Every woman strives for conception, each dreams of a child. For some, this process takes place according to a "natural schedule", while others need to make a lot of effort to achieve the desired results. Today, the problem of infertility, unfortunately, concerns very many.
The reasons can be different:
- passive ovulation;
- ovarian dysfunction;
- polycystic ovary disease;
- hormonal problems;
- early menopause;
- psychological problems;
- thin endometrium, etc.
How can we help the body prepare for conception and subsequent natural childbirth? It is necessary to resolve this issue by timely contacting specialists. And in no case should you delay with this. The older a woman is, the more difficult it is to diagnose and treat female 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 lack of estrogen (a hormone responsible for the growth of the uterine lining) or previously caused injuries: scraping, abortion, spiral.
You have established the cause that caused infertility, it remains now to find out how to build up the endometrium in order to. Not only pills and pills will help here, but also herbs.
Doctors, for their part, inject into the woman's body "Estradiol", "Duphaston", which helps to form the epithelium of the uterus. Before ovulation, prescribe to drink drops of "Gormel", after - "Utrozhestan". We will consider how to build up the lining of the uterus with the help of folk remedies used in alternative medicine.
Folk remedies to help build up the endometrium
The endometrium is formed under the influence of the hormone estrogen. So we need folk remedies that have properties of estrogens, androgens, and progesterone. These include:
- sweet clover;
- licorice;
- mistletoe;
- hop;
- sage;
- Clover;
- celery;
- rape;
- lovage;
- hogweed.
By consuming decoctions of these herbs, our body will be able to more actively produce those hormones that will help in building up the endometrium.
The woman herself chooses the methods of solving problems with infertility. If only there was a good result. There are many factors to consider here. Although there are numerous cases when only an increase in the thickness of the inner layer of the uterus has already yielded the desired result.
Boron uterus and red brush
Decoctions of these herbs should be drunk after ovulation. Those who have used them report excellent results. By transforming into a hormone, such a seagull from Ortilia helps the growth of the endometrium.
The following scheme works well in application. Divide the menstrual cycle into two phases, where in the first - it is after menstruation until the middle of the cycle, drink "Red Brush" ("Cold Radiola"), in the second phase - "Borovoy uterus".
Pour herbs (1 tbsp. L.) With boiling water (1 glass) after 4 hours of infusion, not just drink, but "eat" the broth (every 6 hours).
Sage, knotweed, wormwood and carrot seeds
If you take broths of sage, then they will miraculously affect the desired result. Brew sage like tea and drink half a cup three times a day.
Drink decoctions of carrot seeds and bitter wormwood. With regard to wormwood, you need to be extremely careful. In large quantities, it can cause poisoning. No more than 1 pinch per glass of boiling water.
Knotweed can be found everywhere and in pharmacies. It should be drunk from the onset of menstruation to 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 trauma to the uterus, genetic predisposition. In principle, women may not be aware of their ailment, because this pathology has no special symptoms. But when the ladies decide to get pregnant, then this problem "rises in full growth."
Treatment of the disease should be prescribed only by a specialist, because a hormonal surge can aggravate a woman's condition. Phytotherapy is also considered to be a component of complex therapy. Infusions, tinctures and decoctions based on boron uterus or a red brush are familiar to doctors firsthand. They mildly affect the work of the gonads, without depleting them, and also contribute to the regeneration of the uterine lining.
Good nutrition is the key to success
Pineapple helps, many were convinced of this. It turns out both tasty and effective. You need to start eating it 3 days before ovulation. The doctors are surprised. It's better than swallowing handfuls of hormones.
Add some supplements to your diet to build up the lining of your uterus. Indulge in citrus fruits more often, and especially red apples. Vitamin "C", which they contain, will strengthen the blood vessels, and this is very important for the formation and growth of the structure of the endometrium.
You need to eat honey, cherries, cranberries, strawberries and grapes, which contain specific salicylate substances. They not only prevent 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 list of foods: salmon and tuna, anchovies and mackerel. With its help, cholesterol will be reduced.
Let's dance ?!
If you decide to build up the endometrium, get away from a sedentary lifestyle, or rather, run away from it. The main task in solving this problem is to activate the blood supply in the small pelvis. Go for jogging, aerobics, swimming, anything that can disperse the blood. If these sports are not possible, practice oriental belly dancing.
Wumbling will also be a good activity, its movements are aimed at strengthening both the pelvic muscles and the vaginal muscles. Such exercises are also used as a preventive measure against many gynecological diseases.
Massage of the small pelvis is also useful. They can be point and traditional. Remember, in order to find a happy motherhood, you must definitely consult a specialist. And only then independently apply folk methods.
It is impossible to conceive and bear a healthy child without providing adequate nutrition and respiration of the fetus. His life and health depends on the state of the endometrium, and then the placenta, which is formed from the inner lining of the uterus.
If the endometrium is thin, not only the successful course of pregnancy, but also the very conception is in question.
How does the thin endometrium affect pregnancy?
The main purpose of the mucous membrane lining the uterus from the inside is to create conditions for the implantation of the blastocyst and its full development. The endometrium is a hormone-dependent structure consisting of the integumentary and glandular epithelium and the stroma, the connective tissue that produces collagen.
