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Three-layer endometrium is a necessary condition for the occurrence of a natural pregnancy or in vitro fertilization. Even fertility doctors refuse to perform an embryo graft procedure when there is no three-layer endometrium. What does it mean?
Strictly speaking, this mucosa has two main layers - the basal and functional. The basal is a layer having a rather large density that does not undergo changes during one menstrual cycle. The functional layer is that which is rich in blood vessels, has a less dense and more loose structure and is located on the basal layer, that is, it directly lines the uterine cavity. It is this layer that is actively rejected, and then increases again during the monthly cycle, it leaves the body along with the menstrual flow.
On the functional layer is a thin epithelial layer, which is almost completely not affected by the action of hormones. Thus, when these layers are clearly distinguishable and visualized by ultrasound, one can speak of a three-layer endometrium. Thus, it can be concluded that it is. This is a situation when all three layers are well visualized in the endometrium:
However, this is not always the case, but only at some stages of the menstrual cycle.
As mentioned above, the main diagnostic method for this condition is ultrasound. At the same time, ultrasound doctors call this structure linear. This is due to the fact that while the layers themselves (basal, functional and epithelial) have very low echogenicity, the boundaries between them have very high echogenicity. As a result, they are clearly visualized on ultrasound in the form of lines dividing the mucosa into three layers.
In addition to this method, an important role in failures and the late appearance of such a structure is played by an analysis of hormones and infections in order to establish the cause of the deviation from the norm.
Such a structure is normal and physiologically due to the phenomenon, if it occurs in the first phase of the menstrual cycle, that is, in the proliferation phase. During this period, the endometrium is actively renewed and regenerated, as a result of which it expands and almost completely recovers after menstrual bleeding (at least, it restores most of the thickness and functional layer). This is a natural and normal condition that occurs under the action of the hormone estrogen, which activates cell division and proliferation.
After that, ovulation occurs. Progesterone begins to influence the body, which, among other things, suppresses estrogen activity and, therefore, the growth rate. In the second phase, thanks to this, the mucous membrane becomes homogeneous; on the ultrasound examination, clear boundaries between the layers are no longer visualized. Thus, a three-layer endometrium is necessary in the first stage of the cycle, as it becomes a condition for normal conception. Even if the endometrium is thin (7-8 mm), but three-layered, pregnancy is more likely to occur than with a mucous membrane of normal thickness, but not a three-layer structure.
Deviation from the norm is considered the situation when the condition of the mucous membrane does not coincide with the phase of the menstrual cycle. What danger is this endometrium in the second phase? If at this stage of the cycle such an endometrium is diagnosed, then the danger is not in itself, but in the causes that caused it. Often, it is a hormonal failure associated with the production of progesterone - if it is not enough - then a clear visualization of the layers continues in most cases. But there may be other deviations.
If the endometrium in the first phase is homogeneous, or three-layered in the second, then this can potentially lead to infertility. First of all, it develops due to hormonal imbalance. In addition, the inability of the embryo to attach to an unhealthy endometrium plays an important role; therefore, the condition should be treated promptly. Therapy is carried out by hormones - estrogen, progesterone, combined estrogen-progesterone oral contraceptives.
How to identify
It has already been noted that the main diagnostic method in this case is ultrasound. Experts called this state a linear structure. The fact is that the space between the three layers has good echogenicity, in contrast to these areas themselves (basal, functional and epithelial), so that in the resulting image they take the form of clear lines. The picture clearly shows the mucosa, divided into three parts.
If a three-layer endometrium is manifested at the wrong time, then hormonal failure occurs. Then the ultrasound is not enough, it is necessary to pass tests for the presence of infections in order to understand the nature of the deviation.
What is the danger
The described condition is considered pathological if it occurs at the wrong stage of the hormonal cycle. What is the danger of a three-layer endometrium during the second phase?
It is not the altered structure of the mucous membrane itself that can harm one’s health, but the causes that caused it. As a rule, it is a failure in the synthesis of hormones. With a lack of progesterone, the mucous layers of the entire cycle remain visually different from each other. But this is not the only possible deviation.
There are two main defects of the endometrium:
- Hyperplasia. The layer is much thicker than normal. With its rapid increase in early pregnancy may develop blastula. Due to the strong proliferation of the endometrium, bleeding between periods is possible.
