How to improve the structure of the endometrium. Reasons for insufficient thickness. Thin endometrium - main symptoms

It is impossible to conceive and bear a healthy child without providing good nutrition and fetal breathing. His life and health depend on the condition of the endometrium, and then the placenta, formed from the inner mucous membrane of the uterus.

If the endometrium is thin, not only the successful course of pregnancy, but also conception itself is in question.

How does a thin endometrium affect pregnancy?

The main purpose of the mucous membrane lining the uterus from the inside is to create conditions for implantation of the blastocyst and its full development. The endometrium is a hormone-dependent structure consisting of the integumentary and glandular epithelium and stroma - connective tissue, producing collagen.

The epithelium and stroma are penetrated by a branched network blood vessels, nourishing the mucous membrane. During implantation of the egg, progesterone prevents the rejection of the mucous membrane and stimulates its development to provide for the fetus nutrients and oxygen.

If the endometrium is small, the egg does not have the opportunity to attach to the wall of the uterus. A woman with this pathology often suffers from ectopic pregnancy, frequent miscarriages. If there is a thin endometrium in the uterus and pregnancy does occur, its course can be associated with many problems:

• Early and late toxicosis;
• Risk of miscarriage;
• Insufficient fetal nutrition;
• Oxygen starvation of the unborn child;
• Incorrect presentation of the fetus;
• Threat of placental abruption;
• Weakness of labor;
• Insufficient dilatation of the cervix during childbirth.

To avoid such problems, you need to find out the cause of insufficient endometrial growth and use all possible ways to solve the problem.

Causes of endometrial thinning

To clarify the reasons for insufficient growth of the inner layer of the uterus, the doctor will conduct an analysis hormonal levels, will prescribe an ultrasound of the pelvic organs and an endometrial biopsy.

Immature thin endometrium - the main reasons:

• Hereditary feature of hormonal regulation reproductive system, underdevelopment of the uterus;
• Hormonal imbalance resulting from pathology of the endocrine system;
• Violation of adequate blood supply to the pelvic organs due to injuries, inflammatory diseases of the reproductive organs;
• Taking oral contraceptives;
• Injury to the mucous membrane resulting from artificial termination of pregnancy.

After determining the cause of the pathology, the gynecologist will recommend how to build up the endometrium for conception using conservative methods.

Thin endometrium - main symptoms

Clarification of the diagnosis, indicating that the endometrium is not growing, is performed using ultrasound. However, there are indirect signs of this pathology:

• Scanty short menstruation;
• Spotting;
• Irregular menstrual cycles;
• Habitual miscarriage, infertility.

A blood test for the content of estradiol, which is responsible for the maturation of the endometrium, will help establish an accurate diagnosis.

Endometrial growth

There are both traditional and alternative methods, increasing the thickness of the uterine mucosa. Treatment tactics depend on the cause of the pathology.

Conservative therapy

• Femoston;
• Proginova;
• Estradiol.

In the second half of the menstrual cycle, to form the structure of the grown endometrium, it is advisable to take Duphaston - synthetic analogue progesterone or Urozhestan - its natural analogue.

If the cause of insufficient mucosal growth is the use of oral contraceptives, you should stop using them and take Regulon for 2 months. This tactic in most cases leads to positive results.

Homeopathic drops Hormel have a mild effect, stabilizing hormonal balance female body, activating the production of estrogen.

Alternative methods

Creation optimal conditions to grow the endometrium is to saturate the diet with foods rich in salicylates. Biochemical processes involving salicylates increase the endometrium naturally. The menu should include:

• Nuts;
• Spices;
• Red grape wine;
• Dried fruits;
• Fruits (pineapple, apples, red grapes, tangerines, apricots);
• Berries (cherries, blueberries);
• Vegetables (cucumbers, tomatoes, bell pepper, radishes, spinach, broccoli, spinach).

To enrich the diet with essential fatty acids include in the diet fatty varieties sea ​​fish, foods with vitamin C.

To stimulate blood circulation in the pelvic organs and thereby promote the growth of the endometrium, the following methods are recommended:

• Massage (classical and acupressure);
• Acupuncture;
• Mastering belly dancing;
• Aerobics;
• Hirudotherapy (treatment with leeches).

To use these methods, you need to consult a doctor and take into account contraindications.

Traditional medicine recipes

Women who have contraindications to hormonal therapy (for example, breast fibroadenoma) are interested in how to grow the endometrium folk remedies using herbal medicine.

There are plants containing phytoestrogens, treatment of which will improve hormonal levels. Most often, boron uterus is used for these purposes, containing antioxidants, microelements, antioxidants, flavonoids, saponins, and vitamin C.

Recipes with boron uterus:

Pour 1 tbsp of alcohol onto the waxing moon. l. dry raw materials, keep for 2 weeks in a cool, dark place. Take 25 drops before meals, 3 times a day.

Royal tea.

Brew 150 ml of boiling water 15 g of dry raw materials, leave for 15 minutes, take 1 tbsp. l. 3 times a day.

Douching solution.

Pour 1 liter of boiling water over 3 tbsp. herbs, infuse for 3 hours, filter.

Decoction of red brush.

These recipes are used in the second half of the menstrual cycle, and in the first half you need to drink a decoction of the red brush herb: Pour 200 ml of boiling water over 1 tbsp. dry herbs, leave for 4 hours, take 1 tbsp. l. every 6 hours.

Complex application These herbs are highly effective.

Traditional medicine recipes:

Sage decoction.

Brew like tea and drink to quench your thirst throughout the day.

Pour 1 liter of boiling water 1 tsp. dry crushed raw materials, leave for 4 hours, strain, take ½ tbsp. 3-4 times a day.

Infusion of carrot seeds, hops, red clover, licorice, celery, linden flowers.

Before using such recipes, it is advisable to consult a herbalist.

Is it possible to grow the endometrium quickly when planning a pregnancy?

If a woman is diagnosed with endometrial hypoplasia and is planning to conceive, it is important to carry out all therapeutic measures in combination under the supervision of a doctor. The main condition is positive attitude and confidence that everything will work out.

