The endometrium is the inner lining of the uterus that contains blood vessels. He is responsible for creating favorable conditions for fixing a fertilized egg. If pregnancy does not occur, the function of the endometrium is to remove the unfertilized egg from the body along with menstrual blood. Any pathology of the mucous layer (thickening, thinning) leads to failures in carrying a pregnancy. On average, its norm for unhindered fixation of the egg is 0.7 cm.

A thin layer of the endometrium is one of the most common pathologies that is noted in women of reproductive age. Often this problem causes infertility.

Causes and signs of pathology

The thickness of the mucous layer can be different and depends on the day of the menstrual cycle. In the early days, it does not exceed 0.5-0.9 cm, and a few days before the onset of menstruation it reaches 1.3 cm. If the thickness is below 0.5 cm, we are talking about hypoplasia (thinning) of the endometrium.

Why is the endometrium thin?

Among the predisposing factors are:

• hormonal imbalance;
• endocrine diseases;
• congenital disorders in the blood supply to the uterus;
• chronic inflammatory processes in the genitals;
• Availability ;
• underdevelopment of the uterus;
• frequent use of emergency contraception (Postinor).

It should be noted the negative impact of surgical procedures that were performed on the uterus. Especially dangerous are the consequences of scraping during abortions. In some women with thin endometrium, underdevelopment of the mammary glands, a narrow pelvis, short stature, later are noted.

The disease has no specific signs, so many women who are not planning a pregnancy may not be aware of the presence of a problem. Usually, the diagnosis of hypoplasia is established in the process of determining the reason why the pregnancy either does not occur or is interrupted in the early stages.

Scanty periods may indicate thinning. Painful periods, the presence of large blood clots, discharge in the middle of the menstrual cycle should also alert. Sometimes during the reproductive years, uterine bleeding may occur. These symptoms should be the basis for a visit to the gynecologist.

The probability of pregnancy with this pathology

In most cases, the thinning of the mucous layer of the uterus worries women planning to conceive or those who have had a long-awaited pregnancy after previous failures. What to do if the endometrium is thin and how does this affect the development of the fetus?

First of all, in women, the ability to become pregnant naturally decreases, since the thin mucous layer of the uterus prevents the ovum from fixing.

Is it possible to get pregnant with a thin endometrium?

Medicine knows cases when conception occurred even with a thickness of 0.4 cm. But, if pregnancy does occur, the risk of its interruption at an early stage, the appearance, bleeding, further weakness of labor and other complications during childbirth increases.

After conception has occurred, the endometrium continues to grow. In the first trimester, its thickness reaches 2 cm or more. Often, it is its significant increase that allows the doctor to determine pregnancy on an ultrasound scan, since the fetal egg itself may still not be noticeable. In the early stages of pregnancy, the thin endometrium requires increased attention from doctors and the appointment of immediate treatment, since it can occur at any time.

Separately, mention should be made of the IVF procedure when diagnosing a thin endometrium. This procedure is highly undesirable in such a pathology, since the chances of the embryo being successfully implanted in the uterus are extremely small. The probability of pregnancy with a thickness below 0.7 cm is no more than 15%. Therefore, the patient is advised to postpone the procedure and take appropriate measures.

Diagnosis and treatment

After studying the general symptoms, the patient is prescribed:

• Ultrasound of the uterus, which is carried out several times at different phases of the cycle;
• general urine and blood tests;
• responsible for the onset and successful course of pregnancy;
• Ultrasound of the pelvic organs;
• taking samples of uterine tissue for histological examination;
• biopsy of the body of the uterus.

These studies allow not only to establish the very fact of thinning of the endometrium, but also to determine the causes of the pathology.

Treatment for thin endometrium depends on the causes that caused it. In most cases, this is an imbalance of the hormonal system. Therefore, pregnant women with this pathology need hormonal therapy with drugs containing progesterone. Treatment regimens, dosage, duration of therapy are carried out exclusively by the attending physician on an individual basis.

If hypoplasia is caused by chronic inflammatory diseases of the genital organs, drug therapy should be aimed at eliminating the source of inflammation. In some cases, there may be indications for surgical treatment. It consists in removing the inner layer and further hormone therapy. These methods contribute to the renewal of the mucous layer of the uterus and the normalization of its thickness.

In case of circulatory disorders, treatment is indicated using conservative methods, among them: massage, physiotherapy, hirudotherapy, acupuncture, therapeutic exercises.

Medical therapy

To ensure a normal pregnancy, it is necessary to build up a thin endometrium. The patient can be prescribed combined, normalizing hormone levels, a course of treatment with estradiol, drugs containing progesterone (Utrozhestan, Duphaston).

