What is the reason for the sudden thickening of the endometrium? (Part 3)

In this issue, Xiao H will talk about how we need to check if there is any problem with our endometrium. Let’s take a look~

We can check the condition of our endometrium through hysteroscopy.

With hysteroscopy, we can first visually see the situation inside the uterus, and then we can scrape the endometrium for pathological examination.

The test results can be simply described as good or bad: good results are those without atypical hyperplasia, that is, simple hyperplasia; bad results are precancerous lesions of the endometrium: atypical hyperplasia. Atypical hyperplasia may further develop into endometrial cancer.

If the pathological results indicate simple hyperplasia, then of course there is no problem.

If the diagnosis is endometrial cancer, everyone knows the treatment options: surgery, radiotherapy, and chemotherapy.

If the pathological result is atypical hyperplasia, does that mean it is cancer? Of course not!

Otherwise, what is the point of distinguishing between precancerous lesions and cancer? Precancerous lesions may further develop into cancer, that is to say, they may not progress and always remain in the state of precancerous lesions, or even take a step back and turn into benign lesions.

So what we have to do is - give it a push!

If we can't make it benign, at least we can't make it possible for it to become cancer. For young women who want to have children, we prefer drugs to reverse endometrial lesions. For women who don't want to have children or are older, they can also have surgery and choose to remove the uterus. Without the endometrium, it is unlikely to develop into endometrial cancer.

Therefore, if the examination finds thickening of the endometrium, even if it does not cause pain or itching, you should actively check and treat it. After all, cancer will not cause pain or itching in the early stages. By the time symptoms appear, the cancer has already reached the middle or late stages!

Author: Yu Zhen, Wang Ying, Liu Zhou, Zhoupu Hospital Affiliated to Shanghai Health and Medical College

About the Author

Liuzhou

Director of the Department of Obstetrics and Gynecology, Zhoupu Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Professor of Shanghai University of Medicine and Health Sciences, and Adjunct Professor of Hainan Medical College.

Engaged in clinical, teaching and scientific research work in obstetrics and gynecology for 28 years. Professional research direction: gynecological tumors, gynecological minimally invasive techniques and conservative surgery for adenomyosis, and rescue of critical obstetric emergencies.

Clinic hours: Monday afternoon, Thursday morning.

About the Author

Wang Ying

Deputy Chief Physician of Obstetrics and Gynecology Department of Zhoupu Hospital Affiliated to Shanghai Health Medical College. Has been engaged in obstetrics and gynecology for 20 years and has been working in the front line of obstetrics and gynecology for a long time.

In the past 20 years of work experience, I have systematically and comprehensively mastered the diagnosis and treatment principles and measures of common, frequently occurring and difficult and complicated diseases in obstetrics and gynecology. I have accumulated rich clinical experience and advocated the patient-centered working principle in the diagnosis and treatment process. I have good professional ethics and dedication.

Clinic hours: Saturday morning.

Funded by Shanghai Science and Technology Commission's Science Popularization Project

(Project No.: 20DZ2311100)