What are the specific causes of endometrial hyperplasia?

Patient's question:

I have endometrial hyperplasia with a thickness of 17mm. It has been going on since last March, and my menstruation hasn't stopped. I also took medication for three months, but it hasn't improved. Could you please tell me what the specific cause of endometrial hyperplasia is?

Doctor's answer:

Endometrial hyperplasia has a certain tendency to resist carcinogenesis, so it is classified as a precancerous lesion. However, based on long-term careful observation, most endometrial hyperplasia is a reversible inflammation or remains in a persistent benign state. The treatment of atypical endometrial hyperplasia first requires a clear diagnosis and identification of the cause of the atypical hyperplasia, such as polycystic ovary syndrome, ovarian functional tumors, or other endocrine disorders. Patients with any of these conditions should receive targeted treatment. At the same time, symptomatic treatment can begin for atypical endometrial hyperplasia, using medication or surgical treatment. There are many treatment methods in gynecology, but since the patient's condition varies, the diagnostic methods used will also differ. Therefore, patients need timely and thorough examination and diagnosis to receive appropriate treatment.

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