What should I do about endometrial hyperplasia?

Patient's question:

Doctor, I had an irregular vaginal bleeding on September 1st and underwent a cervical polyp surgery on September 15th. My period arrived on September 17th, and on September 18th, I had a detailed check-up for the six hormones. My period ended on September 23rd. Today is the third day after my period ended, and I came to the hospital for a follow-up vaginal ultrasound. I told the doctor that I have had ovulation bleeding for about eight years. Additionally, my menstrual cycle is very regular, occurring once every 30 days, with each period lasting about 6 days, and the amount of blood flow is normal. The doctor prescribed Dian 35 and Xiaojinwan for me to regulate my condition, with Dian 35 requiring three courses of treatment.
I would like to ask if, since my menstrual cycle is normal and my six endocrine tests are also normal, just the chronic ovulation bleeding, will taking Dian 35 change my menstrual cycle irregularity in the future? On September 12th, I had a vaginal color Doppler ultrasound, which showed an endometrial thickness of 14mm. Today (the third day after my period ended), I...

Doctor's answer:

Ovulatory bleeding, taking Dian35 will never change the subsequent menstrual cycles. Dian35 has the effect of regulating menstruation. Three days after menstruation, a vaginal ultrasound showed an endometrial thickness of 8mm, indicating that the endometrium is slightly thickened. It is necessary to perform an endometrial biopsy to diagnose endometrial hyperplasia. Taking Dian35 will never soften the thickness of the endometrium; it has the effect of inhibiting endometrial hyperplasia. Taking Dian35 has no effect on adnexal cysts, and a vaginal ultrasound should be repeated every three months. During the course of taking Dian35, vaginal irregular bleeding may reappear. However, not everyone will experience this.

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