How is endometrial hyperplasia treated

Patient's question:

Irregular menstruation, went to the hospital for examination and was diagnosed with endometrial hyperplasia

Doctor's answer:

For the treatment of endometrial atypical hyperplasia, the first step is to establish a clear diagnosis and identify the underlying cause. If accompanied by conditions such as polycystic ovary syndrome, ovarian functional tumors, or other endocrine disorders, targeted treatment should be administered. At the same time, symptomatic treatment should be initiated immediately for those diagnosed with endometrial atypical hyperplasia, using either medication or surgical intervention. The choice of treatment plan should be determined based on the patient's age, fertility requirements, and overall health condition.
For patients under the age of 40, the risk of malignancy is relatively low, making medical treatment a primary consideration. Younger individuals who desire fertility should be given priority for medical treatment, as approximately 30% of patients may still achieve pregnancy and deliver at term after medication. For women in the pre- or post-menopausal stage, the potential risk of malignancy is higher than in younger individuals, and thus, hysterectomy is often performed directly.