What are the treatments for endometrial hyperplasia?

Many women are afraid of developing some female diseases, because once these problems occur, they are very difficult to treat, and will also have a great impact on our normal sexual life and seriously affect our relationship as a couple. Maybe many of us don’t know much about the methods of treating endometrial hyperplasia. Let us learn about the methods of treating endometrial hyperplasia.

1. Treatment

1. Treatment principles For the treatment of atypical endometrial hyperplasia, first of all, a clear diagnosis should be made to find out the cause of the atypical hyperplasia, whether there is polycystic ovary, functional ovarian tumors or other endocrine dysfunction, etc. 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, requirements for fertility, etc.

(1) Different ages have different considerations:

① Young women who are eager to have children should avoid overdiagnosis and overtreatment. It is not uncommon for endometrial hyperplasia to be overdiagnosed as adenocarcinoma and even overtreated. It would be a great mistake to remove the uterus without a clear diagnosis. In clinical practice, there are many examples of such mistakes. If the pathologist is unaware that the patient has fertility requirements and the clinician does not emphasize it, misdiagnosis and mistreatment may be inevitable. Therefore, for the diagnosis of endometrial biopsy in young infertile women, if any doubts are found, multiple experts should be consulted to clarify the differential diagnosis of endometrial hyperplasia or endometrial adenocarcinoma to the greatest extent possible.

② Perimenopausal or postmenopausal women should be alert to the possibility of atypical endometrial hyperplasia and cancer coexisting. They should consider hysterectomy and be careful not to be overly conservative. Do not perform only endometrial resection without ruling out the possibility of cancer, which may cause adverse consequences. When the uterus is removed due to atypical endometrial hyperplasia, the removed uterus should be examined on the operating table to see if there is coexistent cancer, and pay attention to whether there is cancer infiltration into the muscle layer and choose the appropriate surgical scope.

The above content introduces us to the methods of treating endometrial hyperplasia. I believe that everyone has a clearer understanding of these contents. We should not have too much psychological pressure. If the disease occurs, we should receive treatment as soon as possible, which is very helpful for the recovery of our physical health.