How the endometrium changes in pregnancy

A frequent cause of infertility or miscarriage is a violation of the state of the endometrium, which is the mucous membrane of the uterus that undergoes changes during the menstrual cycle. Thus, a pathologically altered endometrium during pregnancy can lead to abortions in the early stages, as well as to violations of the implantation process. Therefore, it is necessary to conduct an endometrial examination before conception, and, if necessary, conduct treatment.

Pathological deformations of the endometrium are divided into two groups: the hormonal background disturbances and the presence of inflammatory processes in the mucosa. The causes of these disorders are inflammation in the organs located in the small pelvis, frequent abortions, a violation of the ratio of estrogen hormones and progesterone. As a result of the disturbances, chronic endometritis, hyperplasia, endometrioid cyst, edema of tissues, endometrial polyps develop, and pregnancy may be at risk, as normal fetal development becomes impossible.

The endometrium of a woman changes physiologically as a result of the hormonal effect, so any disturbances in the hormonal background lead to the development of hyperplasia. The causes of this phenomenon may be different: ovarian tumors, disorders of the pituitary and adrenal glands, as well as tissue receptors.

Thus, it is necessary to comprehensively examine the endometrium during pregnancy in order to be able to properly treat pathological changes if necessary. Diagnosis of the endometrium includes such methods of research as biopsy, gastrosalpingoscopic, microbiological, hormonal and histological methods, ultrasound, endoscopy and hysteroscopy.

Gistrosalpingoscopy is performed with suspicion of diseases such as polyps or endometrioid cysts, and pregnancy develops with complications. Also, the uterine cavity is examined for hidden diseases that can not be detected by ultrasound.

The histological method of examining the endometrium allows us to identify the presence of chronic endometritis, infectious or viral lesions of the mucous membrane, the development of hyperplasia and polyps.

No less common is the method of diagnosis as ultrasound, which makes it possible to control the change in the endometrium during the menstrual cycle, thereby allowing to identify at an early stage the development of diseases of the mucous membrane.

It should be noted that when pathological processes are detected in the uterine cavity, scraping and further examination of the endometrium is performed.

It can be said that the study of such material as the endometrium during pregnancy plays an important role, since it facilitates the establishment of a comprehensive treatment aimed at normalizing the functions and condition of the uterine mucosa.

Treatment is usually carried out with the help of antibacterial and immunostimulating drugs, as well as medicines, whose action is aimed at the normalization of blood functions and metabolic processes in the woman's body; Also hormonal therapy can be prescribed.

After the treatment of the endometrium, the probability of negative consequences of pregnancy is reduced, and the risk of infertility is reduced.

Thus, the endometrium during pregnancy plays an important role, since it is a factor in its normal course. It is important to examine the state of the endometrium prior to conception in order to reduce the risk of developing pathological processes and miscarriage. In the case when the diagnosis revealed any deviations in the development of the endometrium, it is necessary to carry out complex treatment aimed at restoring its functions and condition.