Patient's question:
Got pregnant after 1 year of trying and went to the hospital for a check-up. The doctor said I have endometrial hyperplasia and there's a possibility of cancer. I need to be treated as soon as possible. So, what are the causes of endometrial hyperplasia?Doctor's answer:
The Causes of Endometrial Hyperplasia:1. Long-term anovulation. Due to the absence of menopause, the endometrium is continuously stimulated by hormones without the counteraction of progesterone, leading to a long-term fibrotic state.
2. Anovulation leading to infertility.
3. In obese individuals, androstenedione in fat tissue can be converted into estrone and estradiol, increasing estrogen levels in the body.
4. In patients with polycystic ovary syndrome (PCOS), the ovarian follicles remain non-ovulatory for an extended period, keeping estrogen levels high. This condition is more common in women aged 35-50.
Due to long-term fibrosis, the endometrium is also prone to cancer. Multiple uterine cavity operations may cause uterine perforation. It is recommended to identify the underlying cause and treat accordingly.