The endometrium is a layer of the inner wall of the uterus and is also an important membrane for women. It has a great relationship with progesterone and will change significantly with the sexual and menstrual cycle. The thickness of the endometrium varies at different times in a woman's menstrual cycle, mainly due to the influence of hormone secretion at different times. Thinning of the uterine lining If the endometrium changes due to factors such as miscarriage, it will have a great impact on women's pregnancy. There are many reasons for changes in the uterine lining, the most common causes are: Endocrine disorders Women's emotions have a great impact on the endometrium. Long-term tension and worry often lead to endocrine disorders, thereby affecting the thickness of the endometrium. Abortion curettage causes damage to the endometrium The endometrium is divided into three layers. The top layer peels off every month, while the middle and bottom layers do not peel off. If the middle layer is damaged, the impact is not significant. If the bottom layer is damaged, the consequences will be more serious. Uterine maintenance? Anovulation may occur in adolescent girls, perimenopausal women, those with a disorder in a certain link of the hypothalamus-pituitary-ovarian axis, polycystic ovary syndrome, etc., causing the endometrium to be continuously affected by estrogen for a longer period of time, without progesterone to counteract it, lacking the transformation of the cyclical secretory phase, and being in a state of hyperplasia for a long time. In patients with atypical endometrial hyperplasia under the age of 40, except for focal atypical hyperplasia, more than 80% of the other endometrium has no secretory phase; 70% of the basal body temperature measurement results are monophasic. Therefore, most patients do not ovulate. obesity Uterine health care: In obese women, androstenedione secreted by the adrenal glands is converted into estrone through the action of aromatase in adipose tissue; the more adipose tissue there is, the stronger the conversion ability is, and the higher the estrone level in the plasma is, thus causing a sustained estrogen effect. Endocrine function tumors Endocrine functional tumors are rare tumors, but in research statistics, endocrine functional tumors account for 7.5%. The gonadotropin function of the pituitary gland is abnormal, and ovarian granulosa cell tumor is also a tumor that continuously secretes estrogen. |
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