What are the symptoms of endometrial hyperplasia?

Patient's question:

In the past year, my menstrual cycle has been extremely irregular. Sometimes it's thin and watery with little bleeding, and other times it's so heavy that I'm almost anemic. An ultrasound showed that my endometrium is hyperplastic. What are the symptoms of endometrial hyperplasia? Do they match my situation?

Doctor's answer:

The common clinical symptoms of endometrial hyperplasia include irregular uterine bleeding, which manifests as irregular menstrual cycles, varying lengths of menstruation, continuously increasing or normal menstrual flow, or even repeated heavy bleeding. During the bleeding period, there is usually no abdominal pain. However, excessive bleeding or prolonged duration can lead to anemia or infection, and heavy bleeding may result in hypovolemic shock. Based on your condition, it is recommended to undergo a diagnostic dilation and curettage (D&C) to send the endometrium for pathological examination to confirm the diagnosis.

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