The lining of the uterus, or endometrium, is responsible for the regularity of menstruation and the ability to get pregnant. Women with thin endometrium often have difficulty conceiving. Fortunately, the endometrium can grow with certain lifestyle changes combined with specific therapies. Stay positive - many women can build endometrium and increase their chances of getting pregnant!

Attention: The information in this article is for informational purposes only. Before using any medications and dietary supplements, consult your doctor.

Steps

natural methods

Do physical exercise every day. Daily physical activity improves blood circulation, while increasing blood flow to the uterus. Good blood circulation helps to strengthen the endometrium. Try to be physically active for at least thirty minutes a day - this can be any type of physical activity, including swimming, running, cycling, yoga, or simply walking.

• If you have to sit for a long time at work, try to get up and move around periodically, at least two minutes every hour.

1. Get at least 7 hours of sleep at night. Get plenty of rest to keep hormone levels stable - estrogen and other hormones come into balance during sleep. Try to keep a sleep schedule and sleep 7-9 hours at night. To improve your daily routine, follow these rules:

   • You need to go to bed and get up at the same time of the day. Try to go to bed at 10-11 pm.
   • Try not to sleep during the day.
   • Make sure that the bedroom is only for sleeping, for example, do not watch TV in bed.
   • Develop a specific set of habits before bed - this could be a warm shower or a massage.
   • Make sure the room is cool and dark.

2. Get rid of stress. Stress and the chemicals produced by the body as a result of stress negatively affect the body, including hormonal balance. Try to get more rest and relaxation. Practice yoga, meditation, art (such as painting), try aromatherapy, or other activities that relax you. If there is a lot of stress in your life, at home or at work, then try practicing mindfulness.

   Take herbal supplements. To date, there is no reliable scientific evidence that herbal preparations effectively build up the endometrium. However, taking certain herbs stimulates circulation and increases blood flow to the uterus, and some herbs promote estrogen production. Many of these products can be purchased at pharmacies, health food stores, or online. Choose only products from reputable brands. Be sure to check with your doctor before taking any dietary supplements as they may interact with other medications. The following herbal remedies stimulate estrogen production or improve circulation:

   Go for an acupuncture session. Acupuncture helps with irregular periods because it improves blood circulation in the uterine area. Consult an experienced acupuncturist. The specialist will insert needles into certain points of the body to improve blood circulation, balance hormone levels and generally have a beneficial effect on your body.

   Avoid anything that negatively affects circulation. In addition to practicing everything that favorably affects blood circulation, you need to avoid everything that affects it negatively. Reduce blood circulation:

   • Smoking. Quit smoking! Smoking adversely affects health and reduces blood flow.
   • The use of caffeine. Limit the amount of caffeine you consume. One glass a day is enough. Reduce your caffeine intake gradually to avoid withdrawal symptoms.
   • Taking anticongestants (anticongestants). Allergy and runny nose medicines containing phenylephrine or other vasoconstrictors constrict blood vessels, impairing blood circulation, so try to take other medicines that do not contain such ingredients.

   Standard medical preparations

   1. Contact your doctor. If you have irregular periods or are unable to conceive, make an appointment with your gynecologist. There are many reasons why this can happen, and your doctor will need to examine you and do some tests to rule out other conditions. If the cause is the thinning of the endometrium, then the doctor will definitely tell you the best method of treatment.

      • It is important to determine why you have a thin endometrium, as this will help you get rid of the problem more efficiently and quickly.

   2. Try hormone therapy. The first step in treating thin endometrium is usually hormone therapy using estrogens. In such cases, doctors usually prescribe hormonal contraceptives that contain estrogen, or estrogen in the form of a pill, patch, gel, cream, or spray.

      Take vasodilators. The endometrium needs a good supply of blood, so clogged arteries can thin it out. Ask your doctor if you should take medicines that dilate blood vessels and increase blood flow to the uterus.

      Increase your vitamin E intake. Vitamin E improves blood flow to the endometrium, thereby increasing its thickness. Eat foods rich in vitamin E and ask your doctor if you need to take a vitamin E supplement, sometimes called tocopherol. The recommended daily intake of vitamin E for women is 15 mg. Check with your doctor in what doses you need to consume this vitamin in order to build up the endometrium. Some studies have used doses of 600 mg. Vitamin E is rich in foods such as:

      • almonds, pine nuts, hazelnuts, peanuts and peanut butter;
      • raw pumpkin seeds, sunflower seeds and sesame seeds;
      • chard, kale and spinach;
      • leaf mustard, turnip greens and parsley;
      • avocado, broccoli, tomatoes and olives;
      • mango, papaya and kiwi;
      • wheat germ oil, safflower oil and corn oil.

