At present, under the influence of various factors (ecology, stressful situations, medicines), the number of gynecological diseases in women has increased, which hinder the onset of pregnancy. However, physiological causes are also possible, one of which is endometrial hypoplasia of the uterus - underdevelopment of the inner layer of the uterus lining its surface (endometrium). The main function of the endometrium is to create optimal conditions for the implantation of the blastocyst in the uterine cavity. If a woman has a thinning of the endometrium - hypoplasia, then implantation does not occur, the cell simply can not gain a foothold in such a thin tissue of the endometrium. In this case, a woman is diagnosed as "infertile." To successfully fix the embryo in the uterine cavity, the thickness of the endometrium should be at least 7 mm. With endometrial hypoplasia, it is likely that implantation will occur, but the attachment may be unstable and this pregnancy can later cease to develop.
Moderate endometrial hypoplasia of the uterus: causes
A thin endometrium can be observed in a woman of reproductive age for the following reasons:
failure in the hormonal system; sexually transmitted infections ;- inflammatory processes in the uterus (chronic endometritis);
- scraping during an abortion;
- hereditary predisposition;
- violation of blood supply in the uterus;
- changes in the work of receptors that are most sensitive to estrogens;
- operations carried on the ovaries.
Hypoplasia of the endometrium: symptoms
A woman may have the following signs of endometrial uterine hypoplasia:
- in the anamnesis, the onset of menstruation is characterized by an age of 16 years and older;
- pathology of menstruation: they are painful, irregular, short, may be meager or, conversely, too abundant;
- absence of orgasm during sex - anorgasmia ;
- insufficient hair flow;
- general underdevelopment of the body: narrow pelvis, shoulders, mild secondary sex characteristics.
Endometrial Hypoplasia and Pregnancy
If a woman has a thin endometrium, then this structure affects the conception, bearing and birth of the child. Violation of reproductive function can be represented by the following episodes:
- infertility;
- ectopic pregnancy, due to the presence of long and sinuous tubal tubes;
- miscarriages;
- pronounced toxicosis;
- in childbirth: weak labor activity, lack of disclosure of uterine perineum during labor;
- severe bleeding in the postpartum period.
How to treat endometrial hypoplasia?
Before starting treatment, carry out a thorough diagnosis, which includes the following procedures:
- a blood test for hormones on the 20-22 day of the menstrual cycle (follicle-stimulating, luteotropic hormone, progesterone);
- uzi-examination for the evaluation of thickness of the endometrium;
- biopsy of the uterus.
If a woman is diagnosed with uterine endometrial hypoplasia, the main treatment is hormone therapy, the purpose of which is determined by the degree of severity of hypoplasia and the cause that caused it.
With a thin endometrium, a large dosage of estrogen and small doses of aspirin are prescribed.
In addition, the obstetrician-gynecologist can prescribe physical therapy procedures, which are carried out by courses with a break. Apply the following methods of physiotherapy:
- laser treatment;
- ozokeritotherapy (heat treatment);
- diathermy (effect on the skin of an alternating current).
Endometrial Hypoplasia: Treatment with Folk Remedies
Such nontraditional methods of treatment as hirudotherapy and acupuncture can improve blood supply in the small pelvis. This will prevent further thinning of the endometrium and promote its growth.
It is useful to make compresses from natural clay on the lower part of the abdomen. Keep this compress on your skin for at least two hours.
To normalize the blood supply and the growth of the endometrium, an effective remedy is sage.
It should be remembered that endometrial hypoplasia is a serious gynecological disease that requires long-term treatment. Depending on the degree of severity of hypoplasia, the prognosis may be different: someone may be helped by hormonal medications and physiotherapy procedures, and even non-traditional methods of treatment can not help someone. In any case, it is necessary to contact the doctor as soon as possible to select the optimal course of treatment, since any pathological condition of the uterus can have a negative impact on the reproductive function of the woman.