How to treat endometritis

summary

Endometrial thickening is a kind of hyperplasia of endometrium, glands and stroma in adolescence, childbearing age, menopause and menopause. It can be seen that such a common endometrial thickening can not be underestimated. As for what kind of endometrial thickening is serious, we need to analyze the biopsy report. How to treat endometritis.

How to treat endometritis

First: endometrial biopsy reports, such as endometritis, endometrial polyps, simple hyperplasia, recurrent hyperplasia, atypical hyperplasia and so on. Among them, "endometrial inflammation" indicates endometritis; "endometrial polypoid lesions" indicates endometrial polyps.

Second: if the endometrial biopsy report indicates endometritis, active anti-inflammatory treatment is needed; routine analysis and culture of secretion are carried out; if mycoplasma, chlamydia and Neisseria gonorrhoeae are found, active drug sensitivity test is needed, and sensitive antibiotic treatment is selected; if endometrial polyp is indicated by biopsy, and the patient's polyp is relatively large, the effect is poor Ring to the couple's life, you can do surgery to remove polyps.

Third: the simple hyperplasia of endometrium, its microscopic performance for endometrial, glandular and stromal hyperplasia at the same time, glands will appear in different sizes, contour is more smooth. Although glandular epithelial cells are non-specific, they still have a 1% chance of developing into endometrial cancer. Therefore, in order to eliminate this 1%, timely treatment is needed in the case of simple hyperplasia. If after the treatment of Yun hormone for three menstrual cycles, the endometrial thickening is still not relieved, you can take the traditional Chinese medicine treatment of "invigorating the spleen and removing dampness, promoting blood circulation and qi circulation, clearing heat and detoxification", such as Fuyan pill, Guizhi Fuling pill and so on, which have good clinical effect in treating endometrial thickening.

matters needing attention

Atypical hyperplasia of endometrium is a kind of precancerous lesion. The main difference between simple hyperplasia and complex hyperplasia is that glandular epithelial cells are no longer non-specific, but heterogeneous, which is the key to diagnosis. In addition, the lesions of endometrial atypical hyperplasia are focal, limited in the epithelium, and the surrounding endometrium is normal or atrophic; at the same time, some data show that in patients with endometrial atypical hyperplasia or endometrial cancer, especially in menopausal women, the thickness of the endometrium is mostly between 16mm and 27mm.