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Doctor insights on: Alternative Treatments For Endometrial Hyperplasia

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Endometrial hyperplasia - does it grow suddenly? What kind of treatments are needed?

Endometrial hyperplasia - does it grow suddenly? What kind of treatments are needed?

Endometrial dx: Endometrial hyperplasia is not "sudden," it is a progressive thickening of the lining of the uterus due to estrogen effect. Early phases are called "simple hyperplasia." this can progress if untreated to "complex hyperplasia" or "atypical hyperplasia" - if left untreated, it can progress to endometrial carcinoma. Treatment is progesterone hormones to counteract the estrogen. ...Read more

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Endometrial hyperplasia can lead to cancer, really?

Endometrial hyperplasia can lead to cancer, really?

It's a indicator: Endometrial hyperplasia (overgrowth of the uterus lining) means that the uterus is being exposed to continuous estrogen, which is a risk factor for endometrial cancer. So it indicates that conditions are favorable for the development of cancer, and it can also allow an early cancer to hide more easily. Atypical hyperplasia means overgrowth of abnormal cells and an even higher risk of cancer. ...Read more

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Is endometrial hyperplasia the same thing as endometrial cancer?

Is endometrial hyperplasia the same thing as endometrial cancer?

No: They are different. Endometrial hyperplasia is the precursor lesion to endometrial (uterine) cancer. It is possible to slow or reverse this process with Progesterone therapy. But without therapy it can progress to cancer. ...Read more

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Ultrasound showed endometrial hyperplasia and fluid/debris. What does this mean?

Ultrasound showed endometrial hyperplasia and fluid/debris. What does this mean?

```EM thickness: US is one way to look at the interior of the uterus, the endometrial lining. If it appears thickened, it can be due to both physiologic or pathologic growth. In patients over 40, pre-neoplastic or neoplastic hyperplasia becomes more likely, but other things may also be present like polyps. Usually a biopsy or curettage would be needed to sort this out. ...Read more

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What are some surgical options for patients with atypical endometrial hyperplasia?

What are some surgical options for patients with atypical endometrial hyperplasia?

D&C: Dilation and curettage is one option, in which the lining is gently removed to fully evaluate for higher grade abnormalities concerning for cancer. If there are also atypical cells present, many would recommend a hysterectomy due to the high risk of underlying cancer, or of the abnormality progressing to cancer. ...Read more

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I was diagnosed w/ endometrial hyperplasia and given provera (medroxyprogesterone). What is it?

I was diagnosed w/ endometrial hyperplasia and given provera (medroxyprogesterone). What is it?

Progesterone : Hyperplasia is overgrowth of (most commonly) proliferative phase endometrial glands. Provera (medroxyprogesterone) is a Progesterone agent which promotes maturation of the endometrium from proliferative (or hyperplasia in this case) to secretory phase which then is shed (menses). In most cases Provera (medroxyprogesterone) is effective in treating hyperplasia and can prevent progression to atypical hyperplasia or cancer. ...Read more

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Ultrasound showed: "endometrial hyperplasia" and the tech also said there was "debris" (fluid). What do these results mean?

Ultrasound showed: "endometrial hyperplasia" and the tech also said there was "debris" (fluid). What do these results mean?

Endometrial: hyperplasia occurs when the endometrium, the lining of the uterus, becomes too thick. It is not cancer, but in some cases, it can lead to cancer of the uterus.It most often is caused by excess estrogen without progesterone. If ovulation does not occur, progesterone is not made, and the lining is not shed. It usually occurs after menopause, when ovulation stops and progesterone is no longer made. ...Read more

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Have endometrial hyperplasia, no abnormal bleeding (app. 11mm @ day 13 of cycle). Dr. advises ablation. Is that recommended? Please explain.

Have endometrial hyperplasia, no abnormal bleeding (app. 11mm @ day 13 of cycle). Dr. advises ablation. Is that recommended? Please explain.

No: Your are 44 years old, are you still having your periods? If you are, then 11 mm endometrial thickness is not considered endometrial hyperplasia in a menstruating woman. Besides, even if you were postmenopausal endometrial hyperplasia may imply dysplasia or cancer and ablation is the wrong thing to do since you may mask a cancer. If you have no abnormal bleeding then ablation is not indicated. ...Read more

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Transab ultrasound13mm uterine stripe, endometrial hyperplasia. I'm 36. Always had normal cycles, 2 months had heavier bleeding for first 2 days but normal cycle again. Do i need to do anything?

Transab ultrasound13mm uterine stripe, endometrial hyperplasia.  I'm 36.  Always had normal cycles, 2 months had heavier bleeding for first 2 days but normal cycle again.  Do i need to do anything?

See Doctor: Endometrial hyperplasia needs further treatment. It is important to follow up with your doctor. There are different kinds of hypoerplasia and treatment ranges from observation to medication to surgery. Make a follow up appointment to discuss this with your doctor. ...Read more

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