Does endometrial hyperplasia necessarily require a D&C?

Patient's question:

A woman is 31 years old this year. I have also been treating this disease and taking medication, but it has not improved. I am very frustrated. I have tried many methods, but nothing has worked. Please ask: Is it necessary to have a hysteroscopy for endometrial hyperplasia?

Doctor's answer:

The best treatment for endometrial hyperplasia currently is surgical dilation and curettage. Endometrial polyps can easily lead to abnormal uterine bleeding, infertility, or a higher risk of miscarriage during pregnancy compared to normal individuals. It is recommended to undergo hysteroscopic resection before pregnancy. The surgery is minor and can be helpful in early pregnancy. It is advised to visit a regular hospital for a detailed examination and consider diagnostic dilation and curettage.
During treatment, patients need to maintain a balanced diet, follow a regular schedule, actively participate in physical exercise, and regulate their physical and mental health. It is also important to maintain personal hygiene and avoid bacterial invasion due to weakened immunity.

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