Uterine Wall Thickening

The uterus is an organ in the female reproductive system that is responsible for holding the baby during pregnancy. The uterus, which is located on the inside of the pelvic bone and opens into the vagina, is mostly made up of muscle. The inside of the uterus is made up of connective tissue and glands. The layer on the inside of the uterus is called the endometrium layer. This layer is the layer to which the fertilized egg, the embryo, attaches during pregnancy and is found on the inner wall of the uterus. During a normal menstrual cycle, the uterine wall thickens along with the endometrium layer in preparation for a possible pregnancy, depending on the hormone levels in the body. In cases where pregnancy does not occur, the thickened uterine wall flakes off and becomes thinner again. The shed endometrium layer is removed from the body with menstrual bleeding. This endometrial tissue, which thickens during each menstrual cycle, sometimes thickens more than normal, causing the uterine wall to thicken.

What Causes Uterine Wall Thickening?

The endometrial tissue layer in the uterine wall begins to thicken as the estrogen hormone in the blood increases. This thickening is the body’s way of preparing itself for a possible pregnancy. When pregnancy does not occur, the estrogen hormone levels in the body decrease and the progesterone hormone level increases. With the increasing progesterone level, the endometrial tissue in the uterine wall is shed and removed from the body with menstrual bleeding. However, due to hormonal disorders, abnormal thickening of the uterine wall may be observed.

In a normal cycle, the effect of the increased estrogen hormone on the body is then balanced by the increased progesterone hormone level. However, when this balance is disrupted and the body does not secrete enough progesterone, thickening of the uterine wall can occur. The main conditions that increase the risk of thickening of the uterine wall are;

• The menopause period when the secretion of progesterone hormone ends,
• Polycystic ovary syndrome,
• Diabetes,
• Obesity,
• It appears as ovarian cysts that secrete estrogen,

What are the symptoms of uterine wall thickening?

• Long and excessive menstrual bleeding,
• Menstrual irregularity,
• More pain than normal during menstruation,
• Intermenstrual bleeding,
• Brown vaginal discharge,
• Vaginal bleeding after menopause is the most common symptom of uterine wall thickening.

However, uterine wall thickening may not cause any complaints or symptoms. In many patients, uterine wall thickening is detected during routine gynecological examinations. In order to protect against uterine wall thickening and all other gynecological diseases, regular gynecological check-ups should not be neglected. You can contact our clinic for all your questions and problems regarding   uterine wall thickening and gynecological diseases and birth; you can make an appointment.

What are the Types of Uterine Wall Thickening?

Uterine wall thickening   is a disease that should not be treated because it carries the risk of creating an environment for uterine cancer. When evaluated in terms of carrying the risk of uterine cancer, it is possible to talk about 4 different endometrial hyperplasias;

• Simple hyperplasia
• Complex hyperplasia
• Simple hyperplasia with atypia
• Complex hyperplasia with atypia

While simple hyperplasia is the least risky group, complex hyperplasia with atypia is the highest risk group.

How is Uterine Wall Thickening Treated?

Treatment method for uterine wall thickening,

• The type of thickening seen in the uterine wall,
• The medical condition of the patient,
• The patient’s pregnancy plans,
• The general condition of the uterus,
• It is determined under the supervision of a specialist physician, based on genetic factors by listening to the patient’s family history.

The treatment of the disease usually involves drug therapy that reestablishes hormonal balance. Drug therapy that balances estrogen and progesterone hormones prevents thickening of the uterine wall. Progesterone-containing drugs are primarily used. However, if it is determined that atypic cells accompany the thickening of the uterine wall, surgical removal of the uterus is also possible. Before deciding on hysterectomy, the patient’s pregnancy plans and whether she is in the reproductive period are taken into consideration. In patients who are premenopausal and planning to become pregnant, high-dose progesterone therapy may be recommended without resorting to surgery. However, in such cases, it is important to perform biopsies and MRIs at regular intervals and to evaluate the tissue sample in terms of pathology, taking into account the risk of cancer.

  Uterine Wall Thickening Treatment Prices

The treatment program to be applied for uterine wall thickening is determined on a patient-specific basis after the examination of the specialist physician. Therefore, treatment prices may vary. For detailed information about   uterine wall thickening treatment prices, you can contact our clinic and make an appointment.