Endometrium or uterine lining is the innermost layer of uterus. Embryo attaches to this lining and grows and results in a healthy pregnancy.
Thick endometrium goes a long way in ensuring effective implantation of fertilized egg inside the womb. Uterine Lining must be at least 7 mm thick for successful implantation of embryo
Causes
1. Low estrogen level
2. Damaged endometrial lining due to surgeries like repeated D&C , fibroid removal
3. Infections - chronic infections (endometritis) can cause thin endometrium. Genital tuberculosis has to be ruled out
4. Idiopathic - due to individual uterine architecture
Symptoms
1. Difficulty in conceiving
2. Irregular menses
3. Scanty menstrual bleeding
Treatment
1. Estrogen supplementation in case of low estrogen
2. Damaged endometrium - PRP
3. Infections - antibiotics , anti-tubercular treatment(ATT) for TB
4. Hysteroscopy