The epithelium and stroma are penetrated by an extensive network of blood vessels that feed the mucous membrane. When the egg is implanted, progesterone prevents mucosal rejection and stimulates its development to provide the fetus with nutrients and oxygen.
If the endometrium is small, the egg does not have the ability to gain a foothold on the wall of the uterus. A woman with such a pathology often suffers from an 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 nutrition of the fetus;
- Oxygen starvation of the unborn child;
- Abnormal presentation of the fetus;
- Placental abruption;
- Weakness of labor;
- Insufficient dilatation of the cervix during labor.
To avoid such problems, you need to find out the reason for the insufficient growth of the endometrium and use all possible ways to solve the problem.
The reasons for the thinning of the endometrium
To clarify the reasons for the insufficient growth of the inner layer of the uterus, the doctor will analyze the hormonal background, prescribe an ultrasound of the pelvic organs, an endometrial biopsy.
Immature thin endometrium - the main reasons:
- Hereditary feature of hormonal regulation of the reproductive system, underdevelopment of the uterus;
- Hormonal imbalance caused by the pathology of the endocrine system;
- Violation of the full blood supply to the pelvic organs due to injuries, inflammatory diseases of the reproductive organs;
- Taking oral contraceptives;
- Trauma to the mucous membrane resulting from the 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 - the 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 discharge;
- Irregular menstrual cycles;
- Habitual miscarriage, infertility.
A blood test for the content of estradiol, which is responsible for endometrial maturation, will help establish an accurate diagnosis.
Enlargement of the endometrium
There are both traditional and alternative methods that increase the thickness of the lining of the uterus. 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 - a synthetic analogue of progesterone or Urozhestan - its natural analogue.
If the reason for the insufficient growth of the mucous membrane was the intake of oral contraceptives, their use should be abandoned and Regulon should be taken within 2 months. This tactic in most cases leads to positive results.
Homeopathic drops Gormel have a mild effect, stabilizing the hormonal balance of the female body, activating the production of estrogen.
Alternative ways
The creation of optimal conditions for the growth of the endometrium is the saturation of the diet with foods rich in salicylates. Biochemical processes involving salicylates build up the endometrium naturally. The menu should contain:
- Nuts;
- Spices;
- Red grape wine;
- Dried fruits;
- Fruits (pineapple, apples, red grapes, tangerines, apricots);
- Berries (cherries, blueberries);
- Vegetables (cucumbers, tomatoes, bell peppers, radishes, spinach, broccoli, spinach).
To enrich the diet with essential fatty acids, fatty varieties of sea fish, products with vitamin C are included in the diet.
To stimulate blood circulation in the pelvic organs and thereby contribute to the growth of the endometrium, the following methods are recommended:
- Massage (classical and acupressure);
- Acupuncture;
- Mastering belly dancing;
- Aerobics;
- Hirudotherapy (treatment with leeches).
To apply these methods, a doctor's consultation is required, taking into account contraindications.
Traditional medicine recipes
Women who have contraindications to hormone therapy (for example, breast fibroadenoma) are interested in how to build up the endometrium with folk remedies using herbal medicine.
There are plants containing phytoestrogens, treatment with which will improve hormonal levels. Most often, for this purpose, the boron uterus is used, containing antioxidants, trace elements, antioxidants, flavonoids, saponins, vitamin C.
Borax Uterus Recipes:
On the growing moon, pour a glass of alcohol 1 tbsp. l. dry raw materials, keep for 2 weeks in a cool dark place. Take 25 drops before meals, 3 times a day.
Masterbatch 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 3 tbsp. herbs, insist 3 hours, filter.
Broth from a red brush.
These recipes are used in the second half of the menstrual cycle, and in its first half you need to drink a decoction of the herb red brush: Pour 200 ml of boiling water in 1 tbsp. dry herb, leave for 4 hours, take 1 tbsp. l. every 6 hours.
The combined use of these herbs is highly effective.
Traditional medicine recipes:
Sage broth.
Brew like tea, drink to quench your thirst throughout the day.
Infusion of knotweed. Pour 1 liter of boiling water over 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 phytotherapist.
Is it possible to build up the endometrium quickly when planning a pregnancy?
If a woman is diagnosed with endometrial hypoplasia, and she plans to conceive, it is important to carry out all the therapeutic measures in the complex under the supervision of a doctor. The main condition is a positive attitude and confidence that everything will work out.
So, how to enlarge the endometrium when planning pregnancy:
- Apply hormonal therapy or treatment with phytopreparations;
- Saturate the diet with foods high in vitamins, trace elements, salicylates, polyunsaturated acids;
- Use massage, leech therapy, acupuncture;
- Activate blood circulation with feasible physical activity.
Consistent implementation of the doctor's recommendations, control over the state of the uterine mucosa, a positive attitude will certainly lead to the desired goal - conception and pregnancy.