So, how to enlarge the endometrium when planning pregnancy:

• Use hormonal therapy or treatment with herbal medicines;
• Saturate your diet with foods high in vitamins, microelements, salicylates, and polyunsaturated acids;
• Use massage, leech treatment, acupuncture;
• Activate blood circulation with feasible physical activity.

Consistent implementation of the doctor’s recommendations, control over the condition of the uterine mucosa, and a positive attitude will certainly lead to the desired goal - conception and pregnancy.

Endometrial hyperplasia- This is the growth of the inner mucous membrane of the uterus. Doctors believe that this is not a disease, but a special condition - a malfunction of an organ that is caused by hormonal imbalances. Its manifestations: prolonged delay of menstruation, after which heavy bleeding occurs, bloody issues in the middle of the cycle. But often hyperplasia does not cause any symptoms and is discovered accidentally during an ultrasound.

The main danger is that although endometrial hypertrophy is benign education, but it can degenerate into a malignant cancer tumor.

Is there a high risk of getting sick?

What happens in the body?

If a failure occurs in this well-functioning system, the cells of the inner layer of the uterus divide very actively. But they don’t come out on time because there is no menstruation. As a result, the endometrium becomes thicker. Changes in it can be varied. In some women, only certain areas of the mucous membrane enlarge: outgrowths and polyps form. In others, the endometrium thickens evenly.

But endometrial growth cannot last long. After a few months, the uterus still sheds it. Then heavy bleeding occurs. If the cause of endometrial hyperplasia is not eliminated, then everything repeats again and again.

Anatomy of the uterus

The uterus is an empty muscular organ. It consists of smooth muscles that we cannot consciously control. Its walls are thick, dense and elastic. This allows the uterus to stretch during pregnancy and reliably protect the fetus. The internal space of the uterus is small, it can hold 5-7 ml of fluid.

The organ itself looks like an inverted triangle, flattened in front and behind. Its base faces upward and is located above the place where the fallopian tubes enter. The lower part narrows and passes into the isthmus, and below into the cervix. This area is denser and has more connective tissue. The cervical canal runs inside the cervix, which opens from above into the uterine cavity and from below into the vagina. During childbirth, the baby leaves the uterus this way.

The uterus is located in lower section abdominal cavity. It is located between bladder, which lies in front of her, and the rectum, which is behind. The uterus has small sizes: height 8 cm, width up to 4 cm, thickness 2 cm. For nulliparous women, its weight is about 40 g, and for those who have already given birth to a child, it is 2 times more.
The uterus is attached to the walls of the pelvis by several ligaments. They hold the organ in place and prevent it from descending.

Structure of the uterus

1. Outer serous membrane - perimeter. It is formed from a layer of peritoneum, which lines the abdominal cavity and covers the internal organs. In some places the perimeter is tightly fused with the muscle layer, while in other areas it is loosely attached. This allows the uterus to stretch better. On the anterior surface and sides of the cervix lies fatty tissue.
2. Middle muscle layer - myometrium. It is the thickest and consists of fibers of non-striated smooth muscles that intertwine in different directions. There are also elastic fibers and connective tissue fibers. This provides additional protection to the fetus. The myometrium has three layers
   • Outer – longitudinal layer muscle fibers. Splices with serosa.
   • Middle – circular or vascular layer. The muscles here look like rings; in their thickness there are many vessels, mainly veins.
   • Inner – longitudinal layer. It is the thinnest and is located under the mucous layer.
3. Mucosa - endometrium. Consists of columnar epithelium that lines the inner surface of the uterus. It also includes simple tubular glands and a thin layer of connective tissue.

The structure of the endometrium

The endometrium consists of two layers: functional and basal.

On the surface there is a layer called functional. He is very sensitive to sex hormones, which control his changes. After menstruation, the thickness of this layer is 1 mm. By the end of the cycle, it increases to 6-8 mm and flakes off during the next menstruation.

Functional layer performs many functions. Its surface is flat, smooth, without folds. Cover it up ciliated cells. Each of them has up to 500 thin eyelashes. Together they vibrate and create waves that help the fertilized egg move.

There are also simple tubular glands, which secrete a special mucous secretion. This substance provides normal work the uterus and prevents its inner walls from sticking together.

Endometrial stroma- a special type of connective cells arranged in a grid. Under the influence of hormones, they change and perform different functions: provide nutrition, protect against damage, produce collagen and participate in the rejection of the top layer.

Vessels of the superficial layer vary greatly during different phases of the cycle. At first they straighten, and closer to menstruation they twist in a spiral. When pregnancy occurs, it is these vessels that form the placenta, which brings nutrients to the embryo.

Under surface layer located basal . The main function is to restore the endometrium after “critical” days. It does not respond as sensitively to hormonal changes and changes little throughout the cycle.
This layer contains “vesicle cells”, from which the ciliated cells of the superficial layer are subsequently formed. The stroma of the basal layer is dense and consists of connective tissue cells.

What affects the growth of the endometrium?

• Estrogens are normally produced in the first half of the menstrual cycle - the first 2 weeks. They are responsible for the restoration of the endometrium after menstruation and its growth (proliferation).
• Progesterone appears in the second half of the cycle in the third week. It stops the growth of the mucous membrane, starts the secretion phase - prepares the ground for the attachment of the embryo.

If there is too much estrogen, then growth occurs constantly. And due to progesterone deficiency, the growth of endometrial cells does not stop.

How does menstruation and endometrial shedding occur?

At the end of the cycle, if pregnancy has not occurred, the corpus luteum of the ovary abruptly stops producing hormones. This causes spasm of the uterine vessels, its cells experience oxygen starvation and begin to die off.

The walls of blood vessels become more permeable. Through them, leukocytes and the liquid part of the blood emerge, which permeates the endometrium. After a period of narrowing, the arterioles expand sharply: the vessels rupture and bleeding occurs.

The stroma contains granular cells. Before menstruation, they secrete special substances that peel off the functional layer. It comes out with the blood.

Special enzymes, which are formed during the breakdown of the mucous membrane, prevent blood from clotting.

What is endometrial hypertrophy

Now let's figure out what the term hypertrophy means. This is an increase in the volume and mass of the layers that make up the endometrium. This process begins from the first day after menstruation and ends before the next critical days - this is normal. physiological hypertrophy.

