Treatment of simple endometrial hyperplasia

Simple hyperplasia of the uterine content is a common gynecological disease in women. Many of them are caused by women not paying attention to care in their daily lives. After simple hyperplasia of the endometrium, many women will experience rare menstruation, and some women will still have bleeding after menstruation. Many women who have not given birth are also prone to this disease. So what are the treatments for simple hyperplasia of the endometrium?

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.

If you have simple functional hyperplasia of the endometrium, you must follow these methods to treat it in a timely manner. This disease must be treated evenly because it is related to women's fertility. Therefore, when women suffer from simple hyperplasia of the endometrium, they must be treated according to the type of disease. If it is serious, timely surgery is required.