How is complex endometrial hyperplasia treated?

Patient's question:

I am 27 years old, married, and have had irregular menstruation for a long time. I underwent hysteroscopy and D&C at the hospital, and the pathology results confirmed: 1 (endometrium) the glandular tissue of the endometrium showed simple endometrial hyperplasia, complex endometrial hyperplasia, and partial manifestation of severe atypical hyperplasia; 2 (uterine cavity mass) considered complex endometrial hyperplasia with severe atypical hyperplasia. How is complex endometrial hyperplasia treated?

Doctor's answer:

Hello, endometrial hyperplasia refers to a group of proliferative lesions that occur in the endometrium due to long-term stimulation by estrogen. Most of these lesions are benign, while only a few can slowly develop into cancer. After drug treatment, the endometrial lesions in patients with endometrial hyperplasia may become milder or return to normal, but there is still a possibility of recurrence after stopping medication or after childbirth. This recurrence is related to the estrogen levels in the body. With active drug treatment, the prognosis for most of these patients is good. During medication, regular follow-up examinations should be conducted. If there is a tendency towards canceration, surgery should be actively performed. This disease is closely related to emotions, so it is essential to maintain a positive attitude and avoid long-term depression.

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