The uterus is a place to bred life. She is like a room with endometrium with the inner wall.Every month, the endometrium is ready to wait for the coming of new life.However, regrets were more surprised, so menstruation came.
The endometrium changes more than that. Her life is colorful and full of sadness and joy, let’s take a look.
The endometrium is divided into: base layer and functional layer.
As the name suggests, the base layer is close to the underlying uterine muscle layer outside. The endometrium on this layer will not be affected by hormones and does not have changes in hyperplasia.
The function layer is on the surface of the base layer. Since it is called the functional layer, it means that it will change and have functions.What are the functions?The menstruation and pregnancy depends on this layer of endometrium.The functional layer can be divided into two layers: dense layer and sponge layer.
When girls come to the aunt every month, menstrual blood is the endometrium exfoliating mixed blood outflow. These are controlled by estrogen hormones produced by the ovaries.
After menstruation, the endometrium becomes thin, generally less than 5mm.At this time, the estrogen produced by the ovary can cause the endometrium to hyperplasia. Pathological is generally called the endometrium of the hyperplasia.Endoscope hyperplasia is the basis of menstrual tide. Even if there is no subsequent secretion change, and hyperplasia to a certain extent, breakthrough bleeding will occur.Similar to the reservoir’s water storage too much, the dam.
When the endometrium is hyperplasia to a certain thickness and prepares for conception, it is ovulation.After that, estrogen produced in small quantities, progesterone began to increase gradually, which inhibited the endometrial hyperplasia. The gonad secreted glycogen on the endometrium, and the vertical endometrium changed the secretion period.
Without fertilized eggs, the estrogen hormone began to retreat, the endometrium lacked hormone support, and the collapse began, and menstruation would come.
Most of the time, the endometrium is the menstrual period, the hyperplasia period, and the secretion period changes, alternating in order, and changing life.If the regularity of ovarian hormones occurs, it will affect the endometrium, or life upside down, or mixed life.
For example, before menstruation comes, the endometrium should have changed the secretion period, but the hyperplasia period has changed. There is no or only partial secretion period change, so it can be prompted that the luteal dysfunction of the ovaries can be prompted.If the endometrium is not a hyperplasia during the hyperplasia but the secretion period, it may be incomplete luteum atrophy.These changes correspond to menstrual disorders. Generally, diagnosis is required, and then medication is used.
In the late period of menopause, the endometrium lacks the moisture of estrogen, slowly shrinks and thinner, glandular disappears, pathological manifestations are atrophic endometrium. Most of the endometrium is harmless, but the resistance to the pathogen is also poor.It can be infected into endometritis.
If the endometrium is planted in the new life, it will slowly develop towards another kind of life and become a decapyles.The decapyles between the embryo and the uterine muscle layer are also called the bottoming of the bottom, and it will become part of the placenta later.
So, the endometrium after pregnancy has just changed, and most people can’t recognize it.After childbirth, it will return to the original.
If cervicitis, vaginitis, or fallopian tubeitis are not controlled, migrate to the endometrium; puerperium infection or infectious abortion, and the residue of the placental fetal membrane after childbirth;The endometrium becomes thin.These situations may cause endometritis.
Acute uterine endometritis can undergo abdominal pain, fever, and abnormal leucorrhea. Most of them need to be hospitalized with antibacterial drugs, and then assisted oral medication.Chronic endometritis is more troublesome, which can cause endometrial damage, uterine adhesion, and easily cause infertility or abortion.If there are fertility requirements, hysteroscopy needs to be performed.
This problem just said two days ago.If there are no symptoms and not big, you can follow up, about 25%to disappear yourself.If there are symptoms such as abnormal uterine hemorrhage or infertility, it is recommended to do hysteroscopic resection.(For many years infertility, it turned out that this little thing is making a strange)
Endometrial hyperplasia is too long
If the endometrium is stimulated by estrogen for a long time, it continues to proliferate and lacks progesterone to suppress.For example, polycystic ovarian syndrome, obesity, diabetes, luteal dysfunction, unprepared, ovarian granoma, etc.
When the endometrium hyperplasia occurs too long, menstruation will definitely be disordered. Various chaos is possible. In the end, most of them are manifested as more or long -term menstruation.The pathology after diagnosis, if it is only simple or complex hyperplasia, the risk of cancer is very small.If it is accompanied by non -typical hyperplasia, it is pre -cancer lesions, and the probability of cancer is very high.
Patients with typical hyperplasia are recommended for surgery.There are also young patients with fertility requirements, which can be conservatively treated in a limited time under strict conditions.Other types of hyperplasia is too long, and drug treatment is generally sufficient, but long -term management is required. To lose weight, you can also put the "fool -style" control of the endometrium to control the hyperplasia.
Uterine endometrial cancer
This is the ultimate bad guy that has become proud to a certain extent.Since it is cancer, there are many risks.The surgery can be surgery. After the surgery, radiotherapy or chemotherapy may be required according to pathological stages.There is no good way to surgery.
Similarly, very early endometrial cancer, if young patients have fertility requirements, can also be cautious to choose conservative treatment of drugs.However, if conservative failure, surgery still requires surgery.
Most of the life of the endometrium is a regular rotation, but sometimes it is too proud that there are problems. If the path of life goes off, the ending is destruction.