   3. Check your hemoglobin level. Iron deficiency can lead to thinning of the endometrium. Ask your doctor to do a blood test and check your iron levels. If it is low, then you may need to eat more iron-rich foods or even take supplements.

      • The best sources of iron are meat and fish.
      • The risk of iron deficiency increases if you follow a vegetarian or vegan diet. Eat whole grains and iron-rich vegetables such as quinoa, lentils, spinach, and tofu.

   4. Take L-arginine supplements. Some studies show that supplementation with L-arginine helps with heart disease and leg pain in cases of thrombosis. Since L-arginine dilates arteries and improves blood circulation, it may have a beneficial effect on endometrial thickness. You can find L-arginine supplements at your drugstore or health supply store.

   The latest therapies

   Ask your doctor about low-dose aspirin treatment. Small doses of aspirin have been shown to help some women conceive, although it is not known whether this is due to thickening of the endometrium or other factors. Use this method of treatment only on the recommendation of a doctor and only after discussing your medical conditions.

   Discuss pentoxifylline treatment with your doctor. Pentoxifylline ("Trental") is a drug that increases blood circulation. Combined with vitamin E, it builds up the endometrium and helps women get pregnant.

Pregnancy is the natural state of a woman. But in recent decades, more and more women are suffering from the inability to conceive a child. And the reason is not in any incurable diseases, but because of. Fortunately, we are talking about a completely fixable situation. Even our ancestors knew how to build up the endometrium, and passed this information from generation to generation.

Thin endometrium - how to build up to get pregnant?

The endometrium is the mucous membrane that lines the inner surface of the uterus. It is to it that the fertilized egg is attached; it is from her at the first stage of her development that she receives all the necessary microelements and oxygen. Connective tissue, blood vessels and glands - that's what the endometrium is. But in order for the egg to be able to confidently “dock” with it, a certain thickness is necessary.

There are cases when the endometrium is too thin, pregnancy does not occur. In this case, the doctor recommends that the patient increase it, as well as take measures to form the desired structure. For this, there are special preparations, including Gormel drops and Duphaston tablets. They are especially relevant for those who want to know how to build up the endometrium quickly. But most often women are interested in how to build up the endometrium without hormones. And here traditional medicine comes to the rescue.

From pineapple to leech

The first rule underlying all recommendations is proper nutrition. There is a group of products containing salicylates: natural substances that have a number of properties that are beneficial for the endometrium. In this list:

• spices;
• dried fruits;
• red wine;
• nuts (peanuts, pistachios, macadamia, pine nuts, almonds);
• vegetables (tomatoes, green peppers, radishes, spinach, beans, cucumbers, broccoli, etc.);
• fruits and berries (pineapple, apricots, green apples, red grapes, cherries, tangerines, blueberries, etc.)

Many women want to know how to build up the endometrium quickly and with a 100% guarantee. Of course, diet alone cannot achieve this. Work on the body must be complex. There are several ways to increase blood circulation in the pelvis and thus stimulate the growth of the uterine lining. The most effective of them are belly dancing, wumbling, aerobics, acupuncture, traditional and acupressure. In addition, hirudotherapy (leech treatment) will help stimulate blood supply in the reproductive zone.

How to build up the endometrium with folk remedies

The next step on the way to - herbal medicine. There are a huge number of available herbs, decoctions and infusions of which help to improve a woman's hormonal background. The real record holder in this case is the grass upland uterus. This is a real storehouse of trace elements, antioxidants, anticoagulants, organic acids, resins, flavonoids, tannins, saponins and, of course, vitamin C. It can be used in a variety of forms.

• Brewing. To do this, you need to take about 15 g of the dried mass (pre-ground) and pour boiling water over it (about 150 ml). The uterine "tea" should be infused for at least a quarter of an hour. This remedy should be taken 3 times a day for a tablespoon.
• Alcohol tincture. You will need: 2 tablespoons of dry grass, 0.5 liters of alcohol. The mixture should be placed in a dark, cool place for a couple of weeks. Mandatory condition: it is necessary to prepare the tincture for the growing moon. It is recommended to drink it 3 times a day, before meals (25 drops each).
• Douching. 3 tablespoons of herbs should be brewed and infused for three hours, then drained thoroughly.

The union of the upland uterus and the red brush has an even greater effect. But they should be used strictly. The menstrual cycle must be divided into 2 parts. Until the middle of the cycle, drink a red brush; start the second part with a hog uterus. The recipe for preparing decoctions is as follows: pour a tablespoon of herbs with boiling water, leave for 4 hours. Drink a tablespoon every 6 hours.


