Thin Endometrium (Endometrial Hypoplasia)

Thin Endometrium: Causes and Treatment Options to Achieve Pregnancy

Many women who are trying to conceive encounter the term endometrial hypoplasia or thin endometrium. This condition can reduce the chances of pregnancy, but modern reproductive medicine offers effective treatment strategies to improve endometrial thickness and implantation rates.

What Is Endometrial Hypoplasia?

The endometrium is the inner lining of the uterus that prepares each menstrual cycle for embryo implantation. For a successful pregnancy, this lining must reach adequate thickness and have proper vascularization.

A diagnosis of thin endometrium is typically made when endometrial thickness in the mid-luteal phase is 7 mm or less on ultrasound examination.

Why Is My Endometrium Not Growing?

A thin uterine lining can occur at any reproductive age. The most common causes include:

1. Hormonal imbalance - Low estrogen levels impair endometrial growth.
2. Endometrial damage - Repeated uterine procedures (e.g., curettage, hysteroscopic surgery) may affect regenerative capacity.
3. Chronic endometritis - Persistent inflammation interferes with tissue renewal.
4. Poor uterine blood flow - Reduced circulation limits endometrial development.
5. Age-related decline - Natural regenerative ability decreases over time.

How Does Thin Endometrium Affect IVF and Natural Conception?

Insufficient endometrial thickness significantly reduces embryo implantation rates. This applies to both natural conception and assisted reproductive treatments such as IVF (In Vitro Fertilization).

If the uterine lining is not receptive, implantation failure or early pregnancy loss may occur.

Modern Treatment Options for Thin Endometrium

Although there is no universal treatment protocol, several approaches show promising results:

• Hormonal therapy (high-dose estrogen support)
• Vasoactive medications to improve uterine blood flow
• PRP therapy (Platelet-Rich Plasma in gynaecology) – Autologous platelet-rich plasma infusion into the uterine cavity to stimulate regeneration
• G-CSF intrauterine infusion (Granulocyte Colony-Stimulating Factor)
• Stem cell therapy (experimental but promising)
• Adjunct therapies – Acupuncture or herbal medicine as supportive treatment

When to See a Fertility Specialist?

If you have been diagnosed with thin endometrium or experience repeated implantation failure, consultation with a fertility specialist is essential.

iVF Riga reproductive specialists provide in the treatment of endometrial hypoplasia using both evidence-based protocols and innovative regenerative medicine techniques.

Do not postpone your dream of becoming a mother. Book your consultation today and take the first step toward a successful pregnancy.