What should I do if the endometrium is abnormal?

Patient's question:

Anteriorly positioned uterus, size: 51.138.4, regular shape, homogeneous echo, transverse section of the fundus shows two separated endometrial echo, endometrium thickness 15.3, echo inhomogeneous, LOV: 24.715.5, ROV: 32.922.4, 21.014.9 follicle visible, CDFI, scattered blood flow signals visible in the uterine muscle layer. In November last year, the same examination was also performed, the uterus was normal, the endometrium was central. What is the cause of this condition now?

Doctor's answer:

Hello, endometrial hyperplasia, also known as endometrial hyperplasia, refers to a disease where the endometrium grows excessively due to inflammation, endocrine disorders, or the stimulation of certain drugs. Endometrial hyperplasia is more common in women during puberty or menopause with irregular menstrual cycles, and it is a reversible endocrine system disease. Clinical studies have shown that the vast majority of patients can be cured with treatment as long as they maintain a persistent benign state. The most common clinical symptom of endometrial hyperplasia is irregular vaginal bleeding, characterized by menstrual cycle irregularity, varying menstrual periods, unpredictable menstrual flow, and even heavy bleeding. Sometimes there may be several weeks or months of amenorrhea followed by vaginal bleeding, with typically heavy bleeding. It can also start with irregular vaginal bleeding, with light, intermittent flow, or initially present as normal cyclic bleeding. During bleeding, there is usually no abdominal pain or other discomfort, but heavy or prolonged bleeding often leads to anemia, and massive bleeding can cause shock.
Recommendation: It is recommended that you undergo relevant examinations at a professional gynecological hospital, such as a sex hormone six-item test, ultrasound, diagnostic curettage, and endometrial pathology examination. First and foremost, it is essential to confirm the diagnosis and identify the cause of atypical hyperplasia to provide targeted treatment. Different treatment plans may be required based on individual needs, such as fertility requirements. Wishing you a speedy recovery.

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