Thin Uterine Lining: What Is Too Thin? What Should You Know?

Double board certified OBGYN and REI, Dr. Natalie Crawford, discusses thin uterine lining. Sometimes you have a thin lining and it's already known. Sometimes thin linings are caused by other things. In this video Dr. Crawford covers multiple studies about uterine or endometrial lining when going through fresh and frozen embryo transfers. She also discusses what can be done if you have a thin uterine lining that can potentially improve outcomes.

Questions Answered:

What is the endometrial or uterine lining?

What causes a thin lining?

What are the different types of linings?

When and why is your lining measured during an IVF cycle?

What do studies say about lining during fresh and frozen embryo transfers?

What can help increase endometrial lining thickness?

How can you change IVF protocol to change the lining?

What are natural ways to improve your uterine lining?

How does weight impact your uterine lining?

What supplements can improve uterine lining?

Liu KE, Hartman M, Hartman A, Luo ZC, Mahutte N. The impact of a thin endometrial lining on fresh and frozen-thaw IVF outcomes: an analysis of over 40 000 embryo transfers. Hum Reprod. 2018 Oct 1;33(10):1883-1888. doi: 10.1093/humrep/dey281. PMID: 30239738; PMCID: PMC6145412.

Zhang T, Li Z, Ren X, Huang B, Zhu G, Yang W, Jin L. Endometrial thickness as a predictor of the reproductive outcomes in fresh and frozen embryo transfer cycles: A retrospective cohort study of 1512 IVF cycles with morphologically good-quality blastocyst. Medicine (Baltimore). 2018 Jan;97(4):e9689. doi: 10.1097/MD.0000000000009689. PMID: 29369190; PMCID: PMC5794374.

Mahutte N, Hartman M, Meng L, Lanes A, Luo ZC, Liu KE. Optimal endometrial thickness in fresh and frozen-thaw in vitro fertilization cycles: an analysis of live birth rates from 96,000 autologous embryo transfers. Fertil Steril. 2022 Apr;117(4):792-800. doi: 10.1016/j.fertnstert.2021.12.025. Epub 2022 Jan 31. PMID: 35109980.

Li X, Luan T, Zhao C, Zhang M, Dong L, Su Y, Ling X. Effect of sildenafil citrate on treatment of infertility in women with a thin endometrium: a systematic review and meta-analysis. J Int Med Res. 2020 Nov;48(11):300060520969584. doi: 10.1177/0300060520969584. PMID: 33176524; PMCID: PMC7673063.

Management of thin endometrium in assisted reproduction: a clinical practice guideline from the Canadian Fertility and Andrology Society https://www.rbmojournal.com/article/S1472-6483%2819%2930340-2/fulltext

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