• Duphaston

Although this drug is an artificially synthesized hormone, it successfully performs all the tasks that are inherent in progesterone. The tool effectively prepares the uterus for the upcoming pregnancy, relieves its muscle tone, prevents epithelial detachment. The usual scheme for taking the drug is from the 11th to the 25th day of the cycle, but you cannot make a decision on taking it yourself. Reception is carried out only on the recommendation of a doctor.

• Melsmon

The placental preparation Melsmon contains a placenta taken from women whose childbirth proceeded without complications. It is widely used in cosmetology, but is also used to normalize the menstrual cycle, relieve chronic fatigue syndrome, and eliminate symptoms of inflammation.

The drug is not used during pregnancy, with violations of the endocrine system, renal or hepatic insufficiency, high blood pressure.

• Actovegin

Actovegin is designed to maximize blood circulation in the genital area. Increasing blood circulation is the key to successfully overcoming hypoplasia. The standard regimen involves the use of 1-2 tablets three times a day. Usually the course of treatment lasts 4-6 weeks, determined by the doctor on an individual basis. It is also possible to take the drug during pregnancy, starting from the 16th week, when the formation of the placenta ends.

• Gormel

This remedy belongs to homeopathic medicines. It activates the synthesis of estrogen. It consists of natural ingredients and alcohol tincture. The scheme of taking the drug is as follows: 10 drops are mixed with half a glass of water and the mixture is drunk half an hour or an hour before meals three times a day. The duration of treatment can vary from one to three times a month, depending on the results obtained.

Since the drug contains alcohol, it should not be taken during pregnancy. Contraindications are also injuries and diseases of the brain, kidney failure. The drug should be completed before the stage of active pregnancy planning.

With a thin endometrium, it should be carried out only as prescribed by a doctor and under his strict control. The use of the drug Klostilbegit can lead to even greater thinning, therefore, it is usually taken simultaneously with the estrogen-containing Proginova.

Physiotherapy

Physiotherapy, indicated for thin endometrium, has several advantages. They have a gentle therapeutic effect, do not cause side effects, reduce drug dependence. Usually they are prescribed in complex therapy.

The treatment uses magnetotherapy, ultrasound, ultraviolet, massage, mud baths. The most favorable period for treatment is the first days after the end of menstruation. You can enhance the effect of physiotherapy by following the rules of nutrition, taking walks in the fresh air, and regularly doing therapeutic exercises.

Treatment with folk remedies

In addition to the use of medications, you can build up the endometrium with the help of folk remedies.

1. Sage tea. A teaspoon of the crushed plant is poured into 200 ml of boiling water and infused for several hours. The resulting infusion is taken for four months in the first half of the menstrual cycle.
2. Infusion of boron uterus. 2-3 teaspoons of the plant or ready-made sachets purchased at the pharmacy are poured with a glass of boiling water. After insisting for a quarter of an hour, you can take it daily.
3. Pineapple and pumpkin, which are allowed to be eaten in unlimited quantities, provided that there is no allergy to these products. You can use pineapple and pumpkin juice.
4. Raspberry leaf tea. Prepared leaves are poured with boiling water and tea is drunk in small quantities several times a day.
5. A combined decoction prepared from elderberry inflorescences, yarrow herbs, mint, chamomile, nettle, medicinal initials. A mixture of components taken in equal proportions is poured into 1 liter of boiling water, infused for an hour and taken half an hour before meals 3-4 times a day.

Regular treatment with folk remedies gives positive results after a few months. However, the use of any traditional medicine should be supported by drug therapy and carried out in consultation with the attending physician. It should be noted that some herbs have contraindications for use if the patient has other diseases.

Diet

The basis of successful treatment is proper nutrition. It must include foods rich in vitamins A and E, as well as foods high in salicylates. The diet should include fatty fish, vegetables (tomatoes, sweet peppers, spinach, cucumbers, beans, cabbage), fruits and berries (grapes, apples, currants, raspberries), dried fruits, honey, red wine.

A variety of spices are useful, such as paprika, thyme, cinnamon, curry. At the same time, a woman needs to limit the intake of fatty and sweet foods, as well as fast food, strong coffee and tea.

An active lifestyle plays an important role in building up the endometrium. It is useful to play sports and dance, visit the pool. This stimulates active blood circulation, which has a positive effect on his condition.

Since the build-up of the endometrium directly depends on estrogen, respectively, it is prescribed:

Hormonal treatment: as a rule, these are injections of estradiol, divigel.

Drops "Gormel" - a homeopathic remedy that is used to regulate the hormonal conditions of a woman. Its action is aimed at enhancing the production of estrogen. The effect of the drug is quite mild and effective.

