Does endometrial hyperplasia require surgery?

Endometrial hyperplasia is a very common disease among female diseases. Once diagnosed with endometrial hyperplasia, active measures need to be taken for treatment. If the treatment is not timely, it will affect women's fertility. Therefore, if there is a desire to have children, the sooner the endometrial hyperplasia is treated, the better. However, there are many treatments for endometrial hyperplasia. Should surgical treatment be performed?

Does endometrial hyperplasia require surgery?

Among the treatments for endometrial hyperplasia, surgery is an extremely common and effective treatment method. Therefore, the question of whether surgery is required for endometrial hyperplasia is naturally a question that patients and friends are concerned about and curious about. However, for patients with endometrial hyperplasia, a clear diagnosis must be made first. Only after finding out the cause of endometrial hyperplasia can targeted treatment be carried out. Particular attention should be paid to whether the patient has polycystic ovary, ovarian functional disease, endocrine dysfunction and other problems. Blind treatment may not only fail to cure the disease, but may also cause the disease to worsen and induce greater damage.

As for the question of whether surgery is needed for uterine lining hyperplasia, patients of different ages actually have different considerations. First of all, for young patients who want to have children, we must prevent over-diagnosis and over-treatment. In fact, many cases of endometrial hyperplasia are reversible benign lesions, and the uterus can be preserved through reasonable treatment. If the patient's uterus is removed due to misdiagnosis and incorrect treatment, the pain caused to the patient will be lifelong.

But at the same time, it should be noted that for perimenopausal or postmenopausal women, do not use overly conservative treatment. When the possibility of precancerous lesions of the endometrium has not been ruled out, you must be alert to the possibility of endometrial hyperplasia combined with precancerous lesions. In this case, it is necessary to use surgical removal of the uterus in a timely manner to avoid the harm caused by uterine cancer to the patient.

Does endometrial hyperplasia require hysterectomy?

When you suffer from endometrial hyperplasia, it is not necessary to undergo a hysterectomy for treatment. Whether or not to undergo a hysterectomy for treatment depends on the severity of the patient's condition. Endometrial hyperplasia occurs because a large amount of estrogen stimulates the endometrium. In clinical practice, most of the time, a menstrual diagnostic curettage is performed, and the scraped endometrium is sent to the pathology department for examination. Pathologically, it can be divided into complex hyperplasia and simple hyperplasia. When many hospitals see complex hyperplasia on the pathology report, they will communicate with the patient to explain the risk of cancer. Therefore, it is recommended to remove the uterus for treatment. However, it is not necessary to remove the uterus for treatment of endometrial hyperplasia.