- Hypoplasia. The layer is thinning. For example, 10-16 mm are permissible., And on ultrasound in the midst of the cycle only 6 mm are visible. This requires medical intervention.
If the thickness of the layer remains unchanged during the whole cycle, chronic endometritis is possible, caused by a lack of blood supply.
With homogeneity of the endometrium in the first phase and trilayer in the second, infertility is very likely. Such a defect occurs due to an imbalance of hormones. Moreover, the embryo is unable to attach to the unhealthy endometrium, so this pathology should be eliminated as soon as possible. The treatment uses hormones: progesterone, estrogen and combined contraceptive drugs.
When the underdevelopment of two layers of a three-layer cover of the reproductive organ (basal and functional) occurs, then it is a question of hypoplasia. In this condition, the thin shell of the uterus becomes unable to hold the fertilized egg.
The causes of the disease can be:
- wrong synthesis of hormones
- poor blood supply to the genitals,
- infection or inflammation in the pelvis,
- abortion or surgery
Thin endometrium manifests itself:
- prolonged absence of pregnancy after unprotected sexual intercourse,
- spontaneous abortion,
- the appearance of the first menstruation after 16 years,
- weak hairline
- lack of orgasms.
If you suspect this disease, you must consult a gynecologist to be examined. After all, if the diagnosis is confirmed, treatment should begin as soon as possible.
With the growth of the endometrium, the internal mucous membrane of the uterus grows excessively and does not correspond to the indices that a healthy woman should have. This disease is often accompanied by intermenstrual bleeding.
If the thickness of the lining does not change throughout the month, it is possible that this is a manifestation of the chronic form of inflammation of the uterine lining or endometritis.
Any of these pathologies is treated, and the sooner it is identified, the less power will have to be spent on fighting the disease.
I'm annoying. Pregnancy planning
Virgos, well, be caress, be human! If anyone does not know what - and we write - they do not understand this, otherwise I suspect everyone of indifference: (((Comment on ultrasound for the sister: The uterus is visualized anteflexio, size 4,7x3, 9x4.9cm, contour smooth, clear boundaries Myometrium is uniform M-ECHO-9mm, three-layer basal layer compacted Liquid in Douglas space is not detected In the cervix of the endocervical cyst Right ovary size 31x14x17mm, V = 4cm3, normal structure Left ovary.
Pregnancy after taking OK. Pregnancy planning
Devtenki! Finally, today I have the opportunity to sit at the computer during the day, and because of this gadish session I get more and more often in the evening to get to my favorite konfa, and then there is no one else, as they say "quietly with myself" :)) Now on the topic: there was a lot of talk about conception after taking OK, so I read that the problem is that under the influence of OK changes occur in the uterus (or rather, the endometrium). In a good scenario, by the middle of the cycle, the endometrium should be three-layered and its thickness should be.
endometritis? Pregnancy planning
Girls, suddenly someone came across and tell you something. Endometritis is determined only on ultrasound? Are there any other options? on the ultrasound questioned, and the gynecologist wrote out a bunch of drugs, scared that you can’t plan anything for 3 months, spoke all and scared to tears: (while doing ultrasound they said that it’s not exactly, in theory, you need to do some research all the tests are in order; the cytomegalovirus was only found in the torch earlier (I don’t know if it is now, but there is no smear).
Endometritis is serious. Pregnancy planning
Here, diagnosed with endometritis. It seems like a weak so far. With difficulty, he was noticed - he was diagnosed by a very good uzist, and before him another uzistka did not understand what it was. Girls, does anyone know - is it serious? we are planning a child. Maybe a stupid question, but maybe it will resolve itself, or is it still necessary to be treated? tell me how it was
Endometritis. Pregnancy planning
Girls, tell me, please, who knows, is it possible to determine endometritis with a simple examination by a gynecologist or do you need to take any tests for this? And how does it manifest itself at all?
Endometritis is an inflammation of the mucous (inner) lining of the uterus. Symptoms of acute endometritis lower abdominal pain, discharge, temperature. If the process becomes chronic, the pain becomes more dull, it occurs periodically, pain in the lower back is disturbed, the cycle is disturbed (not always), there may be spotting, or more abundant, painful, or, conversely, leaner menstruation. Endometritis is dangerous in that it is a permanent source of infection in the genital organs, in that it leads to the formation of polyps, in that a fertilized egg cannot infer in the inflamed endometrium. It is treated in the presence of infection with antibiotics, the main treatment of chronic endometritis is physiotherapy.