The thickness of the endometrium plays the most important role in the process of conception, so many women, when planning a pregnancy, face the question of how to build up the endometrium for conception. At different stages of the menstrual period, the thickness of the endometrial layer is different. This factor must be taken into account if attempts to conceive a baby remain unsuccessful for a long time. Experts determine the peculiar norms of endometrial thickness and can determine the most favorable day of the cycle, when the endometrium will be most suitable for fixing the fertilized cell.
The endometrium is the inner mucous layer of the uterine body, consisting of the integumentary glandular epithelium, connective tissue structures and the circulatory system. The endometrial layer provides optimal conditions for the implantation of the embryo from the tube into the uterine body and its implantation into the wall of the uterus. Endometrial activity is controlled by hormonal substances and depends on their level. At the end of the cycle, the maximum thickening of the endometrium occurs, the number of glandular fractions in it increases, the blood supply improves, and the most favorable dimensions of the endometrium for conception are achieved. When the full-fledged implantation of the ovum into the uterus occurs, the endometrial vascular network will pass to the placental tissues, through which oxygen and nutrition will be supplied to the fetus in the coming months. Therefore, indicators such as structural maturity and thickness of the endometrium for conception have one of the fundamental values.
The activity and maturation of the endometrial layer is influenced by the ovarian hormone - estradiol. With its normal concentration in the female body, a full maturation of the endometrium occurs monthly, followed by the formation of progesterone receptors. Progesterone is a hormonal substance produced during the postovulatory period that is essential to maintain a comfortable pregnancy. Normally, conception occurs according to the following scenario:
- In the middle of the cycle, ovulation occurs and the female cell leaves the follicle;
- Caught in the fallopian tube, she waits for a meeting with the sperm;
- When intercourse occurs, thousands of sperm rush to the waiting female cage;
- One of the spermatozoa penetrates under the ovum and merges with the cell - fertilization occurs, during which the ovum is formed;
- Then the already fertilized cell will go into the cavity of the uterine body in order to grow into the endometrial layer. It is at the moment of implantation of the embryo into the endometrial structures that pregnancy occurs.
If conception does not occur, then the endometrial tissue exfoliates and leaves the uterine cavity in the form of menstrual bleeding, in which an unusable corpus luteum and an unfertilized egg are also present. With the onset of a new cycle, another cell will mature and a new endometrial layer will grow. These processes are repeated monthly until the woman reaches the menopausal period.
Endometrial thickness
As already described above, at different phases of the cycle, the thickness of the endometrial layer changes. What should be the thickness of the endometrium for conception? On the 5-7th day of the cycle, the endometrial size reaches about 3-6 mm, on the 8-10th day - 5-10 mm, on the 11-14th day - 7-14 mm, and on the 15-18th day - 10-16 mm, on On the 19-23 day of the cycle, the thickness of the endometrial layer increases to 10-18 mm, on days 24-27 - up to 10-17 mm. During menstruation, the endometrial layer is already 5-9 mm.
When menstruation ends, regeneration processes begin, the thickness of the mucous membrane of the intrauterine membrane reaches about 0.2-0.4 cm, but with the beginning of regeneration, its rapid build-up occurs. For full conception to take place, the thickness of the mucous layer must reach at least 1.1-1.3 cm - this is the generally accepted norm of the endometrium for conception.
On the 18th day of the cycle, the fertile stage ends and by the 19-23 days the thickness of the endometrial layer reaches its maximum values, so the embryo can fix without problems to the uterine wall. By the end of the cycle, about 24-27 days, the endometrial mucous layer begins to thin again, its size by this time should normally be about a centimeter.
Pathology
If various kinds of pathological factors arise, then the maturation of the endometrial layer does not occur, or it does not mature to the size normal for conception. Then the patient is diagnosed with infertility. The endometrial layer can pathologically change due to hypoplasia or hyperplasia. With hypoplasia, the mucous layer becomes thinner, reaching only 0.6 cm by the time of ovulation. Such deviations require compulsory medical intervention. If the size of the endometrium does not change throughout the cycle, then the cause of such deviations may be pathologies such as insufficient blood circulation or chronic endometritis. With hyperplasia, the size of the endometrium, on the contrary, exceeds the norm.
For proper treatment, it is necessary to know exactly which factor caused the dysfunction of the endometrial layer.
- Thinning of the endometrium can be caused by endocrine congenital abnormalities or muscular underdevelopment of the uterus;
- Long-term use of oral contraception can also cause problems;
- Infectious uterine lesions;
- Often a similar diagnosis is made against the background of hormonal disruptions;
- With violations of the uterine circulation;
- Traumatic injuries of the endometrium during gynecological curettage;
- Due to a deficiency of hormones that are responsible for the full formation of the endometrial layer.
Even a hereditary factor can cause such a pathology, although there are still many discussions about this theory.
How to normalize thickness
The endometrial layer with its pathological thinning is quite amenable to correction. But before treatment, the patient needs to undergo a series of diagnostic procedures. The examination necessarily includes an analysis of the concentration of hormones such as progesterone, prolactin, follicle-stimulating and luteinizing hormones, as well as estradiol. Also, a woman undergoes ultrasound diagnostics, during which the course of folliculogenesis and other reproductive processes is assessed.
