Is endometrial hyperplasia serious?

When it comes to endometrium, female friends are no strangers to it. Every time they have a physical examination, the doctor will specifically measure the thickness of the endometrium. When some women who are preparing for pregnancy go for a physical examination, the doctor will specifically check the endometrium to see if there are any problems and whether it is suitable for the embryo to land. Some women find that they have endometrial hyperplasia after physical examination, but the doctor says it’s okay. Is endometrial hyperplasia serious?

1. What are the symptoms of endometrial hyperplasia?

Menstrual disorders are one of the prominent symptoms of this disease, which are often manifested as irregular vaginal bleeding, infrequent menstruation, amenorrhea or continuous bleeding after a period of amenorrhea. It is generally called anovulatory functional uterine bleeding. In addition to vaginal bleeding, infertility is also the main symptom of patients with anovulatory dysfunctional uterine bleeding during the reproductive period.

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. There are three types of endometrial hyperplasia: simple hyperplasia, complex hyperplasia and atypical hyperplasia.

2. Can endometrial hyperplasia be cured?

The treatment of endometrial hyperplasia should be symptomatic according to different causes. First, check whether the patient has polycystic ovary, functional ovarian tumors or other diseases caused by endocrine dysfunction, and then perform targeted treatment. Drug treatment and surgery are generally used for treatment.

First, curettage treatment for women in the reproductive period: Generally, one curettage can control bleeding. If bleeding still occurs after curettage, hysteroscopy and B-ultrasound should be performed to rule out submucosal myoma or other organic lesions. Women in the reproductive period may also have infertility and clinical manifestations of polycystic ovary syndrome with anovulation, which should be treated according to polycystic ovary syndrome.

Second, the menopausal transition period: It is often anovulatory functional uterine bleeding. If the menstruation is infrequent and the blood volume is heavy or the bleeding time is long after curettage and hemostasis, progesterone treatment should be given every two months, and follow-up observation should be conducted after 3 cycles in total.

Third, in the late menopause: you should ask whether to use estrogen replacement therapy alone. After curettage, you can suspend the replacement therapy or add progestin. Progestogens can inhibit the proliferation of the endometrium caused by estrogen.

From this it can be seen that the symptom of endometrial hyperplasia can be cured, so girls don’t need to worry too much about it. The menstrual period is a special period for girls. Their immunity will be relatively weak and their mood will be more complicated. However, you still have to adjust your mentality and live happily every day.