The article, however, about postpartum endometritis:
endometrial hyperplasia. Pregnancy planning
who had this thing - and how to get rid of it? and is it possible then (really) to get pregnant? Last year, a polyc / c polyp was removed in March, a uterus rdv and a c / c were made, an endometrial hyperplasia wrote in the extract. My doctors did not write anything out (neither antibiotics, nor hormones), I was happy that everything was cleaned. after 3 months, a new polyp has grown, it has recently been removed too, the doctor said that everything is very bad there, that it was long, that the treatment would be long. Offers Spiral Miren for half a year. and what
But is there anyone who gave birth after endometritis? Pregnancy and childbirth
Those. I wanted to ask, is there anyone who could conceive, bear and give birth after endometritis was diagnosed (by the way, how did it manifest itself?)? I am treated, treated, tuned. And there are such "well-wishers" who shake their heads sympathetically - well, well, girl, this is not treated. only if transplanting. And this is the medical staff. I wallow from such a mood. Momma, share your stories !! How was treated and what helped? Thanks to everyone who responds!
Thin endometrium. Pregnancy planning
Girls share the experience of those who had a thin endometrium in the second phase. How can it be increased? I have a delay of 15 days, there was no pregnancy at the ultrasound, the ovaries are ready for mentoring, thin endometrium is 6mm, the harmonies are normal. In the past 3 pregnancies, the first are the next two, the ST. The doctor prescribed duphaston 1 tablet 2 times 10 days, then OK will prescribe 3 months, then you can start planning again. Will OK still create additional problems? My head is spinning, I'm sorry that it is messy.
Girls, received histology results .. Planning.
The girls received histology results. I'm shocked. Not only did they just write three lines at the bottom of the extract that they presented (neither the paintings nor the seals), so they wrote there: dicatinal tissue with hemorrhages and vascular poliocoemia, fragments of gravidal tissue. Elements of the FULL EGGS ARE NOT DETECTED! Is it like that ?! False? But I was discharged on January 29 from another hospital with a clear diagnosis: uterine pregnancy, 2 weeks! And before entering this 55th, ugly, I have no pieces.
need your help!. Pregnancy planning
Girls! I need your help! Today was a doctor - debriefing after the program. The doctor believes that the whole reason is in the endometrium, namely in its receptor ability. We need to check it somehow. If it is really broken, then only surrogate, if not, then you can continue to try. There are no such specialists in our city. And even my advanced doctor doesn’t know where it can be done. Right now I’ll call the laboratories if we do such an analysis in principle. It is called histochemical (not.
Polyp endometrium. Pregnancy planning
We plan ... I assume a polyp in the uterus, advise hysteroscopy. All doctors are convinced that there is nothing terrible in this operation, there will be no complications. But I really do not want intrauterine devices. Tell me, can anyone share a positive or negative experience with hysteroscopy. A positive experience for me is not only the onset of pregnancy, but also the absence of any subsequent cycle violations, inflammations, problems with other organs after anesthesia and antibiotics. Anybody
Chronic Endometritis and Endometriosis are one and the same.
Well, here's the question.
No, not the same thing. Endometritis is an inflammatory disease of the inner lining of the uterus (endometrium), which, as a rule, develops as a result of the addition of infection after childbirth, abortion, scraping and other gynecological procedures.
Endometriosis is a benign gynecological disease in which the formation of tissues and nodes like endometrium (uterine mucosa), which are located both inside and outside the uterus. Hormonal disorders are considered to be the cause of endometriosis. Another option is a malfunction of the immune system.
Endometriosis. Pregnancy complications
. The uterus is lined inside the mucous membrane, which is called the endometrium (from the Greek "intrauterine"). This is precisely the shell of the uterus, which is subject to cyclical changes. Such cycles are called menstrual. The onset of the menstrual cycle is marked by bleeding. In fact, it is the rejection of the most superficial layers of the endometrium. Under the influence of the female sex hormone estrogen, the endometrium not only restores its integrity, but also.
Isle of risk. Cervical erosion. Health problems.
