How to treat endometrial hyperplasia effectively?

Patient's question:

I have endometrial hyperplasia and amenorrhea. After taking the medication, my menstrual flow increased. The doctor prescribed medication, which was effective. Do I still need to use an IUD?
After two D&C procedures, how can endometrial hyperplasia be treated most effectively?

Doctor's answer:

Hello, it is not possible to have an IUD inserted when there are signs of fibrosis. Endometrial hyperplasia has a certain tendency to reverse carcinogenesis, so it is classified as a precancerous lesion. However, based on long-term careful observation, the majority of endometrial hyperplasia is a reversible inflammatory condition or remains in a persistent benign state. First, identify the cause of the fibrosis, such as polycystic ovary syndrome, ovarian functional tumors, or other endocrine disorders. If any of these conditions are present, targeted treatment should be administered. In addition, during the treatment of endometrial hyperplasia, besides symptomatic treatment, the patient's dietary condition and psychological state are also particularly important. The patient must maintain a light diet and keep a cheerful and optimistic mindset to avoid unnecessary impacts on the recovery of endometrial hyperplasia.

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