If for some reason your period does not come, then the endometrium continues to grow. Now not only the size of the cells increases, but also their number. This is already called hyperplasia. This condition goes beyond the norm and requires treatment.

Mechanism of development of hyperplasia

These processes are regulated by ovarian hormones. If a woman does not have enough progesterone, then ovulation and then menstruation do not occur on time. In this case, the endometrium thickens due to increased cell division, which should not normally occur.

An excess of estrogen hormones in the blood leads to the growth of glands that are located in the thickness of the endometrium. A high level gestagens causes increased division of the stroma.

Reasons for the development of hyperplasia

Violation metabolic processes . The cause may be disorders of fat and carbohydrate metabolism, obesity. The fact is that adipose tissue is able to produce estrogens. Some general diseases also increase the risk of hyperplasia. This diabetes, chronic diseases liver, hypertension.

Diseases endocrine glands : adrenal glands, pancreas and thyroid cause malfunction of the ovaries or the endometrium itself. This can lead to increased cell growth.

Age-related changes in the genitals cause endometrial hyperplasia. He becomes more sensitive to the action of hormones. This pathology occurs in 60% of women during menopause and after it. She often calls heavy bleeding and the appearance of tumors. There is also a high risk of developing the disease in teenage girls during puberty.

Inflammation of the uterus and other genital organs cause hyperplasia. It can be a consequence of sexually transmitted infections, intrauterine contraceptives (spirals). Inflammation causes many immune cells to accumulate in the uterine tissue. They cause endometrial cells to actively divide.

Curettage and frequent abortions, as well as congenital defects in the development of the uterus are also factors that cause the growth of the endometrium. They cause endometrial receptors to become insensitive to the action of progesterone. Therefore, cells continue to multiply even if hormones are normal.

Disruption immune system . There is a version that the cause of endometrial hyperplasia may be improper functioning of immune cells. They mistakenly attack the lining of the uterus, causing its cells to divide incorrectly.

Genetics. There is also a hereditary predisposition to hyperplasia. If the mother had the disease, then her daughters may also have such problems.

Types of endometrial hypertrophy

Glandular form
Refers to benign changes and is considered the easiest. This means that the likelihood of developing cancerous tumors in this case it is small, only 2-6%. Gland cells are actively dividing, and the endometrium becomes thicker. The glands are located unevenly, but in groups. They may be pressed closely together. There are no stromal cells between them. Tubular glands change from straight to tortuous and expand. But at the same time, their contents are freely allocated.

Glandular-cystic form
If the cells at the mouth of the gland grow strongly, they block the outflow of mucus. It takes the form of a cyst - a bubble filled with fluid. These changes occur under the influence of estrogen hormones.

Cystic form
This form has much in common with glandular cystic. Glandular cells grow greatly and the glands themselves increase in size. They become like a bubble. But unlike previous variants of the development of the disease, inner part The gland is lined with normal epithelium. Such cysts can develop into cancerous tumors.

Focal form
The proliferation of endometrial cells does not occur uniformly, but in separate foci. These areas of the mucosa are more sensitive to the action of hormones, so the cells here divide more actively. Elevations form on the endometrium with altered glands and formations similar to cysts. If cell reproduction begins in a polyp, then it greatly increases in size. The diameter of the lesions can range from several millimeters to several centimeters. There is a risk of cancer forming at the site of the outbreak. If changes occur evenly over the entire surface of the endometrium, then this form is called diffuse.

Atypical form (adenomatosis)
It is considered the most dangerous of all variants of the disease. Endometrial hyperplasia with atypia most often leads to cancer. According to some data, the risk of degeneration is more than 50%. Therefore, in this case, it is recommended to remove the uterus. Changes take place not only in the functional, but also in the basal layer. The cells of the stroma and glands are actively dividing and rebuilding. Mutations often occur in them. They become atypical. Cells change their structure and the structure of the nucleus.

The choice of treatment depends on the form of the disease. If in the glandular form you can get by with taking hormones, then in the atypical form during menopause it is necessary to remove the uterus.

Symptoms and signs of endometrial hyperplasia

Symptoms of endometrial hyperplasia.

1. Menstrual disorders. This is the most common sign of the disease. The cycle gets confused, menstruation becomes irregular. Bloody discharge is often heterogeneous. Blood clots and particles of overgrown mucous membranes that have peeled off may appear.
2. Painful periods (algomenorrhea). This phenomenon is quite common in 70% of women. But if earlier menstruation passed painlessly, but after a certain period each cycle there are discomfort- This is a sign of violations. Pain during menstruation is caused by vasospasm and increased pressure inside the uterus. Especially when a large amount of the functional layer peels off.
3. Bloody discharge before and after menstruation occur with polyps. With this form of the disease, the walls of the blood vessels become brittle, and the liquid component of the blood escapes through them.
4. Bloody spotting in the middle of the menstrual cycle. A decrease in the amount of estrogen leads to detachment of the mucosa. But it is not completely rejected, as during menstruation, but in small sections. The discharge is not as heavy as during menstruation. They occur after physical activity or sex.
5. Delayed menstruation, which ends in severe bleeding . Menstruation does not start on time, and a large amount of estrogen causes endometrial cells to grow further. But, in the end, there comes a time when the amount of hormones drops, and the uterus is still freed from the enlarged mucosa. And then the entire functional layer, which has already reached a thickness of 2-3 cm, is released out along with a large amount of blood.
6. Infertility. Hormonal changes, which occur with endometrial hyperplasia, interfere with ovulation. Therefore, there is very little chance of fertilization of the egg. If this does happen, then the egg simply cannot take root in the uterus. After all, the affected endometrium is poor soil and cannot form a placenta.
7. Long and heavy bleeding during menstruation regular cycle . In this case, bleeding continues for more than 7 days. This is due to the fact that special enzymes prevent blood from clotting.

Diagnosis of endometrial hyperplasia

Treatment of endometrial hyperplasia

Drug treatment

Combined oral contraceptives

Synthetic analogues of progesterone

Since endometrial hyperplasia occurs due to a lack of progesterone, its use can save a woman from this disease. An artificially created sex hormone acts in the same way as the one produced in the body. It is able to normalize the menstrual cycle.