Among other studies, a bacterial culture is taken from the uterine cavity and cervical canal. Be sure to conduct a histological examination of the endometrium with the taking of biomaterial on the 22-24th day of the cycle. Problems with the endometrium can arise due to genital infections, therefore, during the diagnosis, a study is carried out for papillomavirus and herpes infection, ureaplasma and mycoplasma, chlamydia. Often they also resort to the pipel biopsy technique, which makes it possible to clearly determine the presence of structural abnormalities in the inner uterine layer.
After determining the cause, the doctor selects the optimal therapy method.
Medication methods
If the thinning of the endometrial layer is provoked by a low hormonal status, then its thickness can be increased by taking certain hormonal drugs. At the beginning of the cycle, injections of estradiol, Divigel, Proginova, Femoston are shown. Such medicines help to increase the thickness of the mucous layer due to the activity of the glands and increase blood circulation. If the endometrium does not grow properly due to progesterone deficiency, then the patient is prescribed Duphaston or Utrozhestan. These medicines contain a progesterone hormone, which is necessary for the embryo to implant into the uterine wall. In addition, these medicines help the endometrium to fully form and mature.
In addition to hormone therapy, the specialist makes other medicinal prescriptions, the purpose of which is to eliminate the pathologies that provoked the thinning of the endometrium. Their action is aimed at the destruction of inflammation and infections, the restoration of mucous lesions. If at the time of treatment the patient is protected by taking oral contraception, then such drugs will have to be abandoned.
Gormel is also an effective drug for restoring the endometrium. These drops belong to the category of homeopathic remedies, but they are quite effective in terms of regulating female hormonal levels. The drug activates estrogenic production, but at the same time acts mildly. The increased hormone, in turn, contributes to the normal formation of endometrial tissues.
It is much more difficult to eliminate such causes of thinning as post-abortion consequences. In such a clinical situation, the doctor prescribes a complex medication with the use of antibiotics and anti-inflammatory drugs. The treatment will be long, and the monthly endometrial growth processes will return to normal not earlier than six months later. Moreover, even with normal sizes of the uterine mucosa, there is no guarantee of pregnancy after such complications.
Folk remedies
With a thinned endometrium, alternative methods of treatment can also help.
- Borovaya uterus. This is a well-known herb among women that restores hormones, promotes the maturation of a normal endometrium, and also supplies the body with the necessary elements. The herb can be brewed, consumed as tea, or doused with its infusion. Alcohol tincture is even prepared from the boron uterus.
- Sage is also considered to be no less effective for building up the endometrium. A decoction is prepared from the plant and taken from 4 days of the cycle to its middle (ovulatory period). Taking sage after ovulation, if fertilization has occurred and full conception has occurred, can cause a miscarriage. That is why they take the remedy only before ovulation, that is, in the first half of the cycle.
- Promotes the restoration of the endometrium and the use of vitamins E and C. Foods rich in these substances have an incredible effect on the uterine mucous membranes. Flaxseed and milk, currants and fresh vegetables, pineapples and citruses - a woman should place special emphasis on these products.
Help improve low-pelvic circulation and abdominal exercises. Such a seemingly simple method can help many patients restore the endometrium, but it is recommended to discuss the method with a gynecologist before using it, because in some pathologies, pumping the press, on the contrary, is dangerous. Unconventional approaches such as leech therapy or acupuncture also improve blood circulation.
The best and fastest results are achieved with an integrated approach to solving the problem. But any treatment must necessarily be discussed with a specialist. Even harmless herb, if used improperly, can harm reproductive health. The size of the endometrium is of great importance for the onset and development of pregnancy, so it is better to avoid mistakes like abortion and curettage from a young age.
Content
One of the most common causes of female infertility is endometrial hypoplasia. The thin endometrium does not give a chance for the successful attachment of a fertilized egg, or the onset of pregnancy soon ends in miscarriage, which are often habitual. Basically, the problem of thin endometrium worries women undergoing IVF. There are many reasons for the underdevelopment of the endometrial layer, but the main blocks can be distinguished:
- violation and imbalance in the production of female sex hormones, in particular, a lack of estrogen;
- impaired endometrial receptivity with normal estradiol levels, which means an insufficient number of estrogen receptors or a change in the balance of estrogen and progesterone receptors, and leads to the impossibility of binding hormone molecules to cell membranes;
- infectious and inflammatory processes in the uterus of a chronic nature;
- insufficient uterine blood flow;
- hypercoagulation - increased blood clotting for various reasons;
- autoimmune processes.
In women with infertility, the uterine factor is 25 to 60%. The most difficult task in the treatment of infertility is the violation of embryo implantation, which is most often associated with the pathology of the inner layer of the uterus. It can be very difficult to build up the endometrium in the event of a change in its receptor properties.
The overwhelming majority of experts are inclined to believe that then the thickness of the endometrium equal to 8 mm or more in the second phase is considered optimal for embryo implantation. With a lower indicator, it must be increased.
