What are the treatments for uterine hypertrophy and endometrial thickening?

The uterus is a very important reproductive organ for every woman, but it is also prone to problems. As we all know, the uterus is the organ that nurtures the next generation during pregnancy, so once there is a problem with the uterus. It may directly cause infertility or irregular menstruation, and the most common one is endometrial thickening. So let's find out what are the treatments for uterine hypertrophy and endometrial thickening?

For the treatment of atypical endometrial hyperplasia, we must first make a clear diagnosis and find out the cause. If it is accompanied by polycystic ovary, functional ovarian tumors, or other endocrine dysfunction, targeted treatment should be performed. At the same time, symptomatic treatment should be started immediately for those diagnosed with atypical endometrial hyperplasia, using medication or surgical treatment. The choice of plan should be determined based on the patient's age, fertility requirements, and physical health condition. For those under 40 years old, their tendency to cancer is low and drug treatment can be considered first. Young people who hope to have children should try drug treatment first, because after drug treatment, about 30% of patients may still become pregnant and give birth to a full-term baby. For women before and after menopause, the potential for cancer is higher than that of younger people, so hysterectomy is often performed directly.

1. The principle of drug treatment is

Standardized medication, long-term examinations, regular testing, and timely assisted pregnancy. Types of medication: ① The ovulation-inducing drug clomiphene is taken once a day on the 5th to 9th day of the cycle. If necessary, the medication period can be extended by 2 to 3 days. ② Progestin drugs: They vary according to the degree of endometrial atypicality. Mild atypical hyperplasia can be treated with intramuscular injection of progesterone, starting on the 18th or 20th day of the cycle, and taken for 5-7 days. Patients with moderate and severe atypical hyperplasia should use medroxyprogesterone continuously for a course of 3 months. After each course of treatment, a curettage or removal of endometrial tissue should be performed for histological examination. Depending on the response to the drug, the patient can choose to stop treatment or increase or decrease the dosage of the drug as appropriate. An intrauterine ring can also be placed.

2. Surgery

Curettage and aspiration is not only an important diagnostic method, but also one of the treatment methods. Because local lesions can also be removed through curettage. Patients with atypical endometrial hyperplasia who are over 40 years old and have no fertility requirements can undergo hysterectomy once diagnosed. However, for patients with hypertension, diabetes, obesity or advanced age who have poor tolerance to surgery, drug treatment may be considered under close follow-up monitoring. Young patients who have not responded to drug treatment, whose endometrial hyperplasia continues or worsens or is suspected of having developed cancer, whose vaginal bleeding cannot be controlled by curettage and drug treatment, and whose condition recurs after delivery, may all consider surgical removal of the hysterectomy.

The above is a detailed introduction to the treatments for uterine hypertrophy and endometrial thickening. I hope everyone can understand that even if it is the same disease, because each person’s physique and symptoms are different, the choice of treatment method also needs to be different. Also, you must maintain good living and eating habits when treating the disease.