The best ways to grow endometrium

It is believed that drugs such as " Duphaston" And " Utrozhestan”, increase the endometrium. This is not true. These drugs help the endometrium to form and mature. These drugs contain progesterone: "Dufaston" consists of synthesized progesterone and has no side effects, "Utrozhestan" - from natural.

Folk ways to quickly build up the endometrium

Alternative medicine can help build up the endometrium:

The best ways to build up the endometrium:

Acupuncture (other names: acupuncture, reflexology, acupuncture) is one of the areas of traditional Chinese medicine, which is based on the impact on the body with special needles. Needles are inserted into specific points on the body. (I did the same but didn’t feel much effect)

Hirudotherapy - treatment with medical leeches. I did it throughout the year with breaks not big. the effect was noticeable, maybe the months went longer!

These methods are considered effective by improving blood circulation in the pelvic organs.

Often women use folk remedies to increase the thickness of the endometrium.

The best ways to build up the endometriumVitamin C and products containing it: grapefruit, pineapple, tangerines. Pineapples and grapefruits can be eaten without restriction. However, it is worth remembering that this tool does not help everyone.

Vitamin E and products containing it - fresh vegetables, milk, raspberry leaves, from which it is recommended to make tea. Tea is brewed in arbitrary proportions, there are no clear recommendations.

Herbs, spices and foods high in salicylates. From spices, you can use curry, ginger, paprika, thyme, dill, cinnamon, mint, etc. for food.

Many salicylates contain raisins, blueberries, grapes, prunes, cherries, cranberries, etc. Also, the necessary substances are found in honey, wine, cider, vinegar, chewing gum.

Sage- decoctions of this herb affect the growth of the endometrium, its effectiveness has been confirmed by clinical trials. I drank

Sage is used to accelerate the growth of the follicle and endometrium in the first phase of the cycle. To improve the functioning of the ovaries. You can take up to 3 months without a break. But it is better to start immediately after the end of M and before O.

Sage leaves brew like this: 1 tbsp. l. in a glass of boiling water, leave for 15 minutes. Strain. Take 1/3-1/4 stack 20 minutes before meals 3-4 times a day. Brew a new batch every day.

Upland uterus, red brush (also saw) - these herbs have a positive effect on the female hormonal sphere. (these are strong herbs, I drank them ... I noticed that the red brush seems to be better ... but in your case, consult a doctor about them again)

however, I think that SAGE and LINDE (these are also phytoextagens) without much harm, I drank them and at the same time began to cough less ...))

Herbs are used according to a strictly defined scheme and in a certain dosage. I drank them too. The scheme of reception can be found on the Internet.

Press exercises!!! - this type of exercise not only strengthens the abdominal muscles and internal organs, but also has a beneficial effect on the blood circulation of the pelvic organs.

You have to really pump up the press, almost to the cubes, because then everything will work inside.

An additional factor contributing to the treatment is sport. I worked hard for 2 years before)))!

Physical exercises, all exercises for the press, all kinds of inclinations, etc. we pump and warm up, we disperse blood circulation, in the morning and in the evening - WITHOUT PASSES to the conscience! at least 1 hour in the morning and 1 in the evening ... jogging before bedtime can significantly bring the desired result closer.

However, it must be remembered that not for every reason for a thin endometrium, this method will help.

It is impossible to unambiguously determine for what and exactly the period it is possible to restore the thickness of the endometrium. Each organism is individual, and therefore the term depends on age, general health, methods of treatment. But we can definitely say that the endometrium is updated every menstrual cycle. That is why intensive treatment should be started after ovulation. For some, the problem is solved in a month, and sometimes it takes six months or even a year for someone.

ROYAL JELLY

Treatment with royal jelly helps not only to get pregnant, but also to prevent miscarriage at an early stage. In the last trimester, the product will prepare the woman's body for labor, restore blood loss.

If you take apiproduct for infertility, you can:

Strengthen the immune system.

Improve lymphatic outflow, relax smooth uterine muscles, blood vessels.

Strengthen cardiac function, expand blood vessels, normalize blood pressure.

Due to the fact that royal jelly improves the state of the endocrine system, a woman normalizes the level of hormones and becomes pregnant. Per day, you need to use half a tablet of Forever, which includes dry royal jelly or 0.4 powder.

Those who have already lost all hope are advised to use pure royal jelly or Forever. Due to the large amount of hormones, B vitamins, folic acid, you can restore the endocrine system, restore the ovaries, and rejuvenate the body. It is advised to use mature women who cannot get pregnant for a long time, due to hormones, the reproductive function of the ovaries improves.

