What should I do if I have endometrial thickening at the age of 44?

But women should start paying attention to their health after they are in their 40s. Many women are prone to gynecological diseases, especially middle-aged and elderly women. If a woman has endometrial hyperplasia, she must pay attention to it. Endometrial hyperplasia often leads to uterine cancer. If it is not taken seriously in time, the disease worsens and turns into cancer, which is very dangerous. Women in their 40s should pay more attention.

Endometrial hyperplasia has a certain tendency to become cancerous, so it is classified as a precancerous lesion. However, based on long-term observations, the vast majority of endometrial hyperplasia is a reversible lesion or maintains a persistent benign state. Only in a few cases may cancer develop after a longer time interval. It is divided into three types according to the changes in glandular structure and morphology and the presence or absence of glandular epithelial cell atypia: ① Simple hyperplasia: a physiological response of the endometrium caused by long-term stimulation of estrogen without progesterone antagonism. The stroma and glands proliferate simultaneously without glandular crowding, and the morphology of the glandular epithelium is not atypical. ② Complex hyperplasia: The glands in the lesion area are crowded, the stroma is significantly reduced, and there is no atypia of the glandular epithelial cells. ③ Atypical hyperplasia: The glandular epithelium is atypical and belongs to the intraepithelial neoplasm of the endometrium. According to the severity of the lesion, it is divided into three degrees: mild, moderate and severe.

For the treatment of atypical endometrial hyperplasia, we must first make a clear diagnosis and find out the cause. If it is accompanied by polycystic ovary, functional ovarian tumors, or other endocrine dysfunction, targeted treatment should be performed. At the same time, symptomatic treatment should be started immediately for those diagnosed with atypical endometrial hyperplasia, using medication or surgical treatment. For those under 40 years old, their tendency to cancer is low and drug treatment can be considered first. For women before and after menopause, the potential for cancer is higher than that of younger people, so hysterectomy is often performed directly.

Especially for women after menopause, if there is endometrial hyperplasia during this period, generally speaking, the possibility of cancer is higher than that of young women. Therefore, if this happens and the condition is serious, it is recommended to go to a large hospital for treatment in time. If necessary, even the hysterectomy should be performed, which is very dangerous.