Should curettage be performed if endometrial thickening is found during gynecological examination?

Whether curettage is necessary for endometrial thickening discovered during gynecological examination depends on the specific situation. If thickening is accompanied by abnormal bleeding, postmenopausal bleeding, or suspected malignant lesions, curettage is usually recommended; If there are no symptoms and ultrasound indicates uniform thickening, immediate intervention may not be necessary.

Endometrial thickening may be related to physiological changes, such as the secretory phase of the menstrual cycle or early pregnancy, during which thickening is a normal phenomenon and regular follow-up is sufficient. If it is caused by benign lesions such as endometrial polyps or endometrial hyperplasia, and ultrasound shows local thickening or abnormal blood flow signals, doctors may recommend diagnostic curettage to clarify the pathological type. For thickening caused by anovulatory dysfunctional uterine bleeding or hormonal imbalances, medication can be tried to adjust the menstrual cycle first, such as progesterone capsules, dexamethasone tablets, and other progesterone treatments. If ineffective, curettage can be considered. If there is suspicion of endometrial cancer or precancerous lesions, especially abnormal uterine bleeding in postmenopausal women, diagnosis must be made through segmental curettage or hysteroscopic biopsy.

Daily attention should be paid to recording menstrual cycles and bleeding situations to avoid the abuse of estrogen based health products. Obese women need to control their weight to reduce the risk of estrogen over stimulation, and those with hypertension or diabetes should actively treat basic diseases. It is recommended to undergo ultrasound examination 3-5 days after menstruation to avoid interference from false thickening during ovulation. All treatments must be carried out under the guidance of a gynecologist, and hormone drugs cannot be taken by oneself.