How should endometrial hyperplasia be treated in people over 50?

Patient's question:

Doctor, hello! Hello, I am in my 50s and have endometrial hyperplasia. How should it be treated? My mother has been diagnosed with endometrial hyperplasia and is currently hospitalized. But I would like to ask you which treatment method is the most effective and best? Can I eat spicy food regularly?

Doctor's answer:

For the current age situation, if there is endometrial fibrosis, a diagnostic D&C needs to be performed to check if the endometrial thickening shows atypical hyperplasia. If not, then careful observation is needed first, as it may be caused by endocrine disorders or a lack of progesterone. In that case, progesterone supplementation may be required. Then, the amount of menstrual flow needs to be assessed, and attention should be paid to whether menopause has occurred. Endometrial hyperplasia is a serious condition, and it is recommended to start treatment immediately. It is hoped that treatment can be symptomatic based on the doctor's advice. At the same time, dietary issues should be taken seriously, avoiding spicy and irritating foods to prevent worsening the condition.

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