To build up the endometrium, medication, physiotherapy, vitamin therapy, and a change in the nature of nutrition are used. The following stages are distinguished in the process of building up the inner uterine layer:
- blood thinning, increased blood flow, microcirculation in the tissues of the uterine layers;
- immunocorrection;
- anti-inflammatory and antibacterial treatment;
- hormone therapy with estrogens for direct growth of the endometrium;
- surgical interventions with the aim of dissecting adhesions, removing cysts and tumors;
- physiotherapy methods.
The traditional methods of building up the endometrium are supplemented by taking herbal decoctions, certain food products and vitamin complexes.
Endometrial thickness norms
Cyclic changes in estrogen and progesterone levels provide a natural rate of growth of the endometrium, and at the beginning of the second phase of the cycle, the structure of the layer changes, which ensures the introduction of a fertilized egg. The implantation window has an average duration of 4 days, namely from 6 days after the peak level of luteinizing hormone (after ovulation).
With a classic cycle length of 28 days, the implantation window lasts from 20 to 24 days. The rate of growth of the endometrium by this period is maximum and its thickness is 10-14 mm in a healthy woman. When trying to build up the inner uterine layer, they achieve dimensions equal to at least 8 mm in the second phase, but its quality must also be appropriate. Therefore, the treatment of hypoplasia should not be one-sided and include only hormonal support. The inclusion in the therapeutic block of agents covering all links of the pathogenesis of the disease, allows you to build up the endometrium and create a high-quality implantation window.
To determine the thickness of the endometrial layer, ultrasound and dopplerometry are used. One of the modern methods for studying the organs of the female reproductive system is three-dimensional image reconstruction in color and power Doppler mode on 3D or 4D ultrasound. The technique allows you to assess the effect of the growth of the endometrium, since it is possible to assess the structure of the layer. The advantage of this method is the ability to view any desired plane, saving the results in the database.
Causes and methods of treatment
Among the diseases and pathological factors leading to atrophy and underdevelopment of the endometrium, there are:
- hemostasis mutations;
- thrombophilia;
- antiphospholipid syndrome;
- varicose veins;
- tumors, cysts and other neoplasms leading to compression of the vessels of the small pelvis;
- autoimmune processes;
- chronic endometritis;
- insufficient production of estrogen by the ovaries;
- Asherman's syndrome;
- frequent scraping, leading to damage to the growth layer.
One of the eliminated causes of a thin endometrium is the use of certain hormonal drugs: combined oral contraceptives and the ovulation inducer Clomiphene (Clostilbegit). Contraceptives, as a rule, lead to the effect of an evenly thin layer throughout the entire menstrual cycle, and this is considered the norm. Cancellation of drugs leads to gradual recovery and normal growth of the endometrium. Pregnancy occurs within six months.
Clostilbegit is one of the most outdated ovulation stimulants, however, it is still used in obstetrics. The drug is used both in IVF protocols and to stimulate ovulation in the natural cycle. The disadvantage of the medication is the pronounced inhibition of the synthesis of estrogen, due to which the growth of follicles occurs. If there is no parallel administration of estrogen preparations, the endometrial layer remains thin and unsuitable for implantation. The use of Clomiphene requires the administration of hormonal agents containing estrogen in order to build up the endometrium and ensure implantation.
Endometrial quality problem
Adequate blood supply to the uterus and all its layers is one of the main prerequisites for recovery. To build up the endometrium, it is necessary to identify the cause of insufficient blood flow in the uterus and undergo a course of appropriate treatment, which will continue throughout pregnancy. When performing ultrasound and determining the M-echo in women, an insufficient number of spiral and basal arteries is visualized, which indicates a violation of the formation of new vessels. It is quite difficult to build up the endometrial layer in such situations. In addition, with dopplerometry, altered blood flow indicators are established.
Normal endometrial blood flow contributes to the creation of a "window of implantation" when the uterine layer is fully prepared for the introduction of a fertilized egg. Endometrial cells form pinopodia, which “capture” the embryo, the layer grows with new vessels, and various chemicals are produced that contribute to successful implantation. Therefore, reproductive specialists are faced with the task of not only increasing the endometrium, but also improving its quality, creating an “implantation window”.
Thin endometrium on ultrasound characterized by a poor growth of the glandular component, the absence of three-layer structure, high resistance in the uterine bloodstream, and insignificant vascular formation.
During ultrasound with color mapping and Doppler, the blood flow in the uterus is assessed. This method must be applied in dynamics in the treatment and attempts to build up the endometrium. Blood flows in the uterine, spiral, basal, arcuate, radial arteries in systole and diastole are assessed, indices are calculated.
The state of the blood coagulation system makes a significant contribution to the blood supply to the uterus. There are a number of pathological conditions that do not allow to build up the endometrium during hormonal treatment. The purpose of the combined treatment allows to improve the structural and qualitative characteristics of the layer in the uterus, and not only to increase it.
To improve blood flow in the vessels of the endometrium during its build-up, the following groups of drugs are used:
- low molecular weight heparins (Clexane, Fraxiparine);
- antiplatelet agents (Curantil);
- means for improving nutrition and microcirculation in the uterus (Pentoxifylline, Actovegin);
- venotonics (Phlebodia, Angiorus and others).