Immediately before menstruation, the amount of decoctions consumed should be minimized, and during menstruation, their use should be completely stopped. Building up the endometrium in this way will not be lightning fast; but it will happen and be achieved in the most natural way.

Herbs to help

The upland uterus and the red brush are perhaps the most popular remedies in the fight against thinned endometrium. However, modern herbal medicine has other effective herbs. Among them:

1. . It should be brewed instead of tea and drunk 3 times a day.
2. Wormwood and carrot seeds. With a decoction of these "ingredients" you need to be extremely careful, because wormwood is a poisonous herb.
3. Knotweed. One teaspoon of herb is poured with a liter of hot water, the infusion is placed in a dark place for 4 hours. The remedy must be filtered and taken 4 times a day for half a glass before ovulation.

This is not a complete list of herbs, decoctions of which help to solve the question "how to build up the endometrium with folk remedies?" Also highly effective are:

• Linden;
• hop;
• clover;
• licorice;
• lovage;
• celery.

By the way, all of the above herbs are equally effective in matters of how to build up the endometrium in the case, and in those how to build up the endometrium after scraping. But it should be remembered that it is impossible to self-medicate in such important matters. Before you start taking herbs, you need to consult a doctor, as well as talk with a competent herbalist.

Women need to approach the issue of pregnancy planning with all responsibility, thoroughly check up, “tighten up” their health, especially build up the endometrium during the planning of conception.

How to build up the endometrium and bring the body back to normal before pregnancy?

What is endometrium?

For the correct approach to the issue of building up the layer, it is necessary to understand what the endometrium is and what specific functions it performs.

The endometrium is the mucous layer on the inside of the uterus. Directly on the thickness and quality of the layer depends in the future to conceive a child, the ability to endure and give birth. Therefore, it is important for future mothers to know how to build up the uterine mucosa.

Functions of the endometrium

The mucous layer of the inner thala of the uterus is the most important component in the reproductive issue.

If the doctor makes a diagnosis "thin endometrium" this can be the biggest obstacle in planning future motherhood.

The mucosa includes several main layers:

• Basal;
• Functional.

The most important function of the layers is to create comfortable conditions for the formation and fixation of a fertilized egg in the uterine cavity. Also, it is the endometrium that creates a favorable environment for the development and vital activity of the fetus.

In situations where the fertilization process has not taken place, with the help of menstruation, the functional layer moves away from the uterine cavity and is brought out. But after that, during the period of the natural cycle, with the help of the basalt layer, the functional is restored again.

This natural process is considered normal and occurs in women every month until it occurs.

How does the endometrium grow?

1. Under the influence of the basalt layer, the functional matures correctly and qualitatively, and after the young cells are completely ready, they can accept a fertilized embryo.
2. The aging process occurs in conjunction with the accumulation of specific receptors that are not tolerant to the hormone. Thanks to this, the endometrium can be easily built up, the layer becomes fully prepared for the preservation and further bearing of the fetus.

normal mucosal levels

Throughout life, in each specific cycle in a woman under the influence of various factors, the thickness of the layer can vary significantly, but there is a layer norm:

• 1-2 days - 0.5-0.9 cm;
• 3-4 days - 0.3-0.5 cm;
• 5-7 day - 0.6-0.9 cm;
• 8-10 days - 0.8-1.0 cm;
• 11-14 days - 0.9-1.3 cm;
• 15-18 days - 1.0-1.3 cm;
• 19-23 days - 1.0-1.4 cm;
• 24-27 days - 1.0-1.3 cm.

If there are any deviations in the thickness of the layer, it is necessary to contact specialists who will help build it up.

Causes of thinning of the endometrium

Among the main reasons for which various pathologies occur, the following can be distinguished:

Clinical picture of insufficient development of the endometrium

In case of insufficient growth of the mucous layer of the uterus, women experience the following symptoms:

• menstrual disorders;
• Short,;
• Miscarriages and inability to conceive.

Among the general symptoms, a woman with a thin endometrium has the following complaints of headache, general malaise.

If certain symptoms are detected, a woman needs to contact a gynecologist as soon as possible in order to build up a qualitative layer of the uterine mucosa.

Risks with thin endometrium

Diagnostic methods

In the case when there are signs of poor quality of the endometrium or a thin layer, a woman needs to urgently consult an endocrinologist in order to increase it as much as possible.

