Re: Fw: Endometrium ablatio

[Guest guest]

I guess I would like to review some uterine anatomy that may help all of us

to understand what all of this means. First of all the uterine lining

(endometrium) which sits on top of the smooth muscle layer (myometrium) is

divided into two regions, the lowermost layer or the basalis and the

overlying uppermost layer or the functionalis. There is no clear

distinction between these two layers. The functionalis is shed during

menstration and responds to all of the hormonal changes during our cycle

whereas the basalis and the residual functionalis (after menstration) are

responsible for regenerating the endometrium. The basalis should not be

lost either through menstration or through curettage (the C in the D & C)

because it is needed to regenerate the endometrium. When the butchers

suction and scrape too vigorously the basalis is lost and the endometrium

can't regenerate. As I said before, this distinction between functionalis

and basalis is arbitrary and the thickness of each varies. So if enough of

the basalis is left behind there is the chance of regeneration but if it is

completely lost there is no way to get it back.

HOpe this helps!

G

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