You need to be treated for about three months, after a month you can get pregnant. A married couple should take the bee product together - twice a day on a Forever tablet, which contains royal jelly. It is important to plan conception, then the result will be positive. Sometimes after taking the remedy, a woman became pregnant even with menopause.

As a preventive measure - if you have not been diagnosed with "infertility", but you still can't get pregnant - you need to take a drop (about a pea) in the morning before brushing your teeth in the morning, talking slowly under your tongue.

Naturally, you need to have a certain supply of this product at home, because the course of treatment must be continuous - one pass, and all down the drain

Store no more than 3 months in the freezer!

So, the problem of thin endometrium can be solved with an integrated approach and regular targeted treatment. Pregnancy can be brought closer by combining both medicinal and folk remedies. Of course, the decision on how to build up the endometrium can only be made by the woman herself. But a doctor should help her in this, since self-medication in this case is dangerous.

Take care of your health and then you will have everything you dream of!

Content

One of the most common causes of female infertility is endometrial hypoplasia. A thin endometrium does not give a chance for the successful attachment of a fertilized egg, or the onset of pregnancy soon ends in a 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, lack of estrogen;
• violation of endometrial receptivity at a normal level of estradiol, 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;
• hypercoagulability - increased blood clotting for various reasons;
• autoimmune processes.

In infertile women, the uterine factor is between 25 and 60%. The most difficult task in the treatment of infertility is the violation of the implantation of the embryo, 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 case of a change in its receptor properties.

The vast 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 the implantation of the embryo. At a lower value, it must be increased.

To build up the endometrium, medical methods, physiotherapy, vitamin therapy, and a change in the nature of nutrition are used. There are the following stages 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;
• estrogen hormone therapy for direct endometrial growth;
• surgical interventions to dissect adhesions, remove cysts and tumors;
• physiotherapy methods.

Traditional methods of building up the endometrium are supplemented by the intake of decoctions of herbs, certain foods and vitamin complexes.

Norms of endometrial thickness

Cyclical changes in the levels of estrogen and progesterone ensure the natural growth rate of the endometrium, and at the beginning of the second phase of the cycle, the structure of the layer also changes, ensuring the introduction of a fertilized egg. The implantation window has an average duration of 4 days, namely from the 6th day 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. Inclusion in the therapeutic block of agents that cover all links in the pathogenesis of the disease allows you to build up the endometrium and create a high-quality implantation window.

Ultrasound and dopplerometry are used to determine the thickness of the endometrial layer. One of the modern methods for studying the organs of the female reproductive system is a three-dimensional image reconstruction in color and power Doppler mode on 3D or 4D ultrasound. The technique allows you to evaluate the effect of endometrial growth, since it is possible to assess the structure of the layer. The advantage of the method is the ability to view any desired plane, saving the results in a database.

Causes and Treatments

Among the diseases and pathological factors leading to atrophy and underdevelopment of the endometrium, there are:

• hemostasis mutations;
• thrombophilia;
• antiphospholipid syndrome;
• varicose disease;
• tumors, cysts and other neoplasms leading to compression of the pelvic vessels;
• autoimmune processes;
• chronic endometritis;
• insufficiency of estrogen production by the ovaries;
• Asherman's syndrome;
• frequent scraping, leading to damage to the germ layer.

One of the eliminated causes of thin endometrium is the intake of certain hormonal drugs: combined oral contraceptives and the ovulation inducer Clomiphene (Klostilbegit). 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 a gradual recovery and normal growth of the endometrium. Pregnancy occurs within six months.

Clostilbegit is one of the most outdated means for stimulating ovulation, 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 drug is a pronounced inhibition of estrogen synthesis, 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 are visualized, which indicates a violation of the processes of 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 an “implantation window”, when the uterine layer is fully prepared for the introduction of a fertilized egg. Endometrial cells form pinopodia that "capture" the embryo, the layer sprouts with new vessels, and various chemicals are produced that contribute to successful implantation. Therefore, reproductologists 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 a three-layer structure, high rates of resistance in the uterine blood flow, and a slight formation of blood vessels.

During ultrasound with color mapping and Doppler, blood flow in the uterus is assessed. This method must be used in dynamics in the treatment and attempts to build up the endometrium. Assess the blood flow in the uterine, spiral, basal, arcuate, radial arteries in systole and diastole, calculate the indices.

A significant contribution to the blood supply to the uterus is made by the state of the blood coagulation system. There are a number of pathological conditions that do not allow the growth of the endometrium during hormonal treatment. The appointment of combined treatment allows to improve the structural and qualitative characteristics of the layer in the uterus, and not just build it up.

