Treatment of simple endometrial hyperplasia

Many of our female friends may not know the cause of simple endometrial hyperplasia and have no idea how to treat this disease. In fact, simple endometrial hyperplasia may cause women to experience irregular menstrual bleeding or scanty menstrual blood flow, so we recommend that you treat this disease in a timely manner in your life.

Endometrial hyperplasia mainly occurs in women of childbearing age. Menstrual abnormalities are the prominent symptoms of this disease, which are often manifested as irregular vaginal bleeding, infrequent menstruation, or heavy vaginal bleeding after a period of amenorrhea. Young women may experience infertility after marriage.

Generally, the purpose of hemostasis can be achieved after curettage, while simple endometrial hyperplasia and active proliferation of some glandular epithelial cells indicate that the endometrium is under the continuous action of estrogen and undergoes proliferative pathological changes. Therefore, progesterone should be used to control the menstrual cycle after hemostasis. For young patients, physiological doses of progesterone should be given regularly to restore endocrine regulation of normal menstruation, promote the establishment and recovery of ovulation function, act directly on the endometrium, make the endometrium shed at the expected time, control bleeding, prevent the continuous effect of estrogen on the endometrium, and prevent the occurrence of endometrial cancer.

Commonly used methods are:

1. Estrogen and progesterone are taken sequentially, which is also known as artificial cycle. Generally, estrogen is taken from the 5th day of the next menstrual period, once a night, for 20 consecutive days. Medroxyprogesterone is taken 7-10 days after taking estrogen, 10 mg per day, and 3 consecutive cycles as a course of treatment. It is used for functional uterine bleeding in puberty;

2. Estrogen-progestin combined method: for patients with thick endometrium and heavy menstrual flow, low-dose oral contraceptives are used starting from the 5th day of the menstrual cycle, 1 tablet per day for 3 consecutive weeks. Withdrawal bleeding occurs after stopping the drug. Generally, 3 cycles constitute a course of treatment. This method starts with the use of contraceptives containing progestin, which can limit the effect of estrogen in promoting endometrial hyperplasia and make the overproliferated endometrium shrink in an orderly manner to a normal thickness.

3. Progestin second half cycle therapy, if functional uterine bleeding occurs after a period of amenorrhea, generally within the 16th to 30th day of the menstrual cycle, take 10 mg of progesterone orally daily for 10 consecutive days or take 20 mg of progesterone for 5 consecutive days.

Regarding the case of simple endometrial hyperplasia introduced in the article, we recommend that female friends should receive timely treatment, because you can cure it by using progesterone or estrogen in your life, and these two are also the causes of simple endometrial hyperplasia. We supplement them to treat this disease.