The use of gestagens helps women of any age and with any form of endometrial hyperplasia. However, during use, spotting may occur between periods.

Treatment lasts 3-6 months. The best results are obtained with the drugs Duphaston and Norkolut.

Gonadotropin releasing hormone antagonists (AGnRH)

These modern drugs can reduce the production of female sex hormones estrogen, which cause endometrial growth. After using these agents, cell division slows down and the thickness of the mucosa decreases. This process is called endometrial atrophy. Thanks to AGnRH, infertility and hysterectomy can be avoided.

The drugs are easy to dose and convenient to use. They can be administered as an injection once a month (Goselerin, Leuprorelin). AGnRH is also available in the form of a nasal spray (Buselerin or Nafarelin). They help so many women.

During the first two weeks, a woman may feel a slight deterioration in her condition. This happens because estrogen levels rise during this period. But then their production stops and improvement occurs, menstrual bleeding becomes regular and painless. Duration of treatment is 4-10 weeks.

Treatment with surgical methods

This is one of the main methods of treatment and diagnosis of endometrial hyperplasia. The procedure lasts about 20 minutes and is performed under intravenous anesthesia. The doctor uses a special surgical instrument - a curette - to remove the superficial functional layer of the endometrium. Essentially, the doctor does in 20 minutes what happens during menstruation in 5 days.

Cryodestruction

This is the “freezing out” of hyperplastic areas of the endometrium using low temperatures. Cold causes cell death (necrosis). Then the area destroyed by the cold is torn away and comes out.

Laser ablation or cauterization

Cauterization with a laser or electrosurgical instrument heated to high temperatures. Areas of hyperplasia are destroyed and then come out of the uterus on their own. After such a procedure, the mucous membrane is restored naturally, as after menstruation.

Removal of the uterus or hysterectomy

Complete removal uteri are performed only for complex atypical forms. It is often prescribed to women during menopause, when the risk of developing cancer increases. If there are no changes in the ovaries, then they are left in place.
Complete removal of the uterus, fallopian tubes and ovaries is carried out for adenomatosis, if a woman has completed menopause. And also in the case when cancer cells are detected.

In most cases, after any operation, hormonal medications are prescribed. They can improve a woman’s condition and prevent re-growth of the endometrium.

What is endometrial hypertrophy during menopause?

This condition is observed in almost 70% of women at this age. The changes occur because hormonal changes occur during menopause and estrogen levels increase. In addition, after 40 years of age, the likelihood of developing cancer increases. Therefore, a woman needs to be especially attentive to her health.

The following factors increase the risk of developing endometrial hyperplasia:

• diabetes
• high blood pressure
• early onset of menopause
• excess weight
• chronic liver diseases
• uterine fibroids, ovarian cysts, mastopathy
• hereditary tendency

The first stage is ultrasound. If the thickness of the endometrium is 6-7 mm, then a repeat examination is prescribed after 3-6 months. If the thickness is more than 8 mm, treatment is necessary, and if it is more than 10 mm, then separate curettage.

Treatment of endometrial hyperplasia in menopause

1. Treatment with hormones. For many women it gives excellent results and allows you to do without surgery. The drugs Megestrol acetate and Medroxyprogesterone are taken for a long time, 3-6 months. Ultrasounds are performed periodically to determine whether there is any improvement and, if necessary, adjust the dose of medications.
2. Surgery:
   • Laser cauterization (ablation). Carried out if the endometrium grows in patches or in the form of polyps
   • Curettage using a surgical curette (curettage). The functional layer of the endometrium is removed.
   • Removal of the uterus (sometimes with appendages). Prescribed if a tendency to form a cancerous tumor has been identified.
3. Combined treatment . During menopause, it is prescribed first hormonal treatment, while areas of hypertrophy decrease. This makes the operation less traumatic.

Is curettage necessary for endometrial hypertrophy?

Before curettage, a number of tests are prescribed:

• general blood analysis;
• blood test for coagulation (coagulogram);
• heart cardiogram;
• blood tests for hepatitis, syphilis, HIV,
• swab for vaginal cleanliness.

Why is curettage done?

For diagnosis, after scraping, tissue particles are sent to the laboratory. There they are carefully studied under a microscope. They determine whether there are cysts, whether the structure of the glands is disrupted, and whether the cells are prone to mutations that lead to cancer. After such a study, the necessary medications are prescribed. This is the most exact method diagnostics for endometrial hyperplasia. Since during ultrasound or endoscopy the doctor may not notice any abnormalities.

Scraping with therapeutic purpose allows you to quickly get rid of polyps and hyperplastic epithelium. This is the fastest and effective method treatment. This procedure is especially necessary for women who have not been helped by hormones.

Curettage for endometrial hyperplasia can be carried out under vision or hysteroscope control. This is a thin tube with a small camera attached to the end. Such a device allows you to monitor the process on the screen and evaluate the quality of work so as not to miss anything.

Curettage is performed with a curette. This surgical instrument, similar to a small spoon with a pointed edge on a long thin handle.

Curettage is considered a minor gynecological operation. It is done very often, and most women have gone through it. The procedure lasts less than 20 minutes and is done under intravenous anesthesia. Therefore, the woman does not feel pain. She can return home that same day.

After curettage, antibiotics are usually prescribed to prevent inflammation. After the analysis is done, the doctor may prescribe hormonal medications to prevent recurrence of endometrial hyperplasia.

How to treat endometrial hypertrophy with folk remedies?

Universal complex of celandine and vegetable juice

1st month. Every day you need to drink 100 g of freshly squeezed beet and carrot juice. Beet juice better to drink in the morning empty stomach, carrot before lunch. In addition, you should take 1 tbsp twice a day. flax seed oil before meals.
Once every two weeks it is necessary to douche with an infusion of celandine. To prepare one serving of infusion, you need to pour 50 g of fresh celandine herb into 2 liters of boiling water. Let it brew for 12 hours. Before douching, warm the infusion to body temperature.

