The endometrium does not grow and the follicles do not grow.

The lack of endometrium growth and follicle growth may be related to factors such as endocrine disorders, ovarian hypofunction, polycystic ovary syndrome, etc. The reasons need to be determined through combined hormone level testing and ultrasound examination. It is recommended to seek medical treatment promptly and carry out targeted treatment under the guidance of a doctor.

1. Endocrine disorders

Hypothalamic-pituitary-ovarian axis dysfunction may lead to insufficient secretion of follicle-stimulating hormone, affecting follicle development and endometrial hyperplasia. Common manifestations include menstrual cycle disorders and reduced menstrual flow. It can be evaluated through six sex hormone tests. The doctor may recommend the use of estradiol valerate tablets, progesterone capsules and other drugs to regulate the cycle, along with regular work and rest and stress reduction measures.

2. Decreased ovarian function

When ovarian reserve is reduced, follicles are less responsive to gonadotropins, leading to stagnant follicular development and thin endometrium. It is more common in perimenopausal women or patients with premature ovarian failure, and is accompanied by symptoms such as hot flashes and night sweats. It needs to be evaluated through anti-Mullerian hormone testing, and the doctor may prescribe Kuntai capsules, coenzyme Q10, etc. to improve ovarian function.

3. Polycystic ovary syndrome

Hyperandrogenemia and insulin resistance inhibit follicular maturation, leading to suboptimal follicular growth and poor endometrial hyperplasia. Typical symptoms include oligomenorrhea, acne, and hirsutism. The diagnosis needs to be combined with ultrasound showing polycystic ovarian changes. The doctor may recommend ethinyl estradiol cyproterone tablets to regulate hormones and metformin to improve metabolism.

4. Abnormal thyroid function

Thyroid hormone is directly involved in the regulation of follicle development, and hypothyroidism or hyperthyroidism can cause follicle growth disorders. It may be accompanied by symptoms such as sensitivity to cold, fatigue, palpitations, and weight loss. Five items of thyroid function need to be checked, and the doctor will use levothyroxine sodium tablets or methimazole tablets to treat the original disease based on the results.

5. Uterine adhesions

Damage to the basal layer of the endometrium caused by artificial abortion, uterine cavity manipulation, etc. may lead to intrauterine adhesions and affect the response of the endometrium to hormones. Common symptoms are a sharp decrease in menstrual flow or amenorrhea. The diagnosis needs to be confirmed by hysteroscopy. If the adhesion is mild, an intrauterine device can be placed to prevent re-adhesion. If the adhesion is severe, hysteroscopic adhesion separation is required.

It is necessary to maintain a balanced diet on a daily basis and appropriately increase the intake of foods rich in phytoestrogens such as soy products and nuts. Avoid excessive dieting and strenuous exercise, and maintain your BMI between 18.5-23.9. Regularly monitor basal body temperature and menstrual cycle changes, and review hormone levels and ultrasound every 3-6 months during treatment. Psychological stress may aggravate the condition, and mindfulness meditation and other methods can be used to relieve emotions.