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, Fraxiparin);
• antiplatelet agents (Kurantil);
• 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, venous blood. These drugs in the presence of diseases of the coagulation system are taken in preparation for pregnancy in order to build up the endometrium and when it occurs. Almost all groups of funds are included in the schemes of IVF protocols. In gynecological practice, vaginal Sildenafil is also used to build up the endometrium and improve blood supply to the uterus.

Chronic endometritis

Gynecologists consider chronic inflammation as one of the provoking factors of hypoplasia. The main microorganisms that can lead to a chronic process are chlamydia, urea and mycoplasma, Trichomonas, as well as opportunistic flora against the background of prolonged vaginal dysbacteriosis.

thin endometrial layer often found in chronic endometritis.

Chronic endometritis differs from other gynecological pathologies in its latent course and the complexity of diagnosis. Often thin endometrium is the result of its chronic infectious inflammation. Attempts to build up the inner uterine layer cannot be successful, and the long-awaited pregnancy does not occur due to insufficient diagnosis.

Identification of chronic endometritis is carried out with hysteroscopy and tissue sampling for histological examination. In addition, a pipel biopsy, an aspiration biopsy and a 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 result of the sensitivity of the isolated flora;
• immunocorrection (drugs and interferon inducers Genferon, Cycloferon, Groprinosin, stimulants - Polyoxidonium, Likopid, interleukins);
• enzymes (Longidase, Wobenzym).

In addition to the main treatment, drugs are prescribed that improve tissue trophism (Actovegin and others). lengthy and may last for several months. After that, they begin to build up the endometrium with hormonal means.

Asherman syndrome

One of the causative factors of the 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 medically with synechia and surgical intervention is required. Adhesions are formed most often 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 the infectious factor in the development of uterine adhesions has not been definitively proven.

When trying to build up the endometrium, it is often impossible to achieve the desired effect, and during diagnostic hysteroscopy, a pronounced adhesive process is detected that is not visible on ultrasound. In such cases, hysteroresectoscopy is performed, during which adhesions are dissected. After the operation, the patient is prescribed prophylactic antibacterial treatment and a course of enzyme preparations that do not allow synechiae to form again (Wobenzym, Longidase and others). At the end of the course, hormonal estrogen therapy is performed to build up the endometrium.

hormone therapy

Hormonal, or rather estrogen block, in the treatment of atrophic processes in the uterine inner layer is basic. Since the vast majority of hypoplasia is based on insufficient estrogen production, it is possible to build up the endometrium by including these agents in the scheme.

The female sex hormone in the first phase of the cycle provides a gradual build-up, maturation and separation into layers of the endometrial part. With its lack, the uterine layer remains thin. Therefore, to restore normal thickness, hormonal medications containing estrogens are used: Divigel, Proginova.

The gel is the most effective and safe remedy. It is applied to the skin of the abdomen daily, up to a confirmed pregnancy, at a dosage of 0.5 to 2 mg per day. To evaluate the action of the agent, ultrasound monitoring is performed. Dragee Proginova is taken, as a rule, for 21 days every month for several cycles.

To improve the quality of tissues of the endometrial part in the second phase of the cycle, progesterone agents are used (Dufaston, Utrozhestan). If the patient had 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 endometrial growth should be enriched with the following foods:

• nuts, seeds;
• vegetable oils;
• fresh herbs;
• fatty fish;
• fruits;
• vegetable and animal proteins (legumes, cereals, lean meats, eggs).

Fatty fish, nuts, seeds and vegetable oils contain a large amount of omega 3 acids (polyunsaturated fatty acids), which play a key role in the synthesis of various molecules and substances, including hormones. In addition, PUFAs 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. Enlargement of the endometrium requires normal immune activity to suppress inflammation 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 build it up.

As a supplement to food, you can use dietary supplements containing fish oil. Also take vitamin E at a dosage of 600 mg per day throughout the entire menstrual cycle.

Important for the process of building up the endometrium are B vitamins, which also have an anabolic effect, which means growth, maturation and cell division, in addition, B vitamins increase immune activity. These vitamins are found in cereals and meat. From vitamin complexes take Milgamma, Neurobeks and others. In the process of building up the inner uterine layer, vitamin D is also prescribed.

Among patients undergoing treatment for the buildup of the internal uterine layer, pineapples have become quite popular. Women note the acceleration of endometrial growth with the daily use of several slices of ripe fresh pineapples. In addition, as part of the treatment of hypoplasia, citrus fruits will also become useful. Fruits are rich in trace elements that play the role of catalysts in the biochemical processes necessary for the growth and maturation of tissue cells.

