What are the early symptoms of endometrial hyperplasia?

Patient's question:

The doctor accompanied his cousin to the hospital for a gynecological examination today. The doctor said his cousin has endometrial hyperplasia and explained a lot, but he wasn't particularly convinced. He was worried about whether he might also have endometrial hyperplasia, so he asked what the early symptoms of endometrial hyperplasia are?

Doctor's answer:

The symptoms of early endometrial hyperplasia are endometrial thickening observed under ultrasound, generally greater than 14mm, followed by an increase in menstrual flow. Some may also experience an increase in menstrual volume. Long-term fibrosis can lead to infertility, anemia, fatigue, and other symptoms. The causes of endometrial hyperplasia are complex and are related to factors such as inflammation, hormone levels, constitution, and hereditary predisposition. If there is a family history of this condition, it is recommended to undergo regular ultrasound examinations to monitor the endometrium and address any abnormalities promptly.

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