Means for improving trophism when building up thin the blood, strengthen the walls of blood vessels, increase the outflow of lymph and venous blood. In the presence of diseases of the coagulation system, these drugs are taken in preparation for pregnancy in order to build up the endometrium and upon its onset. Almost all groups of funds are included in the IVF protocol schemes. In gynecological practice, vaginal Sildenafil is also used to build up the endometrium and improve blood supply in the uterus.
Chronic endometritis
Gynecologists consider chronic inflammation as one of the provoking factors of hypoplasia. The main microorganisms that can lead to the chronicity of the process are chlamydia, urea and mycoplasma, Trichomonas, as well as opportunistic flora against the background of prolonged vaginal dysbiosis.
Thin endometrial layer often found in chronic endometritis.
Chronic endometritis differs from other gynecological pathologies in the latent course and the complexity of diagnosis. Often, a thin endometrium is the result of its chronic infectious inflammation. Attempts to build up the inner uterine layer cannot be crowned with success, and the long-awaited pregnancy does not occur due to insufficient diagnosis.
The detection of chronic endometritis is carried out with hysteroscopy and taking a tissue sample for histological examination. In addition, pipel biopsy, aspiration biopsy and study of the washings of the uterine cavity are used. After the diagnosis is established, long-term therapy is prescribed, aimed at suppressing inflammation and increasing the body's resistance:
- combinations of antibiotics from different groups, depending on the sensitivity of the isolated flora;
- immunocorrection (drugs and interferon inducers Genferon, Cycloferon, Groprinosin, stimulants - Polyoxidonium, Likopid, interleukins);
- enzymes (Longidaza, Wobenzym).
In addition to the main treatment, agents are prescribed that improve tissue trophism (Actovegin and others). long and can be several months. Then they begin to build up the endometrium with hormonal agents.
Asherman's syndrome
One of the causative factors of a thin endometrial layer is the formation of connective tissue adhesions in the uterine cavity - synechia. Otherwise, this pathology is called Asherman's syndrome. It is impossible to build up the endometrium with medication with synechiae and surgical intervention is required. Adhesions are most often formed after curettage of the uterine cavity, especially with repeated manipulations. With Asherman's syndrome, there is also a violation of uterine blood flow, which makes it impossible to build up the endometrium. The role of an infectious factor in the development of uterine adhesions has not been conclusively proven.
When trying to build up the endometrium, it is often not possible to achieve the desired effect and during the diagnostic hysteroscopy, a pronounced adhesion process is found that is not visible on ultrasound. In such cases, hysteroresectoscopy is performed, during which the adhesions are dissected. After the operation, the patient is prescribed prophylactic antibacterial treatment and a course of enzyme preparations that prevent synechia from forming again (Wobenzym, Longidaza and others). At the end of the course, hormonal estrogen therapy is performed to build up the endometrium.
Hormone therapy
Hormonal, or rather estrogenic block, in the treatment of atrophic processes in the uterine inner layer is basic. Since the vast majority of hypoplasias are based on insufficient production of estrogen, it is possible to build up the endometrium by including these funds in the scheme.
The female sex hormone in the first phase of the cycle provides a gradual build-up, maturation and division into layers of the endometrial part. With its lack, the uterine layer remains thin. Therefore, to restore normal thickness, hormonal medicines containing estrogens are used: Divigel, Proginova.
The gel is the most effective and safest remedy. It is applied to the skin of the abdomen every day, until a confirmed pregnancy has occurred, in a dosage of 0.5 to 2 mg per day. To assess the action of the tool, ultrasound monitoring is carried out. Dragee Proginova is taken, as a rule, for 21 days every month for several cycles.
To improve the quality of the tissues of the endometrial part in the second phase of the cycle, progesterone agents are used (Dyufaston, Utrozhestan). If the patient has been found to have elevated levels of male sex hormones and their metabolites, Dexamethasone, Metipred, antiandrogenic oral contraceptives are prescribed.
Nutrition and vitamin complexes
The diet of a woman undergoing treatment for an enlarged endometrium should be enriched with the following foods:
- nuts, seeds;
- vegetable oils;
- fresh herbs;
- fatty fish;
- fruit;
- vegetable and animal proteins (legumes, cereals, lean meat, eggs).
Fatty fish, nuts, seeds and vegetable oils contain large amounts of omega 3 acids (polyunsaturated fatty acids), which play a key role in the synthesis of various molecules and substances, including hormones. In addition, PUFA stabilize cell membranes, normalize cell division, accelerate growth, thereby helping to build up the inner uterine layer. Omega acids strengthen the immune system, increase the body's resistance. Endometrial enlargement requires normal immune activity to suppress inflammatory processes in the presence of endometritis.
Oils, fish, nuts and various seeds also contain vitamin E, which stimulates the immune system, helps to normalize the structure of the uterine inner layer and its growth.
As a supplement to food, you can use dietary supplements containing fish oil. Vitamin E is also taken at a dosage of 600 mg per day throughout the entire menstrual cycle.
