Patient's question:
On January 19th, an IUD was removed due to downward movement, and the pathology showed simple endometrial hyperplasia. On February 4th, there has been bleeding again. Yesterday, I took three tablets of ethinyl estradiol and cyproterone acetate. Do I still need to take the medication attentively?Doctor's answer:
Most patients experience recurrence during menopause or adolescence. The recurrence is related to excessive estrogen secretion by the ovaries and a lack of progesterone. The irregular uterine bleeding caused by endometrial hyperplasia is due to the failure of ovulation from ovarian follicles. Since the ovaries continue to secrete estrogen, this leads to endometrial hyperplasia on one hand and suppresses the secretion of follicle-stimulating hormone from the anterior lobe of the pituitary gland on the other. As a result, the follicles atrophy due to the lack of stimulation from follicle-stimulating hormone, leading to a sudden increase in estrogen secretion. In addition to timely treatment for endometrial hyperplasia, patients also need to pay attention to their diet, such as maintaining a light diet and engaging in regular outdoor activities.