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The endometrium lining of the uterus changes through the menstrual cycles in response to the hormone by the ovary. In the first half of the cycle, the estrogen hormone is secreted, which makes the lining thickened. Nothing is required as this is a natural response of the lining to prepare for pregnancy, that is implantation. Sometimes on a scan it is normal to find a thickened lining though the pregnancy is there because it takes around 5 – 6 weeks to see the sac of pregnancy. Excessive thickened lining causes difficulty to conceive and various treatments are required to correct this. It may be medical or a surgical treatment. In medical treatment it is individualized by an infertility specialist and it consists a range of treatments like ovulation induction and imaging of fertility and hormonal assay etc. In a surgical treatment, a DNC is required, which is planned by the physician.