What are the symptoms of endometrial hyperplasia?

Patient's question:

In the past year, my menstrual cycle has been extremely irregular. Sometimes it's thin and watery, with very little bleeding, and other times it's so heavy that I'm anemic. An ultrasound showed that my endometrium is hyperplastic. What are the symptoms of endometrial hyperplasia? Do these symptoms match what I'm experiencing?

Doctor's answer:

Clinical diagnosis of endometrial hyperplasia is commonly characterized by irregular uterine bleeding, which manifests as irregular menstrual cycles, varying lengths of menstruation, continuously increasing or normal menstrual flow, or even repeated heavy bleeding. During the bleeding period, there is usually no abdominal pain. However, excessive bleeding or prolonged duration can lead to anemia and infection. Severe bleeding may result in hypovolemic shock.
Recommendation: Based on your condition, it is recommended to undergo a diagnostic curettage to send the endometrium for pathological examination to confirm the diagnosis.

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