The uterus is like the soil that breeds embryos. Only suitable fertile soil can make seeds take root and germinate. The uterus is the place where the embryo is implanted. The endometrium is thin, like poor soil, which affects the implantation and development of the embryo at all times.
Clinically, it is generally believed that an endometrial thickness of 8-14mm is more conducive to embryo implantation.
Thin endometrium is a very troublesome problem in elderly women, infertility patients preparing for pregnancy, or assisted reproductive technology cycles.
If at the late stage of follicle, that is, the 14th day of menstruation, which is around the ovulation period, B-ultrasound examination indicates that the thickness of the endometrium is ≤7mm, then it is considered to be a thin endometrium.
Thin endometrium is mainly manifested by decreased menstrual flow, recurrent miscarriage and infertility.
Multiple abortions, repeated uterine cavity operations, acute and chronic uterine cavity infections, and decreased levels of estrogen and progesterone are all causes of thin endometrium.
The older a woman is, the more likely it is to have a thinner endometrium . According to relevant statistics, women under the age of 40 have a 5% chance of having a thin endometrium, and 25% of women over the age of 40.
Thin endometrium with different pathogenesis, different treatment options
At present, the treatment is mostly through surgery, hormone medication and traditional Chinese medicine treatment to increase estrogen in the body, improve uterine blood flow, and promote uterus Proliferation of glands and blood vessels, increase the number of estrogen and progesterone receptors in the endometrium, etc., to improve the thickness of the endometrium.
Thin endometrium mostly belongs to the categories of traditional Chinese medicine, such as "little menstruation", "amenorrhea", and "infertility", and it is divided into reality and deficiency.
" kidney essence ,Master reproduction. The essence of the kidney is vigorous, Tiangui is secreted on time, Chong Ren Tong Sheng, menstruation is adjusted, planted in the uterus , can have children. "
Deficiency people have less essence and blood loss, lacks qi and blood, and the blood sea is deficient, endometrium cannot grow up. From the perspective of Chinese medicine, it is believed that will induce many follicles. Rapid development in a short period of time, this is the process of rapid consumption of kidney essence, resulting in kidney essence deficiency.
The real ones are mostly blood stasis, qi stagnation and other blockages, causing the body to metamorphose The blood cannot reach the uterus and affect the growth and development of the endometrium.
The endometrium is thin and the follicles are poorly developed. How to conceive naturally?
She was not pregnant and had a pre-pregnancy checkup before seeing the doctor. The 6 hormones, thyroid function and gynecological examination indicators were all normal.
I asked her to monitor the ovulation of B ultrasound , and the problem was found on the 13th day of menstruation. ’s endometrium is only 0.4cm, follicle 1.2cm×0.8cm .
Her menstrual cycle is 28 days, If by the 14th day of ovulation, the endometrial thickness is less than 0.7cm, it means The endometrium is thin; the diameter of the follicle is less than 1.8cm, which means that the follicle is underdeveloped.
When the hormone check in the report is normal,We have to analyze it from menstruation. Many patients have no problems on the laboratory test sheet, but their menstrual conditions can reflect physical problems.
This patient's menstruation is delayed every month, and the amount is small, the color is pale, and he always feels soreness in the waist and knees, and breast tenderness before menstruation. Its has pale tongue and thin white fur.
TCM syndrome is kidney deficiency and liver depression
In fact, there are too many patients like her in clinical practice. Young people like her are under pressure, nowadays, young people have a lot of stress, do not rest well, and do not eat. Note that both spirit and blood are internally consumed. This also leads to a thin endometrium and dysplasia of follicles.
Through the treatment of traditional Chinese medicine, the lack of essence and blood requires the kidney to fill the essence and nourish the blood; the deficiency of qi and blood is to replenish qi and blood; if the yang is insufficient, the warming and replenishing qi are needed; Stagnation should be to soothe the liver and regulate qi , accompanied by activating blood. It can often achieve better results.
After three months of conditioning, B-ultrasound monitors ovulation again intima 1.0cm, dominant follicle 1.8cm×1.9cm, this index returns to normal, and pregnancy is successful.
In addition, traditional Chinese medicine has a two-way regulating effect on reproductive endocrine, which can relieve the tension during pregnancy, the body is in a state of physical and mental comfort, and the embryo implantation rate is improved.
Thin endometrium, life and diet must be paid attention to
Peaceful mind is the main factor of endocrine balance. Proper exercise will help improve the blood supply to the uterus and ovaries.
Many women who are preparing for pregnancy, because they are anxious to want a baby, counts the days every day, sleeps well at night, and dreams of having a baby . "I can't eat hot tofu in a hurry." As a result, I have irregular menstruation and an unstable cycle. Therefore, in daily life, one should pay attention to learning self-regulation, reduce mood swings, release stress appropriately, and keep exercising.
If there is gynecological inflammation, it should be detected and treated as soon as possible to avoid the ascending infection of inflammation; women who have no fertility requirements should take contraceptive measures to avoid the harm of unintended pregnancy induced abortion to the endometrium.
The diet is based on a light diet to reduce fat and easily stasis products. Pay attention to supplement high-quality protein and foods rich in estrogen and blood, such as soy products, flower maw, snow clams, eggs, lamb, black sesame, etc. People with deficiency of qi and blood can take more dried fruits, such as walnut warming yang, jujube, longan for nourishing qi and nourishing blood.
3 long intima, follicle-stimulating recipe sharing
1. Stewed snow clams with rock sugar papaya
raw materials: snow clam _p1 p9p0
Hashima contains steroid hormones, which can help stimulate endometrial hyperplasia , which can be taken 1-2 times a week, should not be taken too much for patients with uterine fibroids and breast-related diseases.
2. Snow lotus stewed chicken
Ingredients: snow lotus, chicken, angelica , astragalus, _span13 span.
This prescription is suitable for patients with thin uterus with partial qi and blood deficiency syndrome.
3. Safflower steamed eggs
Ingredients: fresh eggs, saffron
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, Until the end of the menstrual period. If there is no special discomfort after taking it, take it continuously for 3 to 4 menstrual cycles. This prescription is suitable for patients with thin uterus with partial blood stasis syndrome.
I am @哈氏中医女子科 Sharing women's health knowledge. Regarding "How to treat abnormal follicle development?" Everyone's situation is different, and the treatment plan is different. You are welcome to leave a message in the comment area to ask questions, and I will answer them one by one.
I wish all female friends who are preparing for pregnancy a good pregnancy. #不产不育# #月经不调# #备植百科#
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