Of herbal remedies, the most effective decoction of sage, infusion of boron 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, magnetic and electrical impulse therapy.

Using leeches to build up the endometrial layer considered one of the most popular manipulations. Leeches are applied to the lower abdomen, as well as in the vagina. Due to blood thinning, blood flow in the uterus increases and improves, which leads to an increase in the endometrium.

Electroprocedures help to change the bioelectrical 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, development of the vascular network and the functioning of the glands.

Article plan

For a woman who decides to become pregnant, an important issue is the state of the endometrium of the uterus in her body. Therefore, for many, the topic of how to build up the endometrium becomes relevant.

For conception, it is necessary that this layer be of sufficient thickness and correspond to a healthy position. The reasons for the deterioration can be many factors that the life of a modern woman is full of. Improving the condition of the uterine lining can be achieved by using folk remedies or traditional medications.

What are the functions of the endometrium

A healthy endometrium in women is an integumentary glandular epithelium. It consists of a capillary network that supplies the rest of the endometrium, such as:

• cover cells;
• sector cells;
• basal cells;
• tubular glands;
• fibroblasts, histiocytes, lymphocytes and other stromal elements;
• prismatic epithelium.

All these parts depend on the vascular network, which supplies them with the necessary trace elements. It is she who is further responsible for the development of the fetus and the onset of pregnancy. With the help of this system, the body is also cleansed of metabolic products.

The number of fibers and glands increases immediately with the onset of pregnancy. This is necessary in order to create building material for the placenta and provide the developing fetus with oxygen and nutrients.

The mucosal layer in an exhausted state cannot serve as a place for the attachment of a fertilized egg and will not allow the body to provide conditions for the growth of the fetal egg. For the onset of pregnancy, it is necessary that all quality indicators of the endometrium be normal. Such as:

• thickness;
• structure;
• overall volume;

Throughout the menstrual cycle, the lining of the uterus in women undergoes major changes under the action of hormones. Therefore, all indicators should be evaluated taking into account the phase of the menstrual cycle. The number of glands increases at the time of ovulation and decreases, being rejected in the absence of fertilization. Dead cells come out with menstrual flow. And after the entire mucous layer is restored under the action of estrogens in the female body.

The endometrium plays a key role in all fertilization processes. It is possible to conceive a child only with a healthy and mature mucosal layer of the uterine cavity. The depleted mucosa cannot accept the fetal egg and give it a base of substances for the further development of the placental barrier.

Causes of emaciation

The most favorable period for conception is the middle of the menstrual cycle. At this time, the thickness of the endometrium should not be less than 1.1 cm. If the mucous layer is thickened, fertilization does not occur.

Maybe due to:

• hormonal failure (the most common cause);
• circulatory disorders in the pelvic organs;
• pathologies in the structure of the uterus;
• diseases of the endocrine system;
• inflammation in the uterine cavity;
• muscular underdevelopment of the organ;
• pathologies of a genetic nature;
• scrapings and abortions.

It is treated with medication and folk remedies. Before treatment, you need to contact your doctor, undergo an examination and clarify the exact diagnosis.

It is worth consulting a specialist at the first signs of the disease.

Signs of shrinking endometrium

The underlying reason why the mucous layer does not reach the required thickness is the lack of the hormone estrogen in the woman's body. The most important factor that makes you turn to a specialist is the absence of pregnancy for a long time or recurrent miscarriages.

The endometrium of the uterus becomes thinner, but there is no direct external manifestation. According to your well-being, you can note the following signs of pathology:

• Disruptions in the menstrual cycle;
• Headache;
• increased sweating;
• Stopping the growth of hair on the body;
• Sudden drops in blood pressure;
• Scanty discharge during menstruation;
• Flushes of heat;
• Tremor;
• Increased nervous excitability, insomnia and an unreasonable feeling of fear;
• Pain during intercourse;
• Lack of orgasms;
• Joint pain and muscle spasms.

The absence of conception does not always accompany the pathology of the mucosal layer. In some cases, pregnancy is possible. But this state will be extremely difficult to proceed. A woman during the entire period is at risk of miscarriage, suffers from severe toxicosis and often does not bear the fetus for the entire period.

An effective way to build up a layer of the endometrium can only be chosen after a thorough examination and diagnosis.

To do this, you need to contact a specialist for an initial examination, in which he can question the presence of such a pathology. If there are signs of thinning, the specialist prescribes:

• Biopsy of the uterus. The sampling of biological material from the surface of the uterus can be carried out in several ways, at the discretion of the treating specialist. Pain relief depends on the chosen method of analysis;
• Ultrasound of the pelvic organs. The study allows you to evaluate not only the thickness of the endometrium, but also its structure;
• Determination of the level of hormones in the blood. Determines the presence of failures and the possible cause of the violation in the mucosal layer of the uterus.

