Patient's question:
A 27-year-old woman, who had a cesarean section three years ago to give birth to her last child, is now pregnant with her second child. However, the prenatal examination revealed a scarred early pregnancy. Due to the high risk factor, a D&C (dilation and curettage) was performed. Two months later, a follow-up ultrasound detected a mass in the uterine cavity. Pathological examination indicated endometrial hyperplasia. What does endometrial hyperplasia mean?Doctor's answer:
Hypothesis of the condition: Endometrial hyperplasia is an abnormal pathological change of the endometrium, including simple hyperplasia, complex hyperplasia, and atypical hyperplasia. The experimental mechanism of its onset is not entirely clear at present and may be related to long-term estrogen stimulation of the endometrium.Advice: The pathological results should specify the classification of endometrial hyperplasia. Based on different classifications, the treatment principles will vary. Additionally, factors such as age, fertility recommendations, and overall health status should be comprehensively evaluated and considered.