. Only after this analysis, the doctor can begin to treat erosion or other diseases of the cervix. Endometriosis is a disease in which the endometrium (the inner layer of the uterus) is located in places not typical of it (on the cervix, in the vagina, on the external genital organs, on the peritoneum and other organs). If during menstruation there is a fresh wound on the neck, then the endometrium can "settle" on it. The choice of erosion treatment method depends on the result of the biopsy, the availability of appropriate skills at the doctor and equipment of the clinic with equipment. Treatment of cervical erosion is best done on the 5-7th day after the next menstruation. The most effective and safe method of treating erosion is laser radiation, since it allows you to adjust the m.
Time to be cautious (critical periods of pregnancy)
. e. The readiness of the uterine mucosa for implantation, its readiness to accept the fertilized egg is also of great importance. After abortions, scraping, prolonged wearing of the intrauterine device, infections, inflammatory processes, the receptor (perceiving) apparatus of the endometrium can be disrupted, that is, hormone-sensitive cells located in the uterine mucosa, react incorrectly to hormones, due to which the uterine mucosa is not sufficiently prepared for upcoming pregnancy. If the ovum is not active enough, does not release the right amount of enzymes that destroy the lining of the uterus, then it can penetrate the uterine wall in the lower segment or in.
Thin endomeria in the 2nd phase. Pregnancy planning
Girls, I would like to hear your treatment methods regarding endometrial capacity. In the first phase, the endometrium is normal, and in the second, it does not increase. The attending physician assures that I have a shortage of estrogens, prescribed remens (4-cycle saw), the result is 0, even became thinner. Yesterday I registered femoston 1/10 according to the scheme from the 5th day of the cycle to the 25th day of the cycle, then a break for 7 days, and then the new one from the 5th day to the 25th day of the cycle. At the same time, it is a 2-phase preparation consisting of 14 estargens and 14 tablets.
To increase the endometrium vti appointed. Planning.
For the extension of the endometrium, they prescribed the rubbing of MIVIGEL, rubbing the first cycle, now after the endometrium evolution in the normal state + has grown
6mm. The doctor said that we will continue therapy, and you can no longer protect yourself and begin to try to conceive. But we had a question, in all the examinations indicated that it is contraindicated during pregnancy? What to do, who will advise what?
As soon as conception takes place, you stop rubbing Divigel, right? So there are no problems. Moreover, it is a local drug with a low content of hormones. Do not worry - there will be no problems. Here, some girls (Mandarinka, for example) also plan against the background of the use of Divigel.
After ovulation, “trying to conceive” is useless. Conception is possible directly into ovulation. And sex should be before ovulation and during ovulation. After - nothing will come of it. So if ovulation has already happened in this cycle, you can relax and make the following attempts after menstruation.
Optimally, one should be active after the end of menstruation every other day and so on until the proven onset of ovulation, including the ovulation period and a couple days after it (just in case).
And, by the way, Endometrium is OH - masculine :)
interesting plate on the endometrium. Pregnancy planning
stole in the internet .. the source will not tell you .. The table on which you can check out their chances for implantation. endometrial thickness (on the day of transfer) is less than 7 mm - 0 (points) 7-9 mm - 2 10-14 mm - 1 lamination of the endometrium is not - 0 points fuzzy visualization 5 lines - 1 point clear visualization 5 lines - 3 points of myometrium contraction. coarse, non-monogenic - 1 point homogeneous - 2 points the uterine artery blood flow (RI) is greater than 8 - 0 points 0.75 - 0.8 - 1 point 0.61 - 0.74 - 2 points less than 6 - 3 points.
The menstrual cycle is divided into two parts - the follicular and luteal phases. In the first half, the proliferation of the endometrium occurs - the cells divide and it grows. The process is quite fast, because as we know, the cycle itself lasts from 21 to 35 days. As soon as the next menstruation is over, a new functional layer is already being prepared, and so on ad infinitum, until menopause begins. The growth of the endometrium occurs due to the action of estrogen. These hormones promote cell division.
When everything is ready, the ovulatory period begins. It is short, only 2-3 days. Progesterone is already needed here. Without a sufficient level of this hormone, you can never know what a three-layer endometrium is. Under the influence of progesterone, estrogen production slows down and the endometrium stops growing so actively. The thickest layer of the endometrium is observed after ovulation. So he will be a couple of days. Created conditions are favorable for the introduction of the ovum. Therefore, unprotected sex these days can lead to a long-awaited pregnancy if ovulation has taken place.
