Patient's question:
I have been experiencing lower abdominal pain and lower back pain recently, and my leukorrhea is also a bit abnormal. There is also blood during intercourse. Could you please ask the doctor how early endometrial hyperplasia is usually treated?Doctor's answer:
① Young women who are hoping to conceive should be cautious of over-diagnosis and over-treatment. The over-diagnosis of endometrial fibrosis as adenocarcinoma and subsequent over-treatment is not uncommon. It is highly incorrect to remove a woman's uterus solely based on a diagnosis, as this is not always necessary. In clinical practice, such errors are not rare. If the pathologist is unaware of the patient's desire to conceive and the clinical diagnosing physician does not emphasize it, misdiagnosis and mistreatment may be unavoidable.② Women in perimenopause or postmenopause should be vigilant about the possibility of endometrial atypical hyperplasia coexisting with the risk of developing cancer, and should consider a hysterectomy more seriously.