Will it be effective if I have endometrial hyperplasia?

Patient's question:

I am 47 years old, and my IUD is low-lying. I haven't had a period for 3 months, and this is the second time I am having one, which has lasted for 15 days. In the past 5 days, the amount has been particularly heavy. Hello; what should I do?
Test results: Ultrasound: Uterine body length 7.7mm, width 5.6mm, thickness 4.6mm, endometrial thickness 1.0mm.
Previous treatment history and effectiveness: No treatment.

Doctor's answer:

Based on the situation you described, combined with the results of the ultrasound examination, the possibility of functional endocrine disorder-related uterine bleeding cannot be ruled out. It is recommended that you first take Gongxuening capsules for symptomatic treatment. If the medication is ineffective after 3 days, you will need to undergo a diagnostic D&C (dilation and curettage) to remove the intrauterine device (IUD). This procedure allows for medication application while also sending the scraped tissue for pathological examination to further diagnose the cause and provide symptomatic treatment accordingly. For patients with severe endometrial hyperplasia, it is advised to seek medical attention immediately and follow the doctor's recommendations for prompt treatment. Avoid blindly relying on advertisements for medication, as this may worsen the condition. The above advice is for reference only. We hope the information provided is helpful to you. Thank you.

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