My endometrial thickness is 2.9 mm. How to increase this thickness?

Question

Hello doctor,

I am 24-years-old. I have PCOD, and my endometrium is very thin. My ultrasound report shows the endometrium thick as 2.9 mm. The ultrasound was taken during my menses. What should I do to increase the endometrium thickness?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

Thanks for the query.

The endometrium thickness is fine as of now. As you said, you were menstruating, so 2.9 mm is acceptable for the menstruation period.

But the presence of bilateral polycystic ovaries would need to be addressed and controlled (attachments removed to protect the patient’s identity). PCOD (polycystic ovarian disease) causes anovulation or no ovulation and hence no pregnancy.

So, to treat PCOD, please follow up with the following hormonal profile:

FSH (follicular stimulating hormone), LH (luteinizing hormone), AMH (anti-mullerian hormone), serum estradiol, serum progesterone, serum prolactin, and thyroid profile.

Are you currently under any medication?

Please follow up.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

Suppose this report was taken between the fifth and tenth day. In that case, it is a cause of concern indicating that your estrogen levels are likely below average, and hence endometrium is deficient. It is common in PCOD and patients with relatively higher testosterone levels.

Hence it is essential to learn your basic hormonal levels in the hormonal profile before starting the treatment.

Once PCOD is controlled, endometrium thickness will be improved. If it still does not, then both medical and surgical methods are there to improve the same.

Please answer the question regarding height and weight, eating habits, cycle irregularity, any acne, hirsutism.

Regards.