Will the endometrium still thicken after curettage?

The endometrium may thicken again after curettage, which is related to factors such as hormone levels, postoperative recovery, and underlying diseases.

The endometrium has a strong regenerative ability after diagnosis and curettage. Under the action of estrogen secreted by the ovaries, the endometrium will periodically proliferate. If hormone regulation treatment is not performed after surgery, or if there are endocrine diseases such as polycystic ovary syndrome, the endometrium may return to its preoperative thickness within 1-3 months. Some patients use progesterone drugs for artificial cycle treatment after surgery, which can effectively control the speed of intimal hyperplasia and extend the proliferative period to 3-6 months. The endometrial thickness at the first menstrual period after surgery is usually in the range of 5-8 mm, which is a normal repair process.

In rare cases, abnormal thickening of the endometrium after surgery may be related to incomplete removal of endometrial lesions. If uterine corner lesions are missed during diagnosis and curettage, or there are precancerous lesions such as atypical hyperplasia, the endometrium may rapidly proliferate to more than 10 mm within 2-4 weeks. This condition is often accompanied by abnormal uterine bleeding and uneven echogenicity of the endometrium on vaginal ultrasound. For perimenopausal women, if the endometrium continues to thicken after surgery, they need to be alert to the possibility of endometrial cancer, and a second hysteroscopy examination is required to confirm the diagnosis.

Postoperative vaginal ultrasound should be reviewed regularly as directed by the doctor to monitor changes in the endometrium. Keep the vulva clean and avoid bathing and sex for 1 month. Pay attention to supplementing the diet with high-quality protein and iron, such as lean meat, animal liver, etc., to promote endometrium repair. If fever, abdominal pain or bleeding exceeds menstrual flow, you need to return to the hospital for examination in time. Those with fertility needs can use estrogen and progesterone sequential therapy to regulate endometrial growth under the guidance of a doctor.