Doctor insights on:
Is Endometrial Hyperplasia The Same Thing As Endometrial Cancer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Endometrial Hyperpla: Endometrial hyperplasia is typically seen in older, peri- or post-menopausal women, and consists of a thickening of the endometrial lining due to excess estrogen effect. Ordinary hyperplasia, for a short period of time is minimally dangerous as far as cancer, but prolonged hyperplasia - for many months can result in "atypical hyperplasia, " which increases the risk. If concerned, consult your gyn. ...Read more
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
Possibly: Fibroids are benign growths of uterine muscle and are not cancerous. Rarely, a fast growing fibroid may in fact be a sarcoma or a cancer. A uterine polyp (like a skin tag in the uterus) can be totally benign or may house hyperlastic cells. Endometrial hyperplasia with atypical cells is considered precancerous and should be treated. Bleeding after menopause should always be evaluated. ...Read more
Yes: A polyp can be cancerous or precancerous. The exact chance of that depends on several factors including age, genetics and other medical problems. Hyperplasia has a significant risk of becoming cancer depending on whether there is atypia or not. In general fibroids are not cancerous. But some woman can develop certain types of uterine cancer that look like fibroids. ...Read more
I'm worried I had endometrial hyperplasia before getting pregnant 5 months ago. Never tested for it, but would it be cancer by the time baby is born?
A lot of supposition: Without confirming endometrial hyperplasia by biopsy, it is suppositional as to whether it could go on to cancer or not. The endometrium decidualizes during pregnancy in response to the hormone progesterone which tends to block estrogen dependent endometrial hyperplasia from progressing. ...Read more
Overgrown lining: The lining of the uterus is called the endometrium. When it is too thick and/or overgrown, it is called hyperplasia. Frequently this is just a benign thickening but it can be atypical (abnormal) or even cancerous. Thickened lining in older women is more worrisome and should be biopsied. It is a diagnosis made by ultrasound, so it is typically found when evaluating abnormal bleeding. ...Read more
Depends on patient: A woman will have a higher risk of endometrial hyperplasia if they have prolonged exposure to unopposed estrogen. Women with higher risk include those suffering from anovulation (no menstrual cycle), hirsutism (abnormal nhair growth), polycystic ovarian disease, obesity, estrogen replacement therapy after menopause. ...Read more
Not really curable: You'll be taught how to manage it. In addition to meds and eating sensibly, consider getting back into the aerobic sports activities that you enjoy most, much more intensely. ...Read more
Hyperplasia: Technically endometrial hyperplasia can only be diagnosed by an endometrial biopsy. An ultrasound can reveal a thickened endometrium which may aid in the decision process to have a biopsy. Endometrial hyperplasia itself is not malignant but left untreated it could potentially develop into endometrial cancer. Speak with your doctor and see if you need a biopsy. ...Read more
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
Is it normal to take medroxyprogesterone every day continuously to treat endometrial hyperplasia with atypia?
Control biopsy: This can be done. I assume the plan is to repeat an endometrial biopsy after three months. ...Read more
Endometrial hyperplasia simple not responding to 100mg progesteron day 10 onwards of cycle; 7 days in start bleeding more than ever?
This all depends on many things, and your question if very unclear. Are you saying you start the Progesterone on day 10? And you don't indicate what kind of progesterone. And are you 7 days into your period, or the progesterone? And is this the first month you are on it?
Really, none of this doesn't mean it isn't working. You should call the physician who prescribed the medication to discuss. ...Read more
My gynecologist said I have endometrial hyperplasia and I need an iud. She is sending me to an oncologist. Why is this?
Don't panic: Endometrial hyperplasia is the precursor lesion that has the potential to develop into frank uterine cancer. Your gynecologist is sending you to an oncologist not because you have cancer but because oncologists manage patients who are at high risk of progression to cancer or may have concomitant cancer that is not detected yet. An iud will often reverse hyperplasia. ...Read more
Missing issue: It seems your question got cut off. As to hyperplasia it depends on whether it is simple or complex and if there is atypia (weird cells). What type dictates the next step in treatment options. ...Read more
D&C vs hysterectomy: Endometrial hyperplasia can cause bleeding, and possibly lead to cancer. One effective treatment is hysterectomy, which also allows for thorough pathology examination to be sure there is no cancer already present. Other treatments to avoid hysterectomy include a thorough D&C to remove the abnormal endometrial lining, and possibly hormonal treatments. Your gyn can discuss what is optimal for you. ...Read more
Perhaps: Need more information. Do you have any atypia? How old are you? How much do you bleed? Is a repeat sampling planned? Best Wishes ...Read more
```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
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
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
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
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
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
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?
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