Vitamins of the B group are also important for the process of building up the endometrium, which also have an anabolic effect, which means the growth, maturation and division of cells, in addition, the B vitamins increase immune activity. These vitamins are found in cereals and meat. From vitamin complexes, Milgamma, Neurobeks and others are taken. In the process of building up the inner uterine layer, vitamin D is also prescribed.
Pineapples have become quite popular among patients undergoing treatment for an increase in the internal uterine layer. Women note the acceleration of the growth of the endometrium with the daily consumption of several slices of ripe fresh pineapples. In addition, citrus fruits will also be useful in the treatment of hypoplasia. Fruits are rich in trace elements, which play the role of catalysts in biochemical processes necessary for the growth and maturation of tissue cells.
Of the herbal remedies, the most effective are sage decoction, an infusion of borax uterus, decoctions of raspberry leaves, mint.
Physiotherapy
In order to build up the endometrium, physiotherapy is included in the treatment regimen, and the most popular are hirudotherapy, electrophoresis, magneto and electric pulse therapy.
Using leeches to build up the endometrial layer considered one of the most popular manipulations. Leeches are applied to the lower abdomen and also to the vagina. Due to the thinning of blood, blood flow in the uterus increases and improves, which leads to an increase in the endometrium.
Electrical procedures contribute to a change in the bioelectric activity of muscle and nerve cells, which leads to an improvement in tissue trophism, increased blood flow, and increased receptivity.
Complex treatment of hypoplasia allows not only to increase, but to increase the receptivity of the endometrium, improve its structure and quality, provide the necessary three-layer structure, the development of the vasculature and the functioning of the glands.
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The condition and structure of the inner lining of the uterus directly affects a woman's fertility, that is, her ability to conceive. If such a layer is thinned, then the chances of pregnancy and its successful bearing are significantly reduced. How to build up the endometrium and normalize its structure?
The endometrium is the inner mucous membrane of the uterus, lining its cavity from the inside. The structure contains a stroma (connective tissue), numerous blood vessels, integumentary epithelium, glandular cells. The endometrium includes two layers: which is the basis and is fixed on the muscle myometrium, the basal and functional, which during the menstrual cycle grows due to the division of basal cells, and with the onset of menstruation it is rejected and exits with secretions.
The endometrium performs the most important tasks and ensures the favorable development of pregnancy after its onset. Let's consider the main functions:
- Providing complete and reliable implantation of a fertilized egg into the wall of the uterine cavity. If the endometrium is thin, then the ovum simply cannot be fixed in it.
- Blood supply to the embryo. It is through the numerous blood vessels that pierce the endometrium that oxygen and nutrients enter the developing fetus.
- Formation of the placenta, which is necessary for intrauterine nutrition of the fetus. The expanding vessels are included in the structure of the child's place.
Endometrium and pregnancy
If you are at the planning stage of pregnancy, you should find out all the structural features of the inner layer of the uterus and its structure. Of particular importance is the thickness that changes during the menstrual cycle under the influence of hormones.
The endometrium is the inner lining of the uterus that plays an important role in the conception of a child.
In the 1st follicular phase, the endometrium is the thinnest - about 3-5 millimeters with menstruation and about 6-10 mm before ovulation. After ovulation, the growth continues, and the thickness ranges from 12 to 16 millimeters. It is with such indicators that the likelihood of pregnancy is maximally high, provided that the egg cell with the sperm is fused.
If the endometrium is thinned, then the chances of conception are reduced. After ovulation with unprotected intercourse, the egg cell may well be fertilized with a sperm, but it is not implanted into the uterine wall due to the insignificant thickness and inappropriate structure of its functional layer.
Even if pregnancy occurs against the background of a thin endometrium, it is unlikely to develop correctly. There is a high probability of miscarriage in the early stages of gestation. In addition, there may be problems with the placenta: its premature detachment, fetoplacental insufficiency.
Because of what the endometrium becomes thinner
The reasons for the thinning of the endometrium can be different:
- anomalies in the structure of the uterus, accompanied by a violation of the blood supply to the organ (infantility, bends, bicornuate);
- hormonal disruptions (lack of progesterone or estrogens, hyperandrogenism - an excess of male hormones androgens);
- inflammatory processes affecting the inner layer of the uterus (for example, endometritis);
- infectious diseases (including sexually transmitted diseases: chlamydia, gonorrhea, ureaplasmosis and others);
- PCOS - polycystic ovary syndrome;
- endocrine system diseases;
- taking certain medications (emergency contraception such as "Postinor", antiestrogens, androgens, antigonadotropic drugs);
- mechanical damage to the lining of the uterus caused by surgical interventions (abortion, curettage).
Diagnostics
To see that the inner layer of the uterus is significantly thinned is possible with an ultrasound examination. Ultrasound shows not only the thickness of the endometrium, but also the structure determined by echogenicity. The study is carried out transabdominal (on the outside of the abdominal cavity) or transvaginally (the sensor is placed in the vagina).
For a reliable and complete assessment of the thickness and structure of the endometrium, measurements must be taken several times in different phases of the menstrual cycle. The periods of the ultrasound procedures are prescribed by the doctor.
