Patient's question:
A 28-year-old woman, divorced for 4 years, has been using condoms for breastfeeding for the first 3 years. Recently, she has started trying to conceive but hasn't been able to get pregnant. After a thorough examination at the hospital, she was found to have vaginitis caused by a fungal infection and simple endometrial hyperplasia. My menstrual flow has always been heavy, with a regular cycle, but the duration is very long, sometimes taking nearly 2 weeks to completely clean up. How is simple endometrial hyperplasia treated?Doctor's answer:
According to your menstrual condition, you may indeed have issues with the endometrium, but I don't know how your simple fibrosis of the endometrium was diagnosed. If it is merely indicated by MRI that the endometrium is thickened, it cannot be definitively diagnosed as endometrial hyperplasia. If you do have issues with the endometrium, it may lead to infertility. First, I recommend clarifying the problem with the endometrium through a hysteroscopy and dilation and curettage, while also considering a tubal patency test.