How should a 46-year-old patient with simple endometrial hyperplasia be treated?

Patient's question:

After a 4-month period of amenorrhea, followed by a decrease in menstrual flow, it gradually increased month by month until April of this year, when the menstrual flow became uncontrolled and excessive. The hospital diagnosed it as adenosis, requiring only oral hemostatic medication and intravenous hemostatic injections to stop the bleeding, with the duration of treatment being approximately 20 days each time. On August 7th, a D&C procedure was performed, and the pathology results showed simple endometrial hyperplasia.
History of Treatment and Effectiveness:
- Taking oral hemostatic medication
- Intravenous hemostatic treatment
Desired Help:
Currently, what treatment is needed? I hope the doctor can provide detailed advice.

Doctor's answer:

Hello, endometrial hyperplasia primarily occurs in women of childbearing age. Abnormal menstruation is a prominent symptom of this condition, often irregular vaginal bleeding, menstrual oligomenorrhea, or a period of amenorrhea followed by heavy vaginal bleeding. Young women may experience infertility after marriage. Endometrial hyperplasia refers to a group of proliferative lesions that occur in the endometrium, and only a small number can slowly develop into cancer. The main cause of endometrial hyperplasia is long-term estrogen stimulation, for example: due to anovulation, the endometrium remains in a proliferative state for a long time without cyclic secretory transformation; the body is exposed to high levels of endogenous (such as endocrine functional tumors in the ovaries or pituitary) or exogenous (such as estrogen replacement therapy) estrogen stimulation. Suggestions: This condition should be treated with medication. If the effect is not good and there is bleeding, surgery to remove the uterus can be considered. Wish you a speedy recovery.

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