Patient's question:
Female, 27 years old, had a cesarean section three years ago to give birth to her last child. This time she is pregnant with her second child, but the prenatal examination revealed a scarred early pregnancy. Due to the high risk factor, a D&C (dilation and curettage) was performed. Two months later, a follow-up ultrasound detected a mass in the uterine cavity. Pathological examination indicated endometrial hyperplasia. What does endometrial hyperplasia mean?Doctor's answer:
Endometrial hyperplasia is an abnormal pathological change of the endometrium, including simple hyperplasia, complex hyperplasia, and atypical hyperplasia. The experimental mechanism of its onset is not yet fully clear and may be related to long-term exposure of the endometrium to estrogen. The pathological findings should include specific classification of endometrial hyperplasia. Based on different classifications, the treatment principles also vary. Additionally, factors such as age, fertility recommendations, and overall health condition should be comprehensively evaluated.