If it is established that the endometrium is thin, other diagnostic methods may additionally be prescribed: hysteroscopy and biopsy to assess the structure of the functional layer of the uterus, blood tests to determine the level of hormones.
Is it possible to independently understand that the endometrium needs to be increased?
Are there symptoms that indicate thinning of the endometrium? They do not always arise, and sometimes they are taken for signs of other gynecological pathologies. But with a decrease in the thickness of the inner layer of the uterus, scanty menstruation and their delay are often observed. Painful sensations are possible during menstruation. 
A woman who is actively planning the continuation of the family is faced with problems with conception. Pregnancy either does not occur, or it breaks down in the early stages. In addition, there are signs of concomitant deviations: diseases, hormonal disruptions.
How to build up the endometrium
To build up the endometrium, you need to solve the main problem that triggered the thinning. Therefore, therapy is prescribed exclusively by a doctor and after a comprehensive examination. Treatment can include different areas, and these are discussed below.
Medication
The following categories of medicines are used to build up the endometrium:
- Hormonal agents, selected individually, taking into account hormonal levels and existing diseases and pathologies. Often, gestagens are prescribed (Utrozhestan, Proginova, Divigel, Dyufaston, Norkolut), which are used orally in the form of tablets or capsules or used topically in the form of gels, vaginal capsules or suppositories. In addition, doctors recommend modern combined oral contraceptives that stabilize hormonal levels and normalize the structure of the endometrium: "Logest", "Jess", "Diane-35".
- Non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed for inflammation accompanied by severe pain syndrome. They not only eliminate pain, but also stop inflammation.
- Preparations based on human placenta hydrolyzate. So far, such funds are being introduced into gynecological practice, but in some cases they are also prescribed for thinning of the endometrium. This group includes Melsmon.
- Means that normalize blood circulation and, accordingly, improve the blood supply to the functional layer of the uterus and the filling of the vessels that penetrate it. This category includes drugs "Curantil", "Parsedil".
- Medicines that normalize tissue trophism, microcirculation and intercellular exchange, as well as stimulate regeneration. This is, first of all, the drug "Actovegin" made on the basis of hemoderivative of calf blood.
- Homeopathic remedies such as Hormel. But homeopathy is not for everyone and should be selected individually.
Physiotherapy and exercise therapy
Physiotherapy accelerates regeneration processes, improves metabolism and microcirculation, and increases the effectiveness of drug treatment. Physiotherapy procedures are usually included in the complex therapy and are carried out in a course of 10-15 sessions. Magnetic and UHF therapy, electrophoresis, mud baths, acupuncture, massage, hirudotherapy are effective. 
Therapeutic exercises will help to build up the endometrium, providing blood flow to the pelvic organs. The exercises are performed: tilting the body in different directions, rotating the pelvis, lifting the trunk. Breathing exercises, such as abdominal breathing, are also useful.
Traditional methods
Some folk remedies help to build up the endometrium:
- Borovaya uterus is used for the preparation of decoctions and infusions. There is such a recipe: pour two tablespoons of herbs with 300 ml of boiling water, keep the mixture in a water bath or in an oven at 90 degrees for fifteen minutes. Strain the liquid and drink 20 ml three times a day.
- Sage. To prepare the infusion, a teaspoon of dry and crushed raw materials is poured with a full glass of boiled water and infused under the lid for half an hour, after which it is filtered. It is taken 200 ml per day (divided into three doses) in the first half of the menstrual cycle for at least 4 months.
- Raspberry leaves are used to make tea: a small spoonful of raw materials is brewed with 150 milliliters of boiling water. Two servings are drunk a day.
- Herbal preparations. A mixture of equal proportions of yarrow, elderberry, nettle, mint and chamomile is suitable. 50 g of the composition is poured with a liter of boiling water, infused for an hour, filtered. Drink a quarter glass half an hour before each meal.
- Pumpkin seeds and juice are useful, which can be consumed daily in moderation.
Start using any folk remedy after consulting a doctor.... And it is better to combine home treatment with traditional medicine.
Nutrition, lifestyle
Nutrition affects the thickness of the endometrium, because it is from food that nutrients enter the body. And to normalize the structure of the inner layer of the uterus, you should eat foods:
- rich in protein (it is a building block for all human tissues): meat, fish, eggs, mushrooms, dairy products;
- containing vitamin E, which normalizes the hormonal background: vegetable oils, red fish, nuts;
- containing ascorbic acid that strengthens blood vessels: cabbage, berries, citruses, greens, kiwi;
- rich in B vitamins that normalize metabolic processes: legumes, buckwheat, broccoli, green leafy vegetables;
- accelerating blood circulation, namely seasonings and spices: curry, cinnamon, cloves, cardamom, thyme.
In order for the endometrium to be thick enough, you should give up bad habits and move more. A healthy lifestyle and physical activity normalize metabolism, improve blood circulation and help stabilize hormonal levels.
Diet and lifestyle in the first weeks of pregnancy. Educational video!
It is possible to build up the endometrium by finding out the reasons for its thinning and applying complex measures. And it is imperative to normalize the thickness if you are planning a pregnancy or simply take a responsible attitude towards your health.