Diagnostic methods are prescribed during the diagnosis and for the purpose of control after the first course of treatment.

Why do women want to build up the mucous layer

The main reason for the desire to increase the uterine mucosa to the standard values ​​is the desire to become pregnant. But this is not the only reason.

Many patients decide to take treatment because of general malaise and concerns about personal health.

An increase is required in order to:

• get pregnant;
• restore the normal layer after scraping;
• an increase in the volume of the endometrium so that the fetus takes root;
• to establish all the functions of the body and ensure the normal attachment of the fetus before IVF;

You can increase the endometrium when planning a pregnancy with the help of certain drug therapies and folk remedies.

How to enlarge the endometrium with drugs

After making an accurate diagnosis, the doctor determines the reason why the uterine mucosa is not restored properly during the menstrual cycle.

Before correcting the condition, the following medications are prescribed:

• medicines that affect the production of hormones, in particular estrogens;
• hormonal drugs based on progesterone, which build up the endometrium;
• salicylic drugs.

The form of release depends on certain factors and is prescribed at the discretion of the attending physician. These can be tablets, drops, or topical medications (candles, gels, decoctions for douching).

The list of drugs can not be prescribed to yourself. Therapy must be approached comprehensively and only a highly qualified doctor can prescribe it. Most medications are hormonal and should be taken with strict control of the patient's condition.

Proginova tablets are included in anti-inflammatory therapy and are hormonal. The tool should not be taken on the recommendation of friends or at personal discretion. To establish a course of treatment, there must be clear indicators and a diagnostic conclusion.

During Proginov's therapy, it is possible to build up the endometrial layer due to the inclusion of estrogens and estradiol in the medication. The drug is used in the following ways:

• Cyclic scheme;
• Continuous circuit;
• Combined scheme.

Direct contraindications to taking the drug are the period of pregnancy, lactation, pathology of the kidneys and liver, a tendency to thrombosis, lactose intolerance and children under 18 years of age.

Divigel has an estrogenic effect on the mucous layer and this allows you to quickly build up the endometrium. An antitumor drug allows you to eliminate the deficiency of hormones in the female body and get rid of the pathology.

The standard dosage of Divigel is equivalent to 1 g of gel per day. However, the optimal course and dosage is determined individually, at the discretion of the doctor. The drug is used externally and applied to the buttocks, thighs, lower back and lower abdomen. The procedure is done once a day.

Do not apply the gel to mucous membranes or breasts. Direct contraindications are:

• Elevated blood sugar;
• Diseases of the urinary system and liver;
• The tendency of the body to form plaques in the vessels;
• bleeding;
• Tumor diseases;
• The period of gestation and lactation.

Drops Gormel is an alcohol preparation that helps restore the mucosal layer. This homeopathic remedy is used as an adjunct in complex treatment and for premenstrual syndrome.

Oral drops include a number of components that, due to biological activity, normalize the functions of the female reproductive system.

Many women give them preference to this drug in view of its naturalness and naturalness.

Take the medicine should be diluted 10 drops in 100g of water. You need to drink this solution half an hour before meals three times a day.

Other drugs

To increase the size of the endometrium and its successful maturation, drugs with progesterone in the composition are used. In the second half of the therapeutic course, drugs such as Duphaston and Utrozhestan are prescribed. These drugs do not have a negative effect on the woman's body and are completely harmless to pregnant women.

Folk remedies

Folk remedies can also effectively normalize the endometrium and its renewal during the menstrual cycle. At any home, you can prepare the necessary components and begin therapy.

Grass is popularly considered a natural hormone that helps not only for the growth of the mucous layer, but also activates ovulation processes. Therefore, this plant is widely used for pathologies of the reproductive systems in women.

Sage for building up the endometrium is taken orally in the form of a decoction. For this, 2 tsp. pour 0.5 l. boiling water. After cooling, the solution must be filtered and consumed 100-130 g three times a day.

For therapy, you need to know your menstrual cycle, since you need to drink sage strictly from the last day of menstruation until the period of ovulation. Although sage is a folk remedy, it is impossible to use it for prevention without a doctor's prescription. Phytohormone has a strong effect and, if not properly treated, can seriously harm.

pumpkin juice

Pumpkin juice is best consumed freshly squeezed. Due to the lack of heat treatment and storage, it retains all the beneficial properties that help thicken the mucosal layer of the uterus.

