Patient's question:
A 31-year-old woman, who has been to the hospital for thorough examinations over the past year due to divorce and infertility for three years, underwent a diagnostic because of abnormal uterine bleeding. The results confirmed complex endometrial hyperplasia. What causes this condition? How is endometrial hyperplasia treated? Can she still get pregnant?Doctor's answer:
Endometrial complex hyperplasia refers to focal fibrosis of the endometrial glands without cellular atypia, with approximately 3% progressing to endometrial cancer. The cause is anovulatory dysfunctional uterine bleeding. It is treatable, and it is also possible to deliver after spontaneous remission. Specifically for your condition, I believe hormonal sequential therapy can regulate the menstrual cycle. Using estrogen and progesterone for 6 months can normalize the menstrual cycle, and then ovulation-inducing drugs can be used to enhance the chances of delivery. There is still hope for delivery, but you must undergo regular follow-up endometrial examinations because there is always a risk of malignancy.