Endometrium Bodiness could happen at adolescence, genital stage, perimenopausal period, postmenopause or any other ages. Endometrium is a kind of mucous membrane that covers cavity of uterine body. It grows during the childhood period and periodically changes during menstrual cycle. When it sheds, the menstruation happens. An ovulation happens during per menstrual cycle unless egg is fertilized. Menstrual cycle is regulated by ovarian hormone. Ovarian hormone disorder would result in menstrual disorder, thus causes endometrium change, which is manifested as endometrium bodiness.
According to clinical observation, endometrium bodiness usually accompanies with
pelvic inflammatory disease, hydrocele, etc. Therefore, inflammation is a major cause of endometrium bodiness. Clinical symptoms include great amount of irregular abnormal uterine bleeding, continuing bleeding happens after a long time of menopause, or the cycle gets shorter and menstruation period gets longer. Bleeding period might be as long as one month, even worse, causes haemorrhagic shock.
Traditional Chinese Medical Treatment for Endometrium Bodiness
After years’ observation and research, Li Xiaoping TCM Clinic has successfully developed the “
Fuyan Pill”. It has applied for national patent with the application number of 200910064981.5. It owns excellent effect in curing vaginitis, cervicitis,
salpingitis, salpingo oophoritis, fallopian tube empyema and pelvic inflammatory disease. With the efficacy of clearing away heat and toxic material, “Fuyan Pill” could eliminate varied bacteria, virus
mycoplasma to cure endometrium bodiness; with the major efficacy of detoxification and sterilization, coordinating with efficacy of invigorating the spleen to damp elimination, and promoting blood and Qi circulation, “Fuyan Pill” could eliminate possible pathological changes. Abnormal vaginal discharge is major symptom of gynecologic inflammation. It can be cured by “Fuyan Pill” prescription of bighead, plantain seed and talcum, which invigorates the spleen to damp elimination and treats heat and dampness vaginal discharge disease.
Testimonial
Ms. Li, female, 19 years old, student from Hubei University of Technology, treatment time: August 2009
Chief complaint: In menstruation period, menstrual flow is heavy in the first week and light in other days. Bleeding continues all along but does not stop. This symptom has repeated for 6 years, since the menarche. The patient has ever received western medicine treatment (drug names unknown) and received combination treatment of western and Chinese medicine. The menstruation has ever been normal, but symptom repeated attacked after a certain period. Before the latest treatment, the abnormal menstruation has continued for 2 years, flow was heavy in menstruation period and light at other time, but bleeding continued all the time, endometrium thickness reaches 2.9cm.
The patient then received treatment in the Li Xiaopin TCM clinic and took the "Fuyan Pill". After one month, the menstruation lasts for 20 days and then bleeding stopped, endometrium thickness was 2.7cm. For the second month, menstruation lasts for 10 days. For the third month, menstruation lasts 8 days, menstrual flow increases. For the fourth month, menstruation lasts 7 days. After five months’ treatment, menstruation lasts 5 days and bleeding stopped, menstrual cycle and menstrual flow turned normal, endometrium thickness was 1.7cm. After 6 months, menstrual cycle and menstrual flow were normal, endometrium thickness was 1.3cm in 3 days after menstrual period. After 7 months, the thickness was 0.9cm, symptom eliminated, all test results turned normal, and the disease healed.
2. Endometrium Bodiness Disease Analysis by Traditional Chinese Medicine
What medicines should be used to cure the endometrium bodiness? How to treat endometrium bodiness?
a. Endometrium bodiness, endometrial glands and stroma hyperplasia, cystic hyperplasia of endometrium, adenomatous hyperplasia of endometrium are considered as precancerous lesion of adenocarcinoma of endometrium. In TCM theory, it belongs to Qi and blood obstruction disease. “Fuyan Pill” contains the prescription of pangolin scales, peach seed, flos carthami, which dissipates hard lumps and promotes blood circulation and dissolves stasis.
b. According to clinical observation, endometrium bodiness usually accompanies with pelvic inflammatory disease and pelvic hydrocele, which indicates inflammation provokes endometrium bodiness. “Fuyan Pill” applies prescription of clearing away heat and toxic material with honey suckle flower and radix sophorae, to eliminate varied bacteria and virus in 3 months; as well, with the help of prescription of promoting blood circulation and dissolving stasis, it can heal endometrium bodiness.