1. The patient must be sent for examination in the first stages of menstruation. To build up the mucosa and confirm the diagnosis, a woman can be sent for an ultrasound examination several times per cycle.
2. In addition, blood tests will be prescribed to diagnose the level of estrogen in the body. Qualitative diagnosis will allow you to determine the level of progestrons in the blood, as well as luteotropic and follicle-stimulating sex hormones (LH and). A professional doctor must definitely appoint a material sampling on the 20-22nd day of the cycle.
3. It is necessary to refine the result. The diagnostic complex will help build up the endometrium.

How to increase endometrium when planning a pregnancy?

To build up a qualitative layer of the endometrium directly depends on the hormone estradiol, which is produced by follicles in a woman's body. This hormone causes the accumulation of the most important receptors in epithelial tissues.

In the complex of treatment and restoration of the endometrium, the following measures should be taken:

1. Therapy of congenital pathologies and existing infectious, venereal diseases.
2. Restoration of the hormonal background of the body.
3. Improving nutrition to improve the performance of the circulatory system of the pelvic organs.
4. Treatment of injuries and inflammations after abortions and miscarriages.

Based on the specific cause of such disorders in a woman, the gynecologist in the course of treatment prescribes the intake of certain drugs, forms the most effective diet.

In addition, traditional medicine recipes are characterized by positive dynamics, which help to quickly and efficiently build up the endometrium and cope with the current problem.

Medicines to help you get pregnant

In order to quickly increase the quality level of the endometrium, modern medicines are needed so that in the future a woman experiences the true nature of motherhood.

Folk remedies

In a situation where a woman cannot become pregnant or bear a fetus, she wonders about treatment and recovery at home, using alternative medicine recipes.

The most effective recipes include the following methods:

Before applying this or that recipe, you should consult with a specialist. Each decoction affects the rate of hormones, the balance of performance and the functions of the organs of the whole organism.

Alternative medicine

Many therapists prescribe the use of alternative medicine methods to increase the blood supply to the pelvic organs, restore the uterine mucosa, so that a woman can quickly build up the mucous layer of the uterus.

Acupuncture

The therapy, which is rooted in the history of Chinese medicine, is very effective in treating female gynecological problems, helping to effectively build up the endometrium.

In the process, the impact is directed to active points, into which special needles are inserted. Due to this, the work of some affected organs improves and resumes.

Hirudotherapy

Through the use of natural resources, it is possible to normalize the circulatory system in the pelvic area, thereby stimulating the growth and development of the thickness of the endometrial layer.

To improve blood circulation and stimulate the growth of the uterine mucosa, special physical exercises help well:

Improper, unbalanced nutrition is one of the causes of endometrial growth disorders.

In the case when the tests show a thin layer of the uterine mucosa, experts recommend:

Experts say that if you follow the right diet, you can significantly increase immunity, improve the condition of the body. Following exactly the instructions of the doctors, already a month later, the thickness of the mucous layer of the uterus can be increased by 5-7 cm.

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.

Unfortunately, there is currently a trend towards an increase in the number of infertile couples. The reasons why pregnancy does not occur are quite diverse. A significant proportion of them is uterine factor. Implantation disorders are quite common, and their treatment and correction have certain difficulties. At the same time, they are often the causes of many years of treatment-resistant infertility, unsuccessful attempts at in vitro fertilization, and cases of habitual miscarriage. The success of the onset and maintenance of pregnancy is largely determined by the state of the endometrium. Let's figure out what features of the internal mucosa affect implantation, how to improve it and how to build up the endometrium.

Endometrium for implantation

The endometrium is a mucous layer that lines the inside of the uterus. Its structure and value changes under the influence of hormonal influence during the menstrual cycle. On the 6-10th day after ovulation, which corresponds to 20-24 days after the onset of menstruation with a cycle of 28 days, the implantation window occurs. During this period, the lining of the uterus is prepared to meet and interact with the blastocyst (an early stage in the development of the human embryo). The endometrium thickens, it increases the number of epithelial glands and blood vessels. These changes are necessary for the successful implantation of the embryo, the onset and maintenance of pregnancy.

Causes of failed blastocyst implantation may include:

1. Thinning of the endometrium, discrepancy between its size and the day of the menstrual cycle. The optimal thickness of the mucous membrane for pregnancy is 8 mm or more during the implantation window.
2. Other disorders of the structure and function of the endometrium (insufficient maturity of the epithelial glands, difficulty in uterine blood flow and other factors). With the structural and functional usefulness of the uterine mucosa, in the event of its thinning, the onset and preservation of pregnancy is possible.
3. The presence of immunological factors.
4. Pathology of the embryo.

