Patient's question:
Menstruation has been going on for twenty days without resolving. This situation has occurred three times before. After giving birth, my menstrual cycle has always been irregular, and then it happened again—menstruation for twenty days without any sign of stopping. So, I went to the hospital, took medication, and when it improved, I got an intrauterine device (IUD). It has been more than three years since then, and this situation hasn’t recurred. However, last month and this month, it happened again—twenty days without stopping.Test results: Colposcopy showed no abnormalities, and ultrasound revealed an endometrial thickness of about 0.8 cm.
Previous treatment and outcomes: The doctor recommended a D&C (dilation and curettage), but the thought of the surgery makes me faint—I’m afraid. I was also given Gonghuan Yangxue Granules to take.
What kind of help I need: If taking medication can resolve it, that would be great.
Doctor's answer:
Treatment principles for endometrial atypical hyperplasia, the first step is to confirm the diagnosis and identify the cause of the atypical hyperplasia, such as polycystic ovary syndrome, ovarian functional tumors, or other endocrine disorders. If any of these conditions are present, targeted treatment should be administered. At the same time, symptomatic treatment can begin for endometrial atypical hyperplasia, using medication or surgical treatment. The decision between these two treatment options should vary based on factors such as age, the type of endometrial fibrosis, and recommendations for fertility. In fact, having endometrial hyperplasia is not something to be afraid of. Patients should believe in their ability to overcome the disease. As long as treatment is initiated promptly in the early stages, the chances of controlling the condition and achieving recovery are very high.