What are the early symptoms of endometrial hyperplasia?

Patient's question:

Failed to conceive after a year of trying, the detailed examination results showed endometrial hyperplasia. I'm not yet 40 years old and haven't noticed any uncomfortable symptoms. What are the early symptoms of endometrial hyperplasia?

Doctor's answer:

Endometrial hyperplasia requires pathological histological confirmation for definitive diagnosis. It can be classified into three types: simple hyperplasia, complex hyperplasia, and atypical hyperplasia. The most common clinical symptoms are irregular uterine bleeding, which manifests as irregular menstrual cycles, varying lengths of menstruation, unpredictable or progressively increasing menstrual flow, and even heavy bleeding. During bleeding periods, there is generally no abdominal pain or other discomfort. It is necessary to clearly identify the type of endometrial hyperplasia to guide medication treatment. However, the normal endometrium undergoes cyclical changes, which can be divided into the proliferative phase, secretory phase, and menstrual phase.

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