2nd month. Add 150 ml of aloe tincture to daily juice therapy. To prepare it, you need to take 400 g of juice from aloe leaves and mix it with the same amount of honey. Pour the resulting mixture into 0.7 liters of Cahors and let it brew for 15 days.
Also in the second month, an infusion of boron uterus (motherland) is added. 2 tbsp. dry herbs pour 1 liter of boiling water. Leave for 3 hours.
Douching continues without changes.

3rd month. Continue to take juices, flaxseed oil, aloe and infusion of boron uterus. Stop the douching procedure.

4th month . Treatment begins with a week's break. Subsequently, over the course of a month, treatment is reduced to taking oil from flaxseeds and tinctures of boron uterus.
This complex remedy strengthens the immune system, improves the condition of the genital organs and urinary system. The production of hormones and the condition of the endometrium are normalized.

Stinging nettle

Nettle contains unique phytohormones, similar to those of women. Therefore, this herb in all its forms has a beneficial effect on women's health.

Alcohol tincture of nettle – ideal for restoring full functionality hormonal system among women. To prepare the tincture, you need to pour 100 g of crushed nettle leaves into 400 g medical alcohol. Let it sit in a dark place for 10 days. Strain and take 1 tsp. with a little water. Use in the morning and evening after meals.

There should be improvement within a week general condition. Gradually, the body's hormonal processes stabilize. Usually it is necessary to drink the tincture for 1 month.

Nettle decoction. To prepare the decoction, take young nettle leaves and pour boiling water at the rate: per 100 g of leaves - 1 liter of water. Take 100 g of decoction 5 times a day on an empty stomach.

Herbal decoction

The most effective folk remedy for endometrial hyperplasia is considered to be a herbal remedy. Its composition includes in equal proportions: calamus, knotweed, cinquefoil root, nettle leaves, as well as ½ portion each of serpentine and shepherd's purse.

To prepare the decoction, you need to take 4 tbsp. collecting herbs. Pour into an enamel pan and pour 1 liter of boiling water. Boil for 3-5 minutes. After this, wrap the dishes in a towel and leave for 3 hours.

Drink the decoction once a day, 200 ml in small sips. The course of treatment lasts 2 months. Use the collection for one month, then take a break for a week. And again a month of treatment. The first effects will be noticeable within 2 weeks. If the effect is not noticeable after completion of treatment, the course can be repeated after a two-week break.

Is pregnancy possible with endometrial hypertrophy?

Let me explain. Endometrial hyperplasia is a complex disease. This is not only a thickening of the uterine mucosa, but also serious deviations in the production of hormones. All endocrine glands that secrete hormones are interconnected. Disturbances simultaneously occur in the hypothalamus, pituitary gland and ovaries. This causes an excess of estrogen and a lack of progesterone. As a result, the woman does not ovulate - the egg does not enter the uterus from the follicle. This means fertilization is also impossible.

Also, for pregnancy to occur, it is necessary that the fertilized egg penetrates the lining of the uterus. But with hyperplasia, the endometrium is so changed that the egg simply cannot do this.
A healthy endometrium and normal production of female sex hormones are necessary condition women's health and the onset of pregnancy. Therefore, it is necessary to regularly visit a gynecologist once a year. Women over 45 years old are recommended to do this every six months. Such preventive examinations will help identify any changes in early stages and it's easy to get rid of them.

When planning pregnancy, the condition of the mucous layer of the uterus is of no small importance. For this reason, women begin to worry about the question of how to quickly grow the endometrium. For conception to occur, it must have sufficient thickness.

Thinning of the mucous membranes can occur under the influence of many factors. Folk remedies, medications and a healthy lifestyle will help to enlarge the endometrium.

In the process of preparing for pregnancy, not only the general condition of the body, but also the thickness of the uterine layer is of no small importance. If so, then problems with fertilization are possible. This is why endometrial augmentation is needed.

Mucous reproductive organ consists of basal and functional layers. Their main function is considered to be the creation of the conditions necessary for the attachment of the egg. In addition, the endometrium creates a suitable normal development fetal environment.

If conception does not occur, then during the period of regulation the functional layer is completely rejected and gradually comes out along with menstruation. Further restoration of the endometrium is the norm. By the middle of the cycle, it is again ready for the attachment of the fertilized egg.

How does the endometrium grow?

The intensity of growth of the uterine layer directly depends on hormones, and in particular estrogens. At the beginning of the menstrual cycle, their concentration increases significantly. As a result, the endometrium thickens and pinopodia grows, which are necessary for successful implantation of the fertilized egg.

After ovulation, progesterone begins to be intensively produced, which, if fertilization is successful, helps create an environment favorable for the development of the embryo. At the same time, the uterine layer continues to thicken and becomes part of the placenta.

A kind of plug forms in the vagina, preventing infection from entering the uterus. Therefore, it is so important to enlarge the endometrium when planning pregnancy.

Risks of thin endometrium

This layer is responsible for the ability to bear a child normally and the functioning of the entire reproductive system. Thin endometrium in the uterus often becomes the “culprit” of spontaneous miscarriage. Cause of miscarriage in in this case consists of a lack of oxygen and nutrients. In this case, the placenta is not able to form normally. Infertility is often diagnosed.

It is also worth noting that thinning of the mucous membranes is observed when various diseases uterus. Before you begin extensions for conception, you need to cure these pathologies.

Causes of endometrial thinning

Restoration of the endometrium does not occur adequately for the following reasons:

• circulatory disorders in the pelvic organs;
• hormonal imbalance;
• incorrect anatomical structure of the reproductive organ;
• inflammation in the uterus;
• underdevelopment of the myometrium;
• genetic predisposition;
• damage to the mucous layer of the uterus (as a result of curettage or abortion).

Importance when planning pregnancy

This uterine layer is necessary for gestation and full development of the fetus. If there is an insufficient supply, the egg is unable to implant and pregnancy becomes impossible. Even if the fertilized egg succeeds in attaching, the further development of the embryo will be problematic.

It is on the basis of these tissues that the placenta is formed. If the endometrial tissue is too thin, the fetus will not be able to fully develop. Pregnancy often ends in spontaneous abortion. Therefore, endometrial extension is first performed, after which successful fertilization becomes possible.

