Patient's question:
Severe bleeding in 201011, examination and test results: Simple endometrial fibrosis and interstitial bleeding. Previous treatment history and effectiveness: Dilation and curettage twice, taking Mifeprex continuously. Desired help: Want to be cured completely and prevent recurrence.Doctor's answer:
Hello, the clinical manifestations of endometrial hyperplasia include functional uterine bleeding, which is often considered to be caused by elevated estrogen levels. If the bleeding duration is prolonged, it may be necessary to consider procedures such as dilation and curettage. Additionally, it is recommended to avoid consuming extremely cold or irritating foods and to have the hormone levels in the body checked if necessary, following medical advice for menstrual regulation treatment. Commonly used progestins include progesterone, hydroxyprogesterone acetate, medroxyprogesterone (medroxyprogesterone acetate), and megestrol acetate. The method and dosage of medication vary depending on the degree of atypical endometrial hyperplasia. For mild atypical hyperplasia, intramuscular injection of 30mg progesterone can be administered starting on the 18th or 20th day of the cycle, with a total duration of 5 to 7 days, to transform the endometrium into the secretory phase. Subsequently, during the complete withdrawal from the bloodstream, the fibrotic endometrium will shed.