The second phase of the cycle is characterized by blurred boundaries between the layers, which the specialist will see on ultrasound. Endometrium becomes homogeneous.
The beginning of the cycle and the endometrium three-layer - what does this mean? That's right, optimal conditions for conception. And here the thickness is not as important as the presence of the upper layer. Even with a total size of 7-8 mm implantation is possible. If the endometrium is homogeneous, then the probability tends to zero. Below we will talk about why in the second phase of the cycle the norm is just a homogeneous structure without division into layers.
Endometrium can be in two pathological conditions, called hyperplasia and hypoplasia.
Normal endometrial thickness, depending on the day of the cycle
The condition of the uterus on different days of the cycle is usually assessed by ultrasound or MRI. It should be borne in mind that the thickness of the lining depends on factors such as the age of the patient, the use of certain drugs.
Table: endometrial thickness by day cycle.
1st phase, menstruation
estrogen and progesterone are at minimal levels.
1 - 2 day cycle
3 - 4 day cycle
2nd phase, proliferation (or endometrial growth phase)
increased production of estradiol, luteinizing and follicle-stimulating hormone.
3rd phase, secretion (endometrium is ripe and ready for fertilization)
progesterone dominates, fsg and lg levels are minimized
The indicators in the table are relevant for healthy women of reproductive age. With the onset of premenopause, the rate of endometrial thickness of the uterus begins to decrease. Due to this, the doctor, examining the results of ultrasound, can draw conclusions about the impending climax.
About a year before the cessation of menstruation, the endometrium begins to thin. Indicators for different days of the cycle are as follows:
- During menstruation: 2-3 mm,
- The beginning of the follicular phase: 5-7 mm
- End of follicular phase (ovulation): no more than 11 mm,
- Luteal phase: not more than 16 mm.
Also, the thickness of the inner lining of the uterus may indicate the initial stage of the development of a malignant disease. For example, if a woman of reproductive age during menstruation, the endometrium has a thickness of more than 5 mm, then the risk of developing carcinoma is more than 10 times greater than if the lining were thinner than 5 mm.
In the event that a woman drinks hormonal drugs, the rate of 4 mm (during menstruation) is the maximum limit.
What is the thickness of the lining of the uterus during menopause?
With the cessation of menstruation, the cyclic process of growth and death of the lining of the uterus changes. Changing the rules and thickness. The allowable upper limit of the norm is 5-6 mm (approximately one year after the end of the last menstruation).
The thickness of the layer should be the same over the entire area of the uterus, and should not change on different days of the month. The thickness of 8-11 mm may indicate that a woman takes hormones with a side effect in the form of hyperplasia.
An increase in the layer thickness to 12 mm and above directly indicates the development of abnormal processes. Having received such results of ultrasound, a woman should be directed to a biopsy, as well as undergo a transvaginal ultrasound examination.
Stages of development of the endometrium
Most popular sources (and even school textbooks on biology) fit the description of the female cycle in terms of changes in ovarian function. However, the menstrual cycle can also be described in terms of changes in the norms of endometrial thickness.
Changes occur due to the fact that the growth of the lining of the uterus is directly dependent on cyclical changes in the secretion of estrogen and progesterone. So, we can distinguish three phases:
The proliferative stage begins when the ovaries are in the follicular phase. An increase in the amount of estradiol secreted by the developing follicles simultaneously stimulates the proliferation (in other words, proliferation) of the endometrium itself.
If we examine the endometrium of the uterus of the proliferative type under a microscope, we can see that the tissue is glandular and contains a large number of ornate blood vessels and spiral arteries. In fact, the lining is “saturated” with blood, preparing for a possible implantation of a fertilized egg.
During premenopause, hormone levels begin to fluctuate. Reproductive function fades away, hormone production becomes non-cyclical, which leads to irregular menses. A record of the presence of a disordered endometrium in the proliferation phase may also appear in the medical record.