Signs of pathologies

The main reasons why the endometrium does not grow are: hormonal disbalance and insufficient estrogen production. Such problems are most often indicated by systematic spontaneous abortions and subsequent curettage. The situation is only getting worse.

Thinning of the mucosa is not accompanied by visual signs, but the following changes in the body are noted:

• migraine;
• excessive sweating;
• stopping hair growth on the skin;
• blood pressure surges;
• scanty periods;
• frequent hot flashes;
• sleep disturbance and nervous overexcitation;
• discomfort during sex;
• muscle spasms and joint pain;
• lack of orgasm.

Infertility does not always occur with such changes. Conception is sometimes still possible, but the course of pregnancy turns out to be very problematic. Throughout this entire period, there is a threat of miscarriage, and severe toxicosis is noted. Often carrying a child to term due date the woman fails.

Diagnosis of the condition

To assess the condition of the endometrium before IVF or natural conception, certain examinations and tests are prescribed. Among the main ones, the following stand out:

• ultrasonography. An ultrasound is performed at the beginning monthly cycle, immediately after the end of the regulation. To get a complete picture and study changes in the lining of the uterus, the procedure is carried out in other phases;
• blood analysis. In this way, it is possible to determine the hormonal level;
• uterine biopsy. Tissue collection is carried out on days 20–22 of the menstrual cycle.

Only after a full diagnosis is it possible to select optimal scheme therapy and eliminate the problem preventing conception.

Effective ways to grow the endometrium

Therapy aimed at restoring the mucous layer of the reproductive organ is carried out comprehensively and includes measures such as:

• treatment of congenital diseases, infectious, venereal diseases and inflammation in the cervix and organ cavity;
• proper organization of the diet in order to stimulate the blood circulation process;
• rehabilitation after abortive measures and restoration of the integrity of the mucous membranes;
• normalization of hormonal levels.

After identifying the cause of disturbances in the reproductive system, the doctor selects the most appropriate course of treatment. It is used not only traditional medicine, but also folk remedies. Nutrition and exercise are also considered important.

Medicines

Various medications contribute to rapid thickening of the endometrium. The drugs have beneficial effect on the female body. Among the main ones are the following:

1. Proginova. This product contains estrogen and estradiol. Most often it is used if there is a history of spontaneous miscarriages or abortions. Active components The drug helps improve blood circulation, restore the body and thicken the uterine mucosa. It is often prescribed before in vitro fertilization. The main advantage of the medication is that it can be used in the process complex therapy and combine with other means.
2. Divigel. The basis of the drug is an artificial analogue of estradiol. It fully corresponds in physical and biochemical properties to the natural hormone responsible for the normal functioning of the reproductive system, protein synthesis and full formation mammary glands. This medication helps normalize cholesterol levels, the functioning of the cardiovascular system and build up the endometrium.
3. Gormel. The medication helps eliminate hormonal imbalance. Its action is aimed at stimulating the natural synthesis of estrogen. It has a gentle effect on the body, which is an undeniable advantage.
4. Duphaston. Main active ingredient synthesized progesterone appears. The drug has no contraindications or side effects.

Folk remedies

Traditional medicine will also help to grow the endometrium. The most effective are considered:

1. . With its help it is possible to restore normal level hormones. The product helps increase the concentration of estrogen and stimulate the development of follicles. To prepare the medicine, one tablespoon of sage is immersed in 300 ml of water and boiled for a quarter of an hour. The finished drink is filtered and allowed to cool. Take half a glass four times a day. Therapy begins on the fourth day of the cycle and is completed during the period of ovulation.
2. Red brush or hog queen. These plants help normalize hormone levels, thicken mucous membranes and eliminate inflammatory processes. In order to prepare a decoction, take 50 grams of the plant, immerse it in a glass of water and boil for a quarter of an hour. After this, infuse for at least three hours, filter and take 100 ml three times a day in the first half of the cycle.
3. Blue clay. Half a kilogram of raw material is mixed with a small amount of water, heated and shaped into a flat cake. After this, the compress is applied to the stomach and left for about two hours. Therapy is continued for a week.
4. Raspberry leaves. A decoction based on them is prepared quite simply. A couple of tablespoons of crushed leaves are brewed in a glass hot water. Drink throughout the day instead of regular tea. This product contains vitamin E, the endometrium begins to grow faster.
5. Knotweed. 300 grams of pre-crushed plants should be poured with a liter of hot water and left for a quarter of an hour. Drink one glass of the product per day.
6. Linseed oil. It is recommended to add it to juices, salads and other dishes throughout the first half of the cycle.

Alternative medicine also turns out to be effective:

1. Acupuncture. When exposed to certain points, the condition of the reproductive system improves significantly, and the affected organs begin to function normally.
2. The use of leeches (hirudotherapy). The method improves blood circulation, and as a result, the growth of the mucous membranes of the reproductive organ is stimulated.

Nutrition and sports

In order to normalize blood circulation and restore the uterine layer, moderate physical exercise. First of all, abdominal exercises. They should be performed daily for 3-4 minutes.

A sedentary lifestyle leads to the fact that blood circulation in the organs of the reproductive system deteriorates significantly, and this negatively affects the condition of the female body. The thinned endometrium can be increased through belly dancing, swimming, jogging in the morning and gymnastics.

Huge popularity in Lately gained wumbling. During such training, the vaginal muscles are strengthened, and this contributes to the thickening of the mucous membranes. Classes are effective in the most problematic cases. Exercises are recommended to be performed both for the prevention of various pathologies of the female reproductive system, and when planning pregnancy.

An improperly organized diet negatively affects the condition of the female body and can cause disruption of the growth of the uterine layer. If such problems arise, it is recommended to adhere to certain rules. You should include foods for endometrial growth in your diet and exclude those that negatively affect this process:

• salted, fried, fatty and spicy food eliminate completely or reduce to the bare minimum;
• increase consumption of berries, herbs, fruits and vegetables;
• Seafood rich in vitamins C and E has a beneficial effect on the female body.

Blueberries, cranberries and raisins, rich in salicylates, are considered some of the healthiest. Pineapple has been noted to have an effect on the endometrium. In addition, it helps activate the body's protective functions and prevents the occurrence of thrombosis.

