What to do about complex atypical endometrial hyperplasia

Complex atypical endometrial hyperplasia, to put it simply, is the abnormal growth of endometrial cells. It is actually a precancerous lesion. More simply, if it is allowed to develop, it may turn into endometrial cancer. Therefore, women must pay attention to the complex atypical hyperplasia of the endometrium. So what should women with abnormal endometrial hyperplasia do for their own health?

The treatment of atypical endometrial hyperplasia must first determine the diagnosis and the cause of the atypical hyperplasia, including whether there is polycystic ovary, functional ovarian tumors or other endocrine dysfunction. Those with any of the above conditions should receive targeted treatment. At the same time, symptomatic treatment can be started for atypical endometrial hyperplasia, using drug therapy or surgical treatment. The choice of these two treatment options should be based on age, type of endometrial hyperplasia, fertility requirements, etc.

For the diagnosis of endometrial biopsy in young infertile women, after exclusion, progestin therapy can be used to control abnormal endometrial hyperplasia caused by estrogen growth. If it cannot be controlled by drugs, surgical curettage can be used to stop the bleeding. Perimenopausal or postmenopausal women should be aware of the possibility of endometrial atypical hyperplasia and cancer coexisting, and should consider hysterectomy

Recommendation 1: If the patient has no fertility requirements, hysterectomy is recommended. If the hysterectomy is not performed, the possibility of cancer is relatively high. 2. If you want to preserve your reproductive function, you can use progestin therapy, but close follow-up is required. If the follow-up is abnormal, surgical treatment is necessary. 3. Go to a regular hospital for consultation and treatment. 4. Don’t carry too much mental baggage and relax a little.

Guidance:

The cause of endometrial hyperplasia is mainly related to long-term estrogen stimulation. Endometrial hyperplasia is classified into simple hyperplasia, complex hyperplasia and atypical hyperplasia in histology. The proliferative lesions with morphological characteristics of atypical changes in cells are called atypical endometrial hyperplasia, which are divided into three degrees: mild, moderate and severe according to the degree of the lesion. Both simple hyperplasia and complex hyperplasia have no cell atypia, but the degree of change in glandular structure is different. After drug treatment, the endometrial lesions of patients with endometrial hyperplasia become lighter or return to normal, and even pregnancy can be achieved, but there is still a possibility of recurrence after drug withdrawal or after delivery. This tendency of recurrence may be related to the failure to fundamentally correct the factors that cause high estrogen levels in the human body. In short, most patients with endometrial hyperplasia have a good prognosis after active drug treatment. If atypical endometrial hyperplasia occurs in women before and after menopause, the potential rate of malignant lesions is high. Patients with moderate to severe atypical hyperplasia should be closely followed up during treatment. If a few patients are found to have poor efficacy, hysterectomy can be performed in time to avoid cancer.

In fact, complex atypical endometrial hyperplasia is also quite common. First of all, women suffering from this disease should not be too nervous. Secondly, they must take it seriously to prevent cancer. Finally, they must take some measures to prevent the disease from worsening and restore health. The type of treatment to be taken also depends on the cause of the disease and individual circumstances. The above also provides some suggestions and guidance. I am happy to help you and wish you good health!