To achieve the effect, you need to drink 200 g of the product every day. You need to do this constantly during the period of cell growth after menstruation. However, in another period, pumpkin juice will be useful for normalizing reproductive functions.

Many women are already using pineapples for endometrial growth. It helps well and is pleasant, tasty to use.

Pineapple can be eaten without restriction if there are no allergic manifestations. This must be done daily. It is also useful to include pineapple juice in the diet.

Blue clay

Blue clay is used to treat the problem and has a pleasant procedure. The product will help with wrapping on the lower abdomen. To do this, the clay must be soaked with warm water and molded into a flat cake. It is applied to the lower abdomen and covered with a film. After that, it is warmed with a terry towel. With such a compress, a woman lies under the covers for two hours. After the body should be washed with warm water and again lie down in the heat.

During therapy, it is better not to fall asleep, since the time is clearly defined by two hours. After this period, blue clay begins to act in reverse and give back harmful substances.

Raspberry leaves for endometrium

Raspberry leaves are also considered a natural phytohormone. However, it does not have such a strong effect as sage. Raspberry is active and quite safe.

How to take: for the endometrium, you just need to steam raspberry leaves and drink throughout the day instead of the usual tea.

The upland uterus is included in the herbs that are popular in the treatment of female pathologies. It helps to normalize the hormonal background and carries a lot of useful trace elements. Decoctions, alcohol tinctures and solutions for douching are prepared from dried and crushed raw materials.

To prepare a decoction, you need to take 15 g of raw materials and pour 150 ml of boiling water. You need to insist the solution for about an hour and take 1 tbsp. every 6 hours.

The red brush is one of the widely used plants, which is used to eliminate gynecological diseases provoked by a violation of the hormonal background of a woman. In its composition, the red brush has special components - phytohormones, which are an alternative to female sex hormones (estrogen and progesterone). With the use of decoctions created on the basis of this plant, the fair sex will be able to stabilize the normal level of hormones, build up the mucous membrane (endometrium) in the reproductive organ and prevent the development of all kinds of diseases of the genitourinary system.

To build up the endometrium, one tablespoon of a dry and crushed red brush should be poured with a glass of boiling water and this mixture should be infused for four hours. After that, drink the entire contents of the glass, repeating this procedure every 6 hours during the entire treatment course.

Other ways to help with building

The people have long been the most popular methods in the treatment of infertility due to the depletion of the uterus. The most favorite were known as belly dancing, the use of leeches and various diets. With the complex use of all these tools, you can quickly achieve a positive result.

Leeches activate many processes in the body, purify the blood, inject useful trace elements and help increase the thickness of the endometrium. The method operates on the principle of improving blood circulation in the pelvic organs and activating all processes.

Massages and acupuncture

Traditional Chinese medicine, based on acupuncture and massages, helps to activate all the functions of the reproductive system and helps to increase the thickness of the mucosa. Needles are inserted into specific points on the body. These same points are also affected by massage.

Any failures often occur due to a lack of useful trace elements in the body. Therefore, any course of therapy must be supplemented with vitamins.

The most important substances are vitamin E and C. These substances are responsible for tissue regeneration and therefore help to accelerate the growth of mucosa.

The best physical exercise to improve the condition of the uterus is belly dancing. But there are also physical complexes that improve blood circulation in the pelvic organs and help strengthen muscles.

Such gymnastics include:

• Exercise scissors lying on your back, with straightened legs. Repeat 8 to 15 times;
• Sitting on your heels, grab your hands behind your back. First, the right hand goes over the shoulder, and the left behind the back. Then change hands;
• Tilts. Legs shoulder width apart. Hands in front of you. To carry out tilts to the socks about 8-15 times;
• In the pose of the Turkish Sultan, put your hands on your feet and pull your stomach in. In this position, strain and relax the muscles of the vagina. Repeat about 15 times;
• Boat exercise. Lying on your stomach, raise your arms and legs as high as possible. Stay in this position for 3-5 seconds.

It is especially important to perform small physical activity for women with a sedentary lifestyle.

No therapy is complete without a recommended diet. This allows you to adjust the general background of the body and build all systems with a direction towards building up the endometrium. To do this, you need to eat foods that contain salicylates. These are active biological substances that help restore the genital organs and functions in the female body.

They are present in the following products:

• Beekeeping products;
• Dry red wine;
• Dried apricots, raisins, prunes and other dried fruits;
• Nuts and legumes;
• Vegetable fiber;
• Fruits, domestic and forest berries.

It is also important to include foods rich in omega fatty acids in your diet. These substances are found in fatty fish and vegetable oils (olive, linseed, wheat germ).