Patient's question:
I have been experiencing uterine bleeding for a year, and when I went to the hospital for a thorough examination, the doctor said it was endometrial hyperplasia and recommended surgery for treatment. However, I don't want to have surgery. What are the methods for treating endometrial hyperplasia?Doctor's answer:
Clinical speculation suggests that endometrial hyperplasia is caused by a change in the ratio of glands to stroma (>1), leading to an increase in the amount of endometrium. The main clinical manifestation is abnormal uterine bleeding (AUB), including menorrhagia, irregular spotting, intermenstrual bleeding, and postmenopausal bleeding. Endometrial hyperplasia is divided into typical and atypical hyperplasia. Diagnosis requires obtaining endometrial samples through diagnostic dilation and curettage (D&C) or hysteroscopy, followed by careful pathological examination. Diagnostic hysteroscopy is more accurate and sensitive than D&C alone in obtaining endometrial specimens.