Do not worry, the gynecologist only implies that the growth of the lining of the uterus is not cyclical (that is, from stage to stage of the cycle tissue may not grow, and thin, or not at all change its thickness). However, such non-cyclicality does not mean at all that any malignant changes are occurring. Therefore, read how you can increase the endometrium and what rules should be followed.
Another potential cause of disordered changes in the proliferative endometrium is irrational use of birth control pills. The situation can be corrected by hormone replacement therapy.
If the process is not controlled, the doctor will soon diagnose an abnormal thickening of the uterine lining. The thickness of the endometrium with hyperplasia may exceed 30 mm (instead of 8-14 mm, set for the 9th-20th day of the cycle). Hyperplasia is one of the factors that greatly increase the risk of uterine cancer.
Description of the secretory and menstrual phases
The secretory phase of the growth of the endometrium begins with the luteal phase and ends on the first day of the menstrual flow. At this stage, increased secretion of progesterone stimulates the active growth of the tissues lining the uterus.
As a result of the combined effect of estradiol and progesterone, the endometrium becomes thick, vascular and "spongy", and immediately after ovulation is saturated with glycogen.
The thickness of the endometrium before menstruation in a healthy woman can reach 26 mm. This is quite enough for the successful implantation of the embryo, and its primary feeding.
If fertilization has not occurred, then the menstrual phase begins. Estradiol and progesterone production levels are maximally reduced, the planned necrosis (cell death) and rejection of the uterus begins.
If we examine the tissue under a microscope, we can notice a significant narrowing of the ornate arteries. Of course, the uterus cannot remain without any covering at all, therefore the rate of endometrium during discharge is 1-4 mm, not 0.
What is a three-layer endometrium, and in what cases can it be detected on an ultrasound?
So, it becomes clear that the uterine lining changes its thickness, not only during the monthly cycle, but also at different periods of life. However, the endometrium is not a homogeneous structure, but consists of several layers.
In classical medical textbooks, only the functional and basal layers are distinguished. However, in the results of the ultrasound, you can often see the phrase "three-layer endometrium." How three of the two tissues are obtained is not entirely clear, which frightens women who are familiar with anatomy.
So, first of all you need to remember that after all there are only two real (physical) layers.
The ultrasound looks like a line located on the uterine cavity. Tissues of this type are completely released from the body during menstruation and are restored during the first phase of the cycle.
Active growth of the functional layer is triggered by an increase in the level of estrogen. But as soon as the level of progesterone drops significantly, the cells of the functional layer will die out.
Deep tissues that are not affected by hormones, and remain in the body even during menstrual flow. Also look on the ultrasound as an echogenic line.
Confusion begins during the period of ovulation (several days before and after the egg leaves the ovary). It was at this time that the ultrasound specialist sees three clear, even lines in the picture.
But the third line in the picture is not any real physical layer of tissue, but only hyperechoic border between the basal and functional layers. It is during this period that it is best to plan conception.
Thus, if a specialist says that at the moment the endometrium is three-layered, this does not mean that some new type of tissue has grown. Just in the picture you can see three clear lines.
Pregnancy: the body is changing
If the endometrium is 10 mm, is pregnancy possible? To find out, you need to visit a doctor and do a special study - M-echo. It is important to remember that the bearing of the fetus for the female body is associated with restructuring systems and changes in hormonal levels. The reproductive system is changing most actively, in particular the uterus. This body is able to develop in such a way as to cope with the stresses accompanying gestation and childbirth.
By its nature, the uterus is hollow, inside is covered with a mucous membrane, called in science "endometrium". Day by day, the thickness of the mucous coating varies. The effect on this have a blood supply and hormones. During the menstrual cycle, the body regularly prepares optimal conditions for conception, then it renews and updates this “bed” for the embryo. Endometrial rejection is the usual menstruation.
Endometrium and pregnancy
From the above it is clear that endometrium for pregnancy plays an important role. It is due to it that the conditions of conception are created, the fertilized egg can attach to the uterine wall and remain here, grow into a full-fledged fetus. Observed endometrium 10 mm with a delay is a guarantee that the fetus was able to attach, and tissues are used as a building material for the placenta, the membranes.
In parallel with what is happening in the female body at conception, the hormonal background varies greatly. The components released into the bloodstream prevent the rejection of the embryo. So a woman becomes a future mother.
