Will endometrium thickening cause any problems?
They will just do a DNC (uterine scrape) to clean out the excess lining. They probably don’t know the cause, which they will determine by a biopsy of the tissue removed. If not removed, the endometriosis can spread to all the other organs, so yes, it important that she has it removed. She will have lighter periods, but if it grows back she may eventually need more permanent methods of removal, which can lead to an inability to have children.