c. Abnormal vaginal discharge is the primary symptom of gynecologic inflammation, such as pelvic inflammatory disease and pelvic hydrocele. TCM follows the philosophy of invigorating the spleen to damp elimination, treats spleen insufficiency and vaginal discharge diseases. Accompanied with drugs for promoting blood circulation and dissolving stasis, clearing away heat and toxic material, TCM achieves the goal of curing endometrium bodiness.
d. Functional endometrium bleeding is primary symptom of endometrium bodiness. The patient might have symptom of great amount of irregular abnormal uterine bleeding, or the cycle gets shorter and bleeding period gets longer. Bleeding period might be as long as one month, causes haemorrhagic shock. Endometrium bodiness is identified as pathological change of stasis in TCM theory. Thus, abnormal bleeding is internal obstruction of stasis, blood circulating out of vessels flows out. To treat it, TCM regulates menstruation, applies hemostatic drugs to dissolve stasis and hemostasis, and achieve the goal of eliminating bacteria and sterilizing, regulating menstruation, helping endometrium growth rebuilt, and finally curing the disease.
3. Symptoms of Endometrium Bodiness
Endometrium bodiness includes simple hyperplasia, complex hyperplasia, cystic endometrial hyperplasia and atypical cell hyperplasia. The latter two are more likely to cause cancer, thus should be treated immediately.
The entire endometrium thickness increases 0.5~1cm, the surface is smooth and soft:
Endometrium simple hyperplasia: hyperplasia happens at endometrium and interstitial tissue. Glands quantity distinctly increases, scattering uneven with different sizes. Occasionally, glands enlarge as cyst, epithelial cell appears as column, lacking secretion and ranging pseudostratified. Pathologic mitosis is usual. Interstitial cells arrangement is dense.
Cystic endometrial hyperplasia: cystic dilatation of hyperplastic gland is the most distinct feature. In the typical cases, small scattered holes can be observed in the thickened endometrium by naked eyes. It is called Swiss cheese hyperplasia. Under microscope, endometrium glands are in different shapes and sizes. They can be as small as early-period hyperplastic glands, or as big as dozens times of the small one. The glands are accompanied with pseudostratified columnar or cubic epithelium, lacking secretion, with rich interstitial tissues, light endochylema and darker nuclei.
Adenomatous hyperplasia of endometrium: hyperplastic glands, dense arrangement and few interstitial substances are the most distinct features. Glands quantity is much larger and structure is more complex than the above two types. Glandular epithelium shows papillary hyperplasia towards glandular cavity or shows budding-shape hyperplasia towards interstitial tissues. Interstitial substances are few, epitheliums are pseudostratified-columnar shape, nuclear vacuole and mitosis is usual, with no obvious atypia.
Endometrium atypical hyperplasia: tissue structure is similar to adenomatous hyperplasia. Hyperplastic glands are dense, with irregular, branched or budding shapes. Interstitial substances obviously decrease and atypia occurs to epithelial cells. Nucleolus is big and obvious, chromatin is thick, epithelium is stratified and polarity lost, mitosis is usual. Endometrium atypical hyperplasia is difficult to distinguish from well-differentiated adenocarcinoma. The major differential point is the prior has no interstitial infiltration. Some people think it is the precancerous change of adenocarcinoma of endometrium.
4. Risks of Endometrium Bodiness Disease
Endometrium thickening usually happens and changes with menstrual cycle. Ovarian hormone disorder easily to cause abnormal endometrium thickening that is called endometrium bodiness disease. Normal endometrium thickening has no danger to health, but abnormal endometrium thickening is harmful. For example, long period of massive haemorrhage could cause anemia and faint that threat patient's life. To identify the endometrium bodiness, patients could receive pathological investigation to see if the thickening degree is disaccord with bleeding degree. Endometrium could increase to 20~30 mm for some endometrium bodiness cases. It looks grayish-white or light yellow, has smooth surface or papillary protrusions, along with edema. Profile probably shows cystoid space between extended glands. Endometrium bodiness disease needs immediate treatment for fear it leads to severe threats.
Key words: endometriosis; endometrium bodiness; treat endometriosis