Patient's question:
Patient Gender: Menstruated on September 9, with a 30-day cycle. On the seventh day after stopping menstruation, I went to the hospital for a hysteroscopy, which revealed endometrial hyperplasia with two polypoid formations. The doctor said it was anovulatory and prescribed 18-day progesterone capsules for treatment. I started taking the medication on the seventh day of my period in November 15, with a 14-day cycle. Can this condition be cured? Can I get pregnant? Are there any other good treatment methods?First Follow-up Question: Thank you for answering my question so quickly. I went to a regular hospital, and the doctor prescribed progesterone for me to take in cycles and see how it goes. I have been taking it, and my...
Doctor's answer:
Hello:Endometrial hyperplasia (endometrial hyperplasia) is clinically manifested as functional uterine bleeding, with the main symptoms being irregular menstruation, prolonged menstrual periods, and excessive menstrual flow. Most cases occur during menopause or adolescence. Its occurrence is related to excessive estrogen secretion by the ovaries and a lack of progesterone.
The irregular uterine bleeding caused by endometrial hyperplasia is due to anovulation of ovarian follicles. Because the ovaries continuously secrete estrogen, on one hand it causes endometrial hyperplasia, and on the other hand it inhibits the secretion of follicle-stimulating hormone from the anterior lobe of the pituitary gland. Eventually, the follicles degenerate due to the lack of support from follicle-stimulating hormone, leading to a sudden decline in estrogen secretion. The hyperplastic endometrium then undergoes necrosis and shedding due to the sudden lack of estrogen, causing uterine bleeding.
It is best for you to undergo examination at a regular hospital. Only after a detailed understanding of your condition can effective treatment be provided. If endometrial hyperplasia exists, it may also have an impact on future pregnancy.