Some women discover thickening of their endometrium during pre test tube transplantation examinations. In this case, doctors may require patients to adjust the endometrium before transplantation, and freeze the embryos to postpone embryo transfer. Many comments online say that curettage is the best choice. So, is it necessary to undergo surgical curettage for endometrial thickening before in vitro transplantation? Today, let the editor of 592 Baobao Net answer for everyone.

Not all endometria with a thickness of 12mm require curettage, mainly due to individual differences. If the ultrasound examination reveals a 12mm endometrium before menstruation, it can be rechecked after the menstruation is clean. For women with prolonged vaginal bleeding, especially perimenopausal women, if a 12mm endometrium is found, it is recommended to undergo curettage. The purpose of curettage is to stop bleeding and scrape endometrial tissue to determine whether there are malignant changes in the endometrium.

Therefore, for patients with a 12mm endometrium, specific reasons need to be analyzed. Whether a 12mm endometrium requires curettage depends on whether the woman has amenorrhea. If the endometrium reaches 12mm before amenorrhea, there is no need for curettage and it belongs to the normal range. The endometrium is in a constantly changing process, with a normal thickness of 14mm, so there is no need to worry.

If it is a postmenopausal woman, it should be noted that the endometrium reaches 12mm. Generally speaking, the endometrium of postmenopausal women generally does not exceed 6mm. When it reaches 12mm, the possibility of endometrial cancer with warts cannot be ruled out, so diagnostic curettage and pathological laboratory examination are necessary. Through pathological testing, if diagnosed as malignant, timely surgery is required, and later radiotherapy or chemotherapy is required according to the condition.

Endometrium thickening. If the patient's menstrual cycle is regular, there is no increase in menstrual volume, no abnormal vaginal bleeding, and the endometrial echo is very uniform, there is no need for curettage. It is generally recommended to immediately review gynecological color Doppler ultrasound after menstrual cleaning. If the endometrium thickens and is accompanied by abnormal uterine bleeding, increased menstrual flow, or incomplete menstrual flow, further diagnostic curettage is necessary.

Especially for perimenopausal women, if the endometrium thickens, the endometrium echoes unevenly, and there is abnormal vaginal bleeding, it is generally recommended to undergo diagnostic curettage surgery. Based on the pathological condition after diagnostic curettage surgery, determine the next step of treatment. After curettage, attention should be paid to rest, sexual activity should be prohibited, vigorous exercise should be avoided, and oral antibiotics should be taken to prevent infection.