According to doctors, a properly selected diet helps strengthen the immune system and improve the general condition of the body. If you follow all the recommendations, the mucous layer of the uterus can reach seven centimeters in thickness.

It is extremely important that the menu contains a sufficient number of products containing vitamins K, E, B and C. Thanks to them, the female body will begin to function normally much faster.

Thinning of the endometrium is serious problem, preventing conception and normal pregnancy. For this reason, doctors strongly recommend building up this layer first. There are many folk and medicinal methods improving the condition of the uterine mucosa. The main thing is to follow all the instructions of the gynecologist, and soon you may experience healthy pregnancy with a favorable outcome. Without eliminating this problem, the chances of bearing a child are almost zero.

When planning conception, you have to pay attention to many factors necessary for a successful pregnancy. Important place in the structure of preconception preparation, the condition of the uterus is taken into account, in particular the thickness of the endometrium. And for women who want to have a child, the question becomes relevant in what ways it can be increased. After all, there is a direct connection between the size of the endometrial layer and the likelihood of conceiving a child.

General information

The endometrium is the inner layer of the uterus, that is, its mucous membrane. It consists of prismatic epithelium, represented by secretory, integumentary and basal cells, stromal elements (fibroblasts, histiocytes, lymphocytes) and their own tubular glands. All these components are abundantly supplied with blood by the capillary network of vessels. The latter take an active part in the formation and functioning of the placenta, supplying the fetus with all the necessary components (oxygen, nutrients) and carrying away metabolic products.

The mucous membrane is very sensitive to hormonal effects. Therefore, regular changes occur in the endometrium throughout the menstrual cycle. After menstruation, it is restored, undergoing proliferation under the influence of estrogens. And after ovulation, which is accompanied by the release of the egg from dominant follicle, undergoes further transformations. Progesterone, synthesized by the corpus luteum of the ovary, stimulates the secretory transformation of the endometrium - the number of glands increases, the mucous membrane swells and becomes looser. This is necessary for high-quality implantation of the embryo and its further development in the uterine cavity.

It is important for women wishing to conceive a child to understand how the transition from the phases of the menstrual cycle to pregnancy occurs. Based on the above, the main stages of this process are:

• Maturation of follicles with oocytes in the ovaries.
• Ovulation is the release of an egg from the follicle.
• Meeting of sperm and oocyte in the fallopian tube.
• Fertilization of the egg (formation of a fertilized egg or zygote).
• Cell division of the zygote and formation of the blastocyst.
• Migration of the embryo into the uterine cavity and its attachment to the endometrium (implantation).

From this moment we can assume that the pregnancy is complete. But the unborn child will have to go through many more stages on the path of development. And the state of the endometrium plays key role for many processes. For example, the period of placentation is considered critically important - the formation of a new organ that supports the vital functions of the fetus. After all, the correct formation of the placenta and the adequacy of its function are largely determined by the morphological maturity of the endometrium.

The mature endometrium is of decisive importance for the onset of pregnancy, ensuring the normal course of pregnancy important periods in the life of the embryo.

Physiological indicators

The thickness of the endometrium changes throughout the menstrual cycle. This is how the uterus reacts to hormonal changes in the body. But many women are concerned about the size of the mucous membrane to conceive. First, let's look at the thickness of the endometrial layer by day of the cycle (table):

Immediately after menstruation, the mucous membrane begins to recover, rapidly growing. The most favorable days for conceiving a child are considered to be the period from 10 to 17 days - the so-called fertile window. During this period, the thickness of the endometrium should average 11–13 mm. This is the generally accepted norm, at which the probability of pregnancy is maximum.

Violations

If a woman’s endometrium is not thick enough for the fertilized egg to attach to it, then difficulties may arise in conceiving a child. This quite naturally leads to infertility. Thinning (hypoplasia) of the uterine mucosa occurs in the following cases:

1. Hormonal disorders.
2. Endocrine diseases.
3. Anomalies of the structure of the uterus.
4. Inflammatory processes (endometritis).
5. Mechanical injury (scraping).
6. Blood supply disorders.
7. Hereditary pathology.

But the opposite situation also happens, when the thickness of the endometrium exceeds the norm. Hyperplasia of the mucous membrane is also accompanied by infertility, but not only due to local changes in the uterus, but also due to hormonal disorders with absence of ovulation.

Correction

Many women at the stage of pregnancy planning are wondering how to build up the endometrium for conception. This is especially true for those who have already tried unsuccessfully to conceive a child several times. Thinning of the mucous membrane is quite amenable to therapeutic correction, but before this the patient will have to undergo an examination to determine the cause of the disorders. To the list of necessary diagnostic procedures may include:

• Blood test for hormonal spectrum (gonadotropins, estrogens, progesterone, prolactin) and antibodies to infections.
• Vaginal smear and cervical canal(cytology).
• Analysis of secretions (bacterial culture, PCR).
• Ultrasound of the uterus and ovaries.
• Hysteroscopy with biopsy.
• Diagnostic curettage.

Based on the examination results, the doctor forms a treatment program taking into account the cause of the changes and individual characteristics patients.

Before carrying out therapeutic correction, the doctor will refer the woman for an examination, the purpose of which is to determine the cause of thinning of the endometrium and related conditions.

Medicines

You can grow the endometrium with the help of medications. The presence of regulatory disorders in a woman’s body is an indication for hormonal therapy. The growth and preparation of the uterine mucosa is carried out under the influence of the following drugs:

• Estrogen-containing (Proginova, Divigel).
• Combined estrogen-gestagen (Femoston, Yarina).
• Progestins (Duphaston, Utrozhestan).

Estrogens are prescribed on the 5th day of the cycle, and gestagens are taken after ovulation. Combined products used throughout the entire cycle (in each phase the corresponding tablet). This therapy helps the endometrium to fully mature and become ready to receive a fertilized egg.

Besides hormonal drugs, the doctor may prescribe other medications aimed at eliminating the causes of hypoplasia and normalizing disrupted processes. Based on the situation, apply antibacterial drugs, non-steroidal anti-inflammatory and even homeopathic. The latter, for example, Hormel, activate their own hormone production and have a mild positive effect on the regulation of menstrual and reproductive functions.

