypothalamus in the brain stimulates the pituitary gland, which is also an endocrine gland in the brain.
The stimulated pituitary gland secretes LH (Luteinizing hormone) and FSH (Follicle stimulating hormone) hormones. The released hormones come to the ovaries through the bloodstream. Some of the eggs, which are female reproductive cells in the ovaries, enter the maturation process, and then the most healthy egg cracks and leaves the follicle, or in other words, the sac, and is thrown into the fallopian tubes, which is a kind of channel between the ovaries and the uterus. The follicle from which the egg comes out releases estrogen during this process.
With the increase of estrogen level, At the same time, differentiation begins in the uterus. This is the physiological process that causes some thickening of the inner wall of the uterus. The thickening of the uterine wall is actually preparation for the possibility of fertilization of the egg in the fallopian tubes. However, in cases where pregnancy does not occur, estrogen secretion decreases and progesterone level increases. Progesterone allows the inner wall of the uterus to thin and regain its original form. In this process, the thickened inner wall of the uterus begins to exfoliate. Menstrual bleeding occurs when the spilled tissues are expelled from the vagina along with some blood.
The completion of the menstrual cycle, which starts from puberty and continues until menopause, takes place in this way. The thickening of the uterine wall, or endometrial hyperplasia as it is called in medical language, is a disorder that occurs independently of this situation, due to hormonal irregularities or different diseases. Thickening of the uterine wall can cause painful menstrual periods and irregular bleeding. This condition, which can cause severe blood loss that can endanger the life of the person, can lead to cancer if left untreated.
Before moving on to the treatment of uterine wall thickening, "What are the symptoms of uterine wall thickening?" It is necessary to answer the question.

What are the Symptoms of Uterine Wall Thickening?

Symptoms of uterine wall thickening can be listed as follows:

• Pain during menstrual periods,
• Menstrual bleeding that lasts longer than normal,
• Irregular menstrual bleeding,
• Increase in the amount of menstrual bleeding,
• The interval between 2 menstrual periods is less than 21 days,
• Brown spotting between bleeding or menstrual periods.

What Causes Uterine Wall Thickening?

In all women aged 35 and over disruption of hormonal balance and different types of diseases can lead to thickening of the uterine wall.

• To be close to the menopause period (perimenopause),
• To be in the menopause period,
• To enter menopause late, to have irregular menstruation and to have the first menstrual bleeding (menarche) at a very early age It is also a risk factor for uterine wall thickening.

One of the frequently asked questions is “Why does thickening of the uterine wall occur?” is in the form. Uterus There are many different causes of wall thickening.

• The first of these is the menopause period. In this period when the progesterone hormone is not produced, it becomes difficult to thin the uterine wall. Hormone-containing drugs must be used for the duration and dose determined by the physician.
• Polycystic ovary syndrome (PCOS) is one of the important disorders that cause thickening of the uterine wall. Ovulation does not occur in PCOS patients. Therefore, since progesterone production does not occur, this may cause endometrial hyperplasia.
• In addition to all these, uterine wall thickening may occur due to ovarian tumors, diabetes, obesity, thyroid, gallbladder and liver diseases. In other words, the unbalance of estrogen hormone with progesterone, that is, insufficient secretion of progesterone hormone, causes thickening of the uterine wall

How to Diagnose Uterine Wall Thickening?

Uterine wall It is recommended that people who show signs of thickening should consult a doctor and have health checks. This condition, which can lead to cancer if left untreated, can cause severe blood loss, threatening the life of the person. First of all, the medical history of the person who applies to the physician with the symptoms of uterine wall thickening is taken, and then the uterine wall measurement is made with vaginal ultrasonography. If the presence of a suspicious mass is detected during vaginal ultrasonography, which also examines the tissues in the region in detail, this mass is taken and sent for biopsy. If necessary, a tissue sample is taken from the uterine wall by curettage and dilatation methods for examination in the pathology department. In some cases, it may be necessary to take a tissue sample from the uterus by performing hysteroscopy for diagnosis. In the light of all the findings, the person is diagnosed with uterine wall thickening and then the treatment is planned. One of the frequently asked questions by those who experience uterine wall thickening is how to treat uterine wall thickening.

What are the Treatment Methods for Uterine Wall Thickening?

Uterine wall thickening� �Mama treatment

• It can be done in different ways depending on the person's current health condition,
• Age,
• Hormonal level,
• The general condition of the uterus.

The treatment of uterine wall thickening is mostly done with medication. In order to restore the hormonal balance, the physician may offer different options such as intrauterine device, injection applications, vaginal cream or oral tablets. In some cases, curettage and dilatation are sufficient for the treatment of uterine wall thickening, but in severe cases, in those who do not plan pregnancy and in people approaching menopause, hysterectomy method may be preferred.
Total hysterectomy, which can be explained as the complete removal of the uterus, is performed with the laparoscopic surgery method known as the closed surgery type. Although this operation, in which the ovaries of the person are not removed, does not cause the person to enter menopause, it causes the person to lose their fertility. For this reason, it is recommended that young people who are considering a total hysterectomy for the treatment of uterine wall thickening make a careful decision. You can use the contact form on our website to reach us.

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