Has anyone ever been diagnosed with endometrial hyperplasia, and been able to avoid hyst?

Likely yes.: The therapy for this can be hormonal with continuous or cyclic progestin therapy to stop the hyperplasia, or hysterectomy. So there are times when hysterectomy is not done. Having said that, if one has too many instances of this, hysterectomy might ultimately be required in many more cases.

Yes: Endometrial hyperplasia does not necessarily mean hysterectomy. However, hysterectomy is the most definitive treatment and eliminates the risk of future progression to cancer. Therefore, it is often recommended. Other treatment options are Progesterone therapy (pills or iud). Discuss options with your doctor.