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If endometrium wall is thick, how can it be cured ? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:if endometrium wall is thick how can it be cured
Doctor:Dr. XXXXXXX here.
User:if endometrium wall is thick how can it be cured
User:can it be cured by medicine
Doctor:The thickness of endometrial wall varies according to the age of the women, the date of last menstrual cycle and other factors.
User:in nov i didnt get pregnancy test negative
User:from dec 1st till 20th it was there i consulted doctor she gave
Doctor:If the value is higher than the reference values for that particular age and days of menstrual cycle, it can be treated by minor procedure.
User:what is tht
User:she gave primolut n
User:fr 20 days 3 times
User:is ths the right medicine
User:will it get cured by edicine
Doctor:A procedure where the endometrial lining is scrapped to remove the extra tissues.
Doctor:Besides this, the structures removed can be studied under microscope to determine the cause.
User:i did b oth scans
User:they said its endometrium lining thickness
User:scrapped to remove tissue u said
User:what is that
User:how it is done
Doctor:To help you understand better, may I know your age?
Doctor:Do you have regular menstrual periods?
User:yes only in nov i didnt get
User:first time ths problem
User:else it is always regular
Doctor:Ok; Let me brief you.
Doctor:The endometrium which is the inside lining of the uterus changes in accordance with menstrual cycle.
Doctor:This occurs under the influence of certain hormones - estrogen and progesterone.
Doctor:Accordingly the thickness can vary from 3mm to 10mm in size.
User:if increased then
User:they tols estrogen level is high
User:in scan report
User:thickness showed 18mm
Doctor:Sometimes these hormones levels go disarray resulting in lower progesterone / unopposed estrogen the endometrial keeps growinging resulting in thick endometrium and delayed period.
Doctor:Perhaps this is what has happened in your case.
Doctor:The treatment accordingly is to regularize the hormones by giving progesterone supplements.
Doctor:The progesterone supplements such as primolut N is given and withdrawan abruptly after a few days.
Doctor:Most women start to shed the thickened endometrium resulting in menstrual period.
Doctor:Once the initial bleeding happens, the patient will be given birth control pills for few months to regulate period as well as keep the endometrial thickness in the ideal limits.
User:is primolut N a progesterone supplements
Doctor:Occasionally when the pills are not effective, under the trained guidance the inside of the uterus is probed and scrapped by a procedure known as dilatation and curettage.
User:tht is d&C
User:tht is done fr abortion na
User:and its very painful
Doctor:In simple words, the inside is manually removed by D&C.
Doctor:D and C is also used during medical termination. But not all D and C is done for abortion.
User:there are various types of D&c u mean
User:Is the process same or diff
User:Many people say its very very painful
Doctor:The procedure now-a-days is performed under sedation or anaesthesia and one doesn't feel or minimally feels pain.
Doctor:The procedure is the same, but abortion involves more meticulous scrapping.
Doctor:As I said most women start bleeding with pills itself. Primolut N which is similar to progesterone are widely used.
User:ok she gave me tht fr 20 dyas 3 times
Doctor:At this point of time, please follow the instructions of your gynecologist strictly.
User:and then she said it will start normally if exceeds 7 days
User:in XXXXXXX then i need to do D&c it seems
Doctor:That's the right approach.
User:cant it get cured by medicine
Doctor:Do not worry about D&C as 80 out of 100 women bleed with pills.
Doctor:If the periods starts, then there is no need to perform D&C.
Doctor:Moreover there are good sedative and anesthesia available to perform D&C without much pain.
Doctor:Have you followed?
User:i didnt understood sorry
Doctor:Are you there?
User:I didnt understood what u said
User:I am taking primolut N now
User:for 20 days I need to take that
Doctor:The pills given will induce shedding of the endometrium. The chances of that happening is more than 80%.
Doctor:So please continue the pill and do not worry about D&C.
User:my periods were nt stopping in dec thts why she gave
User:after the scan
User:after taking ths it stopped
User:and now I m on ths tablet
User:and she said after 20 days of course of ths tablet again periods will start
User:and it should nt stay for more than 7 days
Doctor:There seems to be some miscommunication on this chat. May I call you to discuss about the condition over a phone call?
User:yes sure
Doctor:Can you confirm your phone number?
Doctor:I hope I have answered your query.
Doctor:Thanks for consulting me.Bye for now.
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