What are the treatments for atypical endometrial hyperplasia?

We all know that the uterus is very important for women, and we women need to take good care of our uterus. However, atypical endometrial hyperplasia is becoming more and more common, and it always troubles many women. Now I will introduce to you the treatment methods for atypical endometrial hyperplasia. I hope you can read it carefully.

The treatment of atypical endometrial hyperplasia must first determine the diagnosis and the cause of the atypical hyperplasia, including whether there is polycystic ovary, functional ovarian tumors or other endocrine dysfunction. Those with any of the above conditions should receive targeted treatment. At the same time, symptomatic treatment can be started for atypical endometrial hyperplasia, using drug therapy or surgical treatment. The choice of these two treatment options should be based on age, type of endometrial hyperplasia, fertility requirements, etc.

For the diagnosis of endometrial biopsy in young infertile women, after exclusion, progestin therapy can be used to control abnormal endometrial hyperplasia caused by estrogen growth. If it cannot be controlled by drugs, surgical curettage can be used to stop the bleeding. Perimenopausal or postmenopausal women should be aware of the possibility of atypical endometrial hyperplasia and cancer coexisting and should consider hysterectomy.

This is what everyone is more concerned about. Only by grasping the characteristics of atypical endometrial hyperplasia can we correctly understand this disease and help everyone actively treat it. Next, we will give a detailed interpretation of the characteristics of atypical endometrial hyperplasia. Severe atypical hyperplasia needs to be differentiated from well-differentiated endometrial carcinoma. The presence or absence of interstitial infiltration is an extremely important basis for differentiation. Its morphological characteristics are: glandular "fusion", "back to back", "complex branched nipples", "cribriform" or "bridge" within the gland, and disappearance of the stroma; interstitial fibrosis, and interstitial necrosis. In addition, the response to progestin treatment and the patient's age can also help to differentiate between the two. When atypical hyperplasia is accompanied by stromal muscle fibrosis, it can protrude into the uterine cavity in a polyp-like manner, which is called atypical endometrial adenomyoma-like polyps or polypoid adenomyomas. It is easy to misdiagnose it as myometrial invasion of cancer during curettage diagnosis. The key point of differentiation is that the metaplastic myofibroblasts are more disorderly arranged than the smooth muscle of the uterine wall, with larger nuclei and rich cytoplasm. The diagnosis of adenocarcinoma in curettage materials of young women should be made with caution. There should be clear stromal infiltration and poor differentiation under the microscope. It is best not to diagnose myometrial invasion based on curettage materials alone. The above is an analysis of the characteristics of atypical endometrial hyperplasia. Experts point out that there are many characteristics of atypical endometrial hyperplasia. Everyone must go to a regular hospital to treat this disease based on their actual situation to ensure everyone's safety and health.

The above is a detailed introduction to the treatment of atypical endometrial hyperplasia. I hope the above introduction can help you in life. I wish you all a happy life!