Patient's question:
How to treat simple endometrial hyperplasia? {Medical history: 32 years old, bicornuate uterus, underwent two cesarean sections with tubal ligation in October 1997 and December 1999 respectively. During the three years of menstrual disorders: menstruation sometimes stopped, often with a few days of light red flow, with 11-12 days of heavy flow with many blood clots and spraying-like discharge during defecation; many pimples appeared on the side of my cheeks, and some hyperpigmentation spots also appeared. During this period, most of the time I took traditional Chinese medicine for regulation, and artificial cycles (progestin injections) were performed at different times. From March to May 2005, I took three months of the birth control pill Mifeprex.}Doctor's answer:
Simple endometrial hyperplasia is a pathological manifestation of dysfunctional uterine bleeding and needs to be treated in a timely manner, otherwise it may lead to the transformation of the endometrium into other pathological conditions. The artificial cycle method can be used to regulate the menstrual cycle. The specific plan needs to be formulated based on your condition. Generally, short-acting contraceptives are used: one tablet per day starting from the fifth day of the menstrual period, taken continuously for 22 days, and then discontinued. After discontinuation, regardless of whether menstruation occurs, the second cycle is started on the fifth day, also one tablet per day for 22 days. Using the medication for three cycles will improve dysfunctional uterine bleeding. If the menstrual cycle is irregular, you can start taking the medication immediately. After 22 days, discontinue the medication, and then start the second course five days after discontinuation.