What are the symptoms of endometrial hyperplasia?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? What are the symptoms of endometrial hyperplasia?

Doctor's answer:

Symptoms of Thick Endometrium
1. Abnormal Menstruation: Normal menstruation becomes abnormal, leading to symptoms such as dysmenorrhea (painful menstruation) and abnormal menstrual flow. If the endometrium is thick, menstruation can be extremely painful, and the fertilized egg may have difficulty implanting!
2. Abnormal Vaginal Discharge: Thickening of the endometrium is often caused by endometrial inflammation, which can result in abnormal vaginal discharge. Normal discharge should be creamy white or colorless and transparent, with a faint odor or no odor at all. The amount and consistency of discharge are influenced by the levels of estrogen and progesterone in the body, exhibiting cyclical changes throughout the menstrual cycle—varying in volume (more or less) and texture (thinner or thicker). If there are changes in the amount, color, or odor of the discharge, it may indicate an underlying health issue.
3. dysfunctional uterine bleeding (DUB): There are many causes of DUB, and the primary causes can vary depending on the age group. Among these, endometrial hyperplasia is particularly common. Endometrial hyperplasia is caused by excessive estrogen stimulation of the endometrium. Clinically, it manifests as irregular and excessive abnormal uterine bleeding. Patients may experience prolonged periods of amenorrhea (absence of menstruation) followed by persistent