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Doctor insights on: My Friend Has Endometrial Hyperplasia What Are Her Treatment Options

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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 26mm and PCOD. how to cure?

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

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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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At age 35... How effective is megestrol acetate in treating endometrial hyperplasia...What are problem side effects....What about ability to conceive?

At age 35... How effective is megestrol acetate in treating endometrial hyperplasia...What are problem side effects....What about ability to conceive?

Good after treatment: Remember you're being treated for a pre-cancerous lining of the uterus. Simple hyperplasia is treated with megestrol to prevent proliferation (growth) to a more aggressive type which may require hysterectomy. If all works well, your gyn can clear you for pregnancy. Side effects are hot flashes, GI symptoms, slight edema but all reversible. Please check with your doc for more details. Stay safe. ...Read more

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If I have a uterine polyp and endometrial hyperplasia, wouldn't hysteroscopy be better than pipelle biopsy?

If I have a uterine polyp and endometrial hyperplasia, wouldn't hysteroscopy be better than pipelle biopsy?

Yes and no, ...: For treatment yes, for diagnosis no. This is a generalization and you should really discuss this question with your doctor. Best of luck. ...Read more

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How do you treat complex endometrial hyperplasia?

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

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

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

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