The receptivity of the uterine mucosa is determined by its structural and functional features, which determine its ability to implant. It directly depends on fluctuations in the levels of estrogen and progesterone in the female body and changes in the number of receptors for these hormones on the uterine mucosa.

Causes of thin endometrium

The term "thin endometrium" in the specialized literature can be found less and less. It was revealed that the possibility of pregnancy is determined not only by the size of the internal mucous membrane, but also by the safety of the structure and its functional usefulness. Causes of failure of the uterine mucosa can be:

• Congenital anomalies in the development of the female genital organs.
• Mechanical damage to the uterine mucosa as a result of medical abortions, spontaneous miscarriages, separate diagnostic curettage and therapeutic curettage after childbirth and non-developing pregnancy.
• Inflammatory diseases of the female reproductive organs (especially chronic endometritis).
• Violation of the blood supply to the mucous membrane of the uterus and appendages due to the creation of an obstruction of blood flow by a volumetric formation of the small pelvis, vascular pathology, coagulopathy and other factors.
• Hormonal imbalance (decrease in the level of estrogen and progesterone and a decrease in receptors for them).

Enlargement of the endometrium with drugs

After the examination, only the attending physician can answer the question of how to build up the endometrium for conception. There are several ways to improve the endometrium to increase the chances of pregnancy, its successful development and minimize the risk of complications in gestation. The choice of technique depends on the cause of the pathological condition. There is no standard solution for the problem of how to increase the endometrium, the same for all women. The treatment plan is drawn up individually for a specific woman.

Treatment of thin endometrium is in most cases the appointment of hormonal drugs. This is due to the fact that the state of the uterine mucosa directly depends on fluctuations in endocrine factors. However, due to the widespread prevalence of infections of the female genital organs, endometrial augmentation should be carried out in the following sequence:

1. Treatment of inflammatory processes in the reproductive organs of a woman (the use of antibiotics, anti-inflammatory drugs, etc.).
2. Hormone therapy.
3. Simultaneously with the use of hormonal drugs, auxiliary agents can be used.

The growth of the endometrium is stimulated by drugs that contain estrogens. The most commonly prescribed drug in this group is Divigel, which is a gel applied to the skin of the lower abdomen. Homeopathic preparations (Gormel drops) can also be used, which activate the production of endogenous estrogen.

It is widely believed that it is possible to quickly build up the endometrium using drugs such as Duphaston and Utrozhestan. This is not entirely true. These medicines contain progesterone, which improves the lining of the uterus, helps it mature, and also keeps the pregnancy going if it occurs. The principle of action of both drugs is the same. However, Utrogestan is a natural progesterone and can be used both orally and vaginally, while Duphaston includes dydrogesterone (a synthetic analogue of progesterone) and is available only in tablet form. Additionally, low-dose aspirin, vitamins C and E, and other agents may be used.

Physiotherapy methods for increasing the endometrium

To build up the endometrium, physiotherapeutic methods can be applied that improve the blood supply to the female genital organs. Among them are:

• medical gymnastics;
• massage (impact on certain areas of the body with the help of hands);
• acupuncture (impact with special needles on certain points of the body);
• hirudotherapy (treatment with leeches);
• electropulse therapy;
• magnetic therapy on the lower abdomen.

Any physical activity can help improve blood circulation in the pelvic organs: swimming, yoga, and running. Particularly useful are exercises to strengthen the pelvic floor muscles from wumbling and belly dancing.

Folk remedies

You can restore the endometrium with the help of traditional medicine. The use of herbal preparations is based on the fact that their use contributes to the normalization of the hormonal background of a woman. And the achievement of endocrine balance stimulates an increase in the thickness of the endometrium. For this purpose, sage, red brush, hops, clover, hogweed, etc. are used. One way is to alternately use herbs in the following order: in the first half of the cycle, a decoction of the red brush is used, and in the second, hogweed is used.

To improve the condition of the uterine mucosa, it is recommended to follow a special diet. It is advised to use foods rich in:

• vitamin C (blackcurrant, pineapple, grapefruit, lemon, etc.) to strengthen the vascular wall;
• vitamin E (raspberry leaves, flax seeds, fresh vegetables, etc.);
• salicylates (honey, strawberries, cherries, cranberries, etc.) to thin the blood and prevent thrombosis;
• omega-3 fatty acids (salmon, trout, etc.).

Pumpkin is often used for endometrial growth. This product is very popular due to its availability and the possibility of using it in various dishes. There is a drug Tykveol containing pumpkin seed oil for the endometrium and the treatment of other pathological conditions.