Weight loss and thinning of endometrium

Losing weight may lead to thinning of the endometrium, but it is usually related to factors such as excessive dieting and nutritional deficiencies. The thinning of the endometrium may affect the menstrual cycle and fertility function, and it is necessary to adjust the diet structure in a timely manner and seek medical evaluation. Excessive dieting or extreme weight loss methods can easily lead to a rapid decrease in body fat content, and adipose tissue is an important site for estrogen synthesis. When the body fat percentage is below the healthy range, estrogen levels may decrease, directly affecting the normal proliferation of the endometrium. Insufficient protein intake can affect the repair of endometrial cells, and iron deficiency may lead to anemic endometrial dysplasia. Vitamin E and essential fatty acid deficiencies can also interfere with endothelial angiogenesis. This type of situation is often manifested as a decrease in menstrual flow and an extension of the menstrual cycle, but the thickness of the endometrium can usually gradually recover after moderate nutritional supplementation. Pathological endometrial thinning may be associated with endocrine disorders such as polycystic ovary syndrome and premature ovarian failure. This type of disease itself may be accompanied by metabolic abnormalities, and blindly losing weight at this time may worsen the condition. Adhesive adhesions in the uterine cavity and basal layer damage caused by repeated induced abortions can also lead to permanent thinning of the endometrium. Abnormal thyroid function can cause weight fluctuations and also affect endometrial hyperplasia. This type of situation often requires gynecological ultrasound examination combined with six items of sex hormones for diagnosis. Simply supplementing nutrition has limited effectiveness and may require estrogen supplementation therapy or hysteroscopy surgery.

It is recommended to adopt scientific weight loss methods, with a daily calorie deficit controlled at 300-500 calories, to ensure sufficient intake of high-quality protein, iron, and vitamins. Eat foods rich in essential nutrients such as salmon, spinach, pumpkin seeds, etc., and avoid long-term low carbohydrate diets. Menstrual abnormalities should be promptly reported to the gynecology department, and endometrial thickness should be monitored through vaginal ultrasound. When necessary, use medications such as estradiol valerate tablets and progesterone capsules under the guidance of a doctor to regulate, and do not self medicate with hormone drugs. Maintain aerobic exercise three times a week in conjunction with strength training, and it is recommended to maintain a healthy body fat percentage range of 22% -25%.