General indicators and what they mean
Is endometrium 10 mm normal? Doctors say that rates greater than 7 mm are the norm. However, science knows of cases when women who had a mucous membrane was only five millimeters pregnant. However, in such a situation it is recommended to support pregnancy with drugs for the first few weeks. Apply:
Most often, the first drug is prescribed in the form of vaginal suppositories. The active substance is rapidly absorbed into the uterine tissue, which has a positive effect on the mucous membrane.
Endometrium: is it possible to ramp up
Endometrium with a thickness of 10 mm is a normal phenomenon, allowing you to become pregnant. If the study of the female body revealed that the thickness of the mucous is insufficient, hormone therapy should be applied. The best option is selected by doctors, based on individual intolerance and indications for treatment. As a rule, prescribed funds that contain estradiol. In pharmacies, these are the following drugs:
- "Proginova" (in the form of tablets).
- Femoston (for oral administration).
- Divigel (gel for local use).
If the study showed that the thickness of the endometrium is 10 mm - what does this mean? A woman can prepare for pregnancy, her body is normal. If the parameters turned out to be less, but there is no desire to take hormones at all, you can resort to traditional therapy, after consulting with your doctor.
There are homeopathic drugs that show good results for endometrial growth:
On the fifth day of the menstrual cycle, you can brew raspberry leaves and drink the entire first phase instead of tea. It is recommended to include fresh pineapples in the daily menu. Canned are also suitable, but they have very few vitamins, so the effectiveness will be extremely low. It is better to choose ripe fresh pineapples and eat as many as you want.
At the same time, it must be remembered that a deviation from the norm is not necessarily a cause for panic. All women planning a pregnancy, I want to know, a heterogeneous endometrium of 10 mm - whether it will be a diagnosis, a problem for pregnancy, an indicator that it is impossible to bear a fetus. It must be remembered that for some women this may be difficult, while the body of others will cope with the situation perfectly, ovulation will be successful, and the pregnancy will be easy.
Cycles, ovulation and endometrium
“Endometrium 10-5 mm - what does this mean?”, - this question is often asked by a woman who has undergone a gynecologist examination because of unsuccessful attempts to become pregnant. It's simple: it is only an indicator of the thickness of the mucous, varying depending on the day of the cycle. It is necessary to understand that this quantity changes every day and this phenomenon is normal. No need to panic, although certain difficulties for successful ovulation creates a very thin mucous membrane (5-7 mm).
However, the endometrium is not always the case. There are such cycles when ovulation is absent. Normally, a woman in a year such happens one or two. If this does not happen in a row for several cycles, then you need to consult with a gynecologist. An analysis is usually prescribed for LH + FSH, prolactin, hormones produced by the thyroid gland.
And when to worry
В некоторых случаях исследование у гинеколога позволяет поставить диагноз «гиперплазия эндометрия». 10 мм – это обычно не та толщина, при которой стоит беспокоиться. Но если покрывающие матку ткани утолщаются до двух сантиметров, а иногда и больше, необходимо начинать лечение, а также брать дополнительные анализы. В первую очередь женщину проверяют на онкологию.
If you suspect hyperplasia, you need to contact a gynecologist. The doctor will check the uterus and examine the benign changes, take tests to identify the causes. In some cases, endometrium with abnormal thickness is not a sign of hyperplasia.
Ultrasound as a way to measure the endometrium
The question of the situation when the endometrium is 10 mm, what does it mean, usually women who undergo the M-echo ultrasound procedure are asked. That it is today considered the most effective to determine the thickness of the mucous.
The doctor conducting the study identifies the condition of the uterine mucosa, determines whether the organ functions correctly, and if not, it finds irregularities in its work. In the course of the M-echo, it is determined whether the fertilized egg can be implanted in the uterine walls.
Endometrial cycles and standards for M-echo
Endometrium 10 mm - what does this mean? As a rule, this shows that the woman is going through the middle or the end of the menstrual cycle. However, well-known standards are developed for those women whose menstrual cycle lasts 28 days. It was for him that the table of normative values was given above. If the individual characteristics of the organism are such that the cycle is shorter or longer, then this graph is lost.
Below is a more general calendar of changes in endometrial thickness.
