I want to know more about the diagnosis of Glandular Cystic Endometrial Hyperplasia. I'm interested, is it possible to have another treatment besides hormones?
Endometrial hyperplasia is a volumetric increase of the mucous tissue due to an abnormal increase in the number of cells of the lining of the uterus, and the cause of this is usually excessive and prolonged production of the female sex hormone estrogen by the ovaries. Often there is the presence of a cyst or an ovarian tumor, on which the excessive production of this hormone depends.
Another reason could be the pre-menopausal phase or estrogen-based treatment. It is characterized by absolutely irregular and unpredictable bleeding, more often than normal, a complete absence of menstrual flow or light-colored bleeding to profuse bleeding can also be observed. Endometrial hyperplasia is characterized by painless bleeding. It (hyperplasia) can also be a cause of sterility, women suffering from this disease often do not ovulate and cannot become pregnant. This disease is diagnosed by examining tissue taken by biopsy from the lining of the uterus. This is an outpatient procedure and is done by inserting a special instrument through the vagina and cervix until it reaches the uterine cavity. The procedure is not painful.
In women past childbearing age, there is a danger that endometrial hyperplasia can lead to uterine cancer, which is why radical treatment of the disease is recommended. Endometrial hyperplasia is treated depending on the age of the patient, the type of hyperplasia and the presence or absence of ovarian neoplasms. In young women, treatment is by scraping and progesterone administration to stimulate a normal menstrual cycle.
In older women, especially after menopause, depending on the type of hyperplasia, treatment varies from simple scraping to hysterectomy. In the presence of an ovary with pathological dimensions, the possibility of whether the hyperplasia is related to an ovarian tumor should also be considered. In these cases, a laparotomy with removal of the ovaries and uterus should be performed.
Sometimes hyperplasia recurs, which is why it is necessary: repeated scrapings or hormonal treatment for a long period of time. If it is not possible to control the symptoms of hyperplasia, it may be necessary, for example in cases of uncontrolled bleeding, to perform a hysterectomy, even in young women. Fortunately, this is rarely necessary. This disease can also lead to endometriosis (a pathological condition in which cells of the endometrium of the uterus are found in unusual places). Cysts form that contain chocolate-colored fluid formed from old menstrual-like blood material. Underestimating endometriosis can lead to bowel obstruction, and in other cases, endometrial cysts can become so large that they exert great pressure on other organs, necessitating surgery.