How does the lining of the uterus change during menopause? | Endometrium

How does the lining of the uterus change during menopause?

During menopause, the estrogen level in every woman’s body drops because the ovaries no longer produce estrogen. As a result, the lining of the uterus is no longer built up and thus becomes smaller (atrophied). This is why the monthly menstrual period does not occur. As the lining of the womb becomes smaller and less blood supply is available than before the menopause, pregnancy is no longer possible. Increasing age also has an effect on muscles, connective tissue and ligaments, which is why the uterus, among other things, can often become flaccid and sink as these structures recede.

Is it possible to break down the lining of the uterus without bleeding?

A natural degradation of the uterine lining without bleeding is not possible. However, there is an operative variant, the scraping. The scraping (Abrasio) is used either for diagnosis or treatment.

A frequent application is for bleeding disorders. Especially in women shortly before or during menopause, bleeding can occur more frequently if the mucous membrane cannot be properly rejected. Then the uterine mucosa is removed by abrasion.

The cell cycle usually changes after such an operation. The menstrual period is somewhat delayed, as the mucous membrane must first completely recede again.