Traditional methods

Methods are not left aside either. alternative medicine. Those who have increased the thickness of the endometrium using folk remedies can probably confirm their effectiveness. But unfortunately, evidence base there is no such treatment. The following natural components can be used to build up the mucous membrane:

1. Decoction of the herb uterus (for oral use or douching).
2. Sage decoction (taken in the first phase of the cycle).
3. Eating foods rich in vitamins E and C (flax seeds, milk, citrus fruits, black currants).

In structure alternative treatment you can find reflexology and hirudotherapy (treatment with leeches), as well as physical exercise, stimulating blood flow to the pelvic organs. But in every method it is important to be careful and qualified approach. No treatment, including traditional ones, can be used without first consulting a doctor.

The thickness of the endometrium is an extremely important factor for pregnancy. If it is insufficient, then the woman will not be able to conceive a child. Therefore, to combat infertility, it is necessary to increase the endometrium so that ovum could be qualitatively implanted into the uterus. And the best results can be expected from integrated approach in treatment.

Every woman strives to conceive, everyone dreams of a child. For some, this process occurs according to a “natural schedule,” while others need to put in a lot of effort to achieve the desired results. Today, the problem of infertility, unfortunately, concerns many people.

The reasons may be different:

1. passive ovulation;
2. ovarian dysfunction;
3. polycystic ovary syndrome;
4. hormonal problems;
5. early menopause;
6. psychological problems;
7. thin endometrium, etc.

How to help the body prepare for conception and subsequent natural childbirth? We need to decide this question by timely appeal to specialists. And under no circumstances should we delay this. The older a woman is, the more difficult it is to diagnose and treat women’s diseases.

Only a doctor can tell you about the reasons for the inactive growth of the endometrium. Without going into details, let's say that this may be a deficiency of estrogen (the hormone responsible for the growth of the uterine lining) or previously caused injuries: curettage, abortion, IUD.

You have established the reason that caused infertility, now all you have to do is find out how to grow the endometrium in order to. Not only tablets and pills will help here, but also herbs.

Doctors, for their part, introduce Estradiol and Duphaston into the woman’s body, which helps the formation of the uterine epithelium. Before ovulation, they are prescribed to take drops of “Gormel”, after that - “Utrozhestan”. We will look at how to build up the lining of the uterus using folk remedies used in alternative medicine.

Folk remedies that help grow the endometrium

The endometrium is formed under the influence of the hormone estrogen. This means we need folk remedies that have the properties of estrogens, androgens, and progesterone. These include:

• sweet clover;
• licorice;
• mistletoe;
• hop;
• sage;
• clover;
• celery;
• rapeseed;
• lovage;
• hogweed

By consuming decoctions of these herbs, our body will be able to more actively produce those hormones that will help in the growth of the endometrium.

A woman herself chooses ways to solve infertility problems. If only there was good result. Many factors must be taken into account here. Although there are numerous cases where only increasing the thickness of the inner layer of the uterus already gave the desired result.

Hog queen and red brush

Decoctions of these herbs should be drunk after ovulation. Those who have used them report excellent results. Transforming into a hormone, this Ortilia gull helps the growth of the endometrium.

The following scheme works well in application. Divide the menstrual cycle into two phases, where in the first phase - after menstruation until the middle of the cycle, drink "Red Brush" ("Cold Radiola"), in the second phase - "Borovaya uterus".

Pour boiling water (1 glass) over the herbs (1 tbsp) after 4 hours of infusion, not just drink, but “eat” the decoction (every 6 hours).

Sage, knotweed, wormwood and carrot seeds

If you take sage decoctions, they will have a wonderful effect on obtaining the desired result. Brew sage as tea and drink half a glass three times a day.

Drink decoctions of carrot seeds and wormwood. You need to be extremely careful when it comes to wormwood. IN large quantities it can cause poisoning. No more than 1 pinch per glass of boiling water.

Knotweed can be found everywhere, including in pharmacies. It should be taken from the beginning of menstruation until the onset of ovulation. It activates the growth of the endometrium. Stop taking after ovulation.

Expert opinion

Thinning of the endometrium occurs for various reasons - hormonal imbalance, past uterine trauma, genetic predisposition. In principle, women may not even know about their illness, because this pathology does not have any special symptoms. But when ladies decide to get pregnant, then this problem “rises to its full extent.”

Treatment of the disease should only be prescribed by a specialist, because hormonal surge may worsen a woman's condition. Herbal medicine is also considered to be a component of complex therapy. Infusions, tinctures and decoctions based on boron uterus or red brush are familiar to doctors firsthand. They gently affect the functioning of the gonads without depleting them, and also promote the regeneration of the uterine mucosa.

Good nutrition is the key to success

Pineapple helps, many have been convinced of this. It turns out both tasty and effective. You need to start eating it 3 days before ovulation. The doctors are surprised. This is better than swallowing hormonal drugs by the handful.

To build up the lining of your uterus, add some supplements to your diet. Treat yourself to citrus fruits more often, and especially red apples. The vitamin “C” they contain will strengthen blood vessels, and this is very important for the formation and growth of the endometrial structure.

You need to eat honey, cherries, cranberries, strawberries and grapes, which contain specific salicylates. They not only prevent the formation of blood clots and thin the blood, but also play an important role in the growth of the endometrium.

Add fish rich in Omega-3 fatty acids to your food list, such as salmon and tuna, anchovies and mackerel. It will help lower cholesterol.

Shall we dance?!

If you decide to build up the endometrium, go away sedentary lifestyle life, or rather, run from it. The main task in solving this problem is to activate blood supply in the pelvis. Do jogging, aerobics, swimming, anything that can get your blood flowing. If these sports are not possible, practice oriental belly dancing.

Wumbuilding will also be a good activity; its movements are aimed at strengthening both the pelvic and vaginal muscles. Such exercises are also preventative against many gynecological diseases.

Pelvic massage is also useful. They can be targeted and traditional. Remember, to achieve happy motherhood, you must consult a specialist. And only then independently apply traditional methods.