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Doctor insights on: Complex Hyperplasia Atypia

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I'm 38. My dr say i hv complex hyperplasia with atypia is it a must to remove uterus ? Other than this any other way?

I'm 38. My dr say i hv complex hyperplasia with atypia  is it a must to remove uterus ? Other than this any other way?

No: If you want to consider keeping the uterus, it requires medical therapy. You would need someone who knows exactly what they are doing and why. Usually that would be a fertility specialist. The only reason to avoid hysterectomy would be for the purposes of fertility. ...Read more

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I'm 38 my doc say i hv complex hyperplasia with atypia . He ask me if i wan to remove my uterus?Other then remove my uterus no others way?

Some but...: With your complex hyperplasia with atypic, you have up to a 29% chance of an underlying cancer in your uterus. No question that hysterectomy is the definitive solution. For women that are not good surgical risks, high dose Progesterone with repeat biopsy may be an option for you. Good luck! ...Read more

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Bloody flat stools, abdominal pain, N/V, No hemorrhoids or fissures per pcp. H/o complex endometrial hyperplasia with atypia & ovarian tumor. Poss dx?

Bloody flat stools, abdominal pain, N/V, No hemorrhoids or fissures per pcp. H/o complex endometrial hyperplasia with atypia & ovarian tumor. Poss dx?

Need colonoscopy : The possibilities include inflammatory bowel disease, endometriosis, diverticular disease and something related to the tumor to name a few. Sounds like you need a colonoscopy. Ask you doctor about a GI referral. Also ask about the appropriateness of a ct scan. Hope this helps! ...Read more

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Do you need to ave your ovaries removed because of endometrial hyperplasia with atypia?

Do you need to ave your ovaries removed because of endometrial hyperplasia with atypia?

Not usually: Endometrial hyperplasia (with or without atypia) has many causes, but often hormone imbalances can be the cause. Overweight patients have an increased risk of hyperplasia. Since the ovaries produce hormones, they may be involved. However, medical therapy can sometimes be used to manage hyperplasia. Ultimately, it is a precursor to cancer and requires close monitoring. ...Read more

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I have been diagnosed Glandular Hyperplasia with Focal Atypia and my doc suggests for Hysterectomy immediately what you say?

I have been diagnosed Glandular Hyperplasia with Focal Atypia and my doc suggests for Hysterectomy immediately what you say?

Maybe not always: uterine lining hyperplasia with atypia has a small chance of turning into uterus lining cancer, or actually hiding a small cancer already. So, yes, a hysterectomy is one option, but for some people that want to avoid hysterectomy, it is also ok to just get a D and C with hysteroscopy ( look inside). that way all the lining gets removed and tested. You will need to followup if that comes back ok. ...Read more

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I was diagnosed with simple hyperplasia without atypia. I was told my uterus measured 15 cm, would a hysterectomy be out of line. ?

More info...: Generally a hysterectomy is not needed for hyperplasia without atypia. Medication and follow-up would be more routine. ...Read more

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My mother age 55 has diagnosed polypus glandula endometrium cum hyperplasia atypia focalis. Is surgerry (hysterectomy) only option ?

My mother age 55 has diagnosed polypus glandula endometrium cum hyperplasia atypia focalis. Is surgerry (hysterectomy) only option ?

Need details: A more detailed pathology report is needed. It depends on whether the hyperplasia was simple or complex and whether there was any atypia seen. If the hyperplasia was simple without atypia, the treatment of choice would be progesterone. Otherwise hysterectomy may be a better option. ...Read more

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On mth 4 of 6 mth prometrium (micronized progesterone) for simple focal hyperplasia without atypia. Still have light spotting 1 wk before start of period &on bc. Is this normal?

On mth 4 of 6 mth prometrium (micronized progesterone) for simple focal hyperplasia without atypia. Still have light spotting 1 wk before start of period &on bc. Is this normal?

Possibly: From your question it is unsure if you are both using Prometrium (micronized progesterone) and birthcontrol (i am assuming birthcontrol pills?). Both can thin your lining so you can have extended or irregular bleeding. The opposite is possible too, that you have a very thick lining and/or polyps. See your ob/gyn for a pelvic ultrasound and/or repeat endometrial biopsy or hysteroscopy d and c (look inside and scrape lining). ...Read more

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I have simple hyperplasia without atypia, my ob prescribed provera (medroxyprogesterone), (medroxyprogesterone) is it ok to take vitex (chasteberry) supplement together with provera (medroxyprogesterone)?

I have simple hyperplasia without atypia, my ob prescribed provera (medroxyprogesterone), (medroxyprogesterone) is it ok to take vitex (chasteberry) supplement together with provera (medroxyprogesterone)?

Herbals: Its my understanding that chasteberry is a phyto-progesterone. Provera (medroxyprogesterone) is a synthetic progesterone, which has been used i think since the late 1940's. The issue here is would the phyto Progesterone make the Provera (medroxyprogesterone) less effective. My guess is that it could, because both chemicals bind the same receptor sites in your endometrium. I would hold the chasteberry for now. ...Read more

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What is adenomatous hyper plasia with mild atypia?

What is adenomatous hyper plasia with mild atypia?

Benign growth: It is an increase of number of cells/ benign growth that originates from the glands-with mild abnormality of the cells ( atypia) . Atypia can be caused by other things like irritations /infection/inflammation- not just premalignancy. Discuss further with your doctor. ...Read more

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I have a diagnosis of cytologic atypia what does that mean and what treatmetn if any?

I have a diagnosis of cytologic atypia what does that mean and what treatmetn if any?

Slightly abnormal: This tissue diagnosis is indicative of only atypical cells -- not cancer or even pre-cancer. Stick with your attending physician for monitoring. ...Read more

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