Does complex hyperplasia require hysterectomy?

In current clinical medicine, endometrial hyperplasia is divided into two types: hyperplasia without atypia and intestinal metaplasia. Intestinal metaplasia has a relatively high risk of developing endometrial cancer and is a precancerous lesion that needs to be actively addressed. Hyperplasia without atypical hyperplasia, including simple hyperplasia and multiple hyperplasia, is caused by long-term estrogen action without estrogen antagonism, and the risk of endometrial cancer is extremely low. Next, let’s discuss whether hysterectomy is necessary for multiple hyperplasia?

A diagnosis of polymorphic hyperplasia of the uterine wall does not necessarily require a hysterectomy, although the risk of polymorphic hyperplasia is very high. However, whether a hysterectomy is actually necessary depends on whether the patient has the desire to become pregnant. If the patient has no desire to conceive and can tolerate a hysterectomy, a hysterectomy will be performed; however, if the patient has a desire to conceive or cannot tolerate a hysterectomy, she or he needs to go to the hospital regularly for a diagnostic curettage.

In addition, patients should pay attention to getting more rest in their daily lives, avoid fatigue, avoid eating foods containing a lot of estrogen in their diet, and eat more foods rich in vitamins and proteins to ensure nutritional balance and enhance their immunity.

Therefore, for multiple hyperplasia, the treatment plan can be decided according to the patient's requirements. If you are already in menopause, you can consider hysterectomy. Patients who have entered menopause but do not want to have their uterus removed can undergo hysteroscopic transurethral resection or placement of the Mirena IUD to promote amenorrhea. However, if the patient is still relatively young or has fertility requirements, the uterine wall can be transformed by taking estrogen therapy, but regular follow-up is required.

Polyplastic hyperplasia of the uterine wall can easily prolong menstruation and increase menstrual volume. If the medication is not used properly, it will cause severe anemia and affect the function of each organ. Best treated with surgical removal. Pay attention to rest more, don't overwork and ensure adequate sleep quality. You should also increase your nutrition. If you have anemia, you can take blood-enriching medicine to treat it.