Average index, mm
Normal range, mm
First seven days
So, as can be seen from the table, you should not be worried about the thickness of the endometrium of 10 mm, "what does this mean" - this is not the question that should scare. Or rather, this means that the female body is normal and ready for pregnancy. If the cycle is shorter than 28 days, the rate of change of parameters is faster; if the cycle is longer, there will be a lag from the average calendar.
Evaluation of the results of M-echo
Typically, standards depend on the age of the patient, phase of the cycle, medication, and many other factors. To identify all the features, the doctor interviews a woman at the reception.
If you try to determine at home, the thickness of the endometrium is 10 mm - what does this mean, the likelihood is high only to confuse and intimidate yourself, to find non-existent diseases, to be nervous, which will lead to hormonal disturbance and rejection of the ovum if fertilization has already occurred - this often happens against the backdrop of severe stress. Therefore, you should not look for a disease or disorder yourself, but it is better to consult an experienced gynecologist. He will be able to say for sure that there are abnormalities or the organism is completely normal.
If the menstrual cycle has a standard duration, the woman is in the reproductive period, the normal thickness of the mucous membrane for 10-15 days will be 8 mm. If the parameter persists at other stages of menstruation, it may be the reason for hormonal therapy. If there is none, the doctor can diagnose hypoplasia. This means that the ovum has few chances to consolidate on the uterine wall. For a successful pregnancy prescribed drugs that affect the endometrium.
Probably, there are problems in the reproductive system, if the M-echo showed a thickness of the mucosa of 8 mm, but the woman is already going through menopause. In this case, prescribe additional studies, including Doppler. The patient is registered and periodically examined in a period of about six months to identify the causes of deviations.
Usually this thickness of the mucous reaches on the 15th day of the cycle. Indicators remain on average for about 6 days. With a short cycle of up to 9 mm, a layer of tissue covering the inside of the uterus may expand before the 15th day, and this will be a normal situation. If the cycle is longer, then on the 15th day, usually the thickness does not reach 9 mm, it happens a little later.
M-echo: 10 mm
Endometrial thickness 10 mm - what does this mean? This is usually the second half of the menstrual cycle. If, even in the first 15 days of the study, it is determined that the thickness of the mucous membrane reaches ten mm, hyperplasia is possible. This can serve as an indicator of disease, inflammation.
If the reproductive period in a woman has come to an end, but the lady takes hormones, then the uterine lining should reach 10 mm, but in no case exceed this value.
M-echo: 11 mm
This parameter is normal for the second half of the cycle. If the endometrium has not grown to this thickness, the fertilized egg is unlikely to take root in the uterus. It is believed that 11 mm - the minimum figure that allows for successful ovulation. Exceptions are possible, but extremely rare.
But if the mucosa thickness reaches 11 mm in the first 14 days of the menstrual cycle, doctors prescribe additional tests and conduct a comprehensive diagnosis of the body: this parameter indicates diseases, the nature of which should be urgently established. Perhaps the cause will be benign neoplasms, but there is a possibility of their malignancy with time.
Endometrial thickness and conception
Endometrium is absolutely necessary for successful ovulation, since a fertilized egg can attach to it. For this stage to be effective, the thickness must reach 11-13 mm. Accordingly, projections for conception can be made by regularly checking the thickness of the endometrium and conducting M-echoes during the control menstrual cycle. To be able to get pregnant, it is desirable that the mucous was homogeneous.
When the indicator is less than the norm (7-8 mm), the fetus will not be able to implant. This is eliminated by the use of hormonal drugs.
The dimensions of the endometrium are directly related to the size of the uterus itself. The latter is highly dependent on individual characteristics: for example, how many times a woman is pregnant and giving birth. The uterus changes under the influence of menstruation, decreasing at the beginning of the cycle and increasing closer to the period of bleeding. Clinical significance such changes do not have.
If during the ultrasound it was found that the thickness of the endometrium is 10 mm, this is not a reason to be afraid and panic. In fact, the indicator is completely normal for a certain phase of the cycle. When receiving the results of a hand study, a woman should visit the attending gynecologist to consult how her body is in order. What is normal for some, others will be regarded as hyperplasia or a sign of the presence of pathology.
To manage to get pregnant, the endometrium must be 10–11 mm or more in thickness, but not exceed 15 mm. Adjustment of indicators is achieved by hormonal therapy under the supervision of the attending physician. You can additionally help with folk remedies, but you should consult with a doctor first.