Patient's question:
Detailed medical condition and consultation purpose:For the past half month, I have experienced lower abdominal bloating and pain with a small amount of bleeding, which lasted for about a day. After five or six days, there was another small amount of bleeding, and this situation repeated three or four times! Three days ago, an ultrasound examination revealed thickening of the uterine wall. I have now started my menstrual period. Why did this happen to me? What should I do next?
Medical history: I have always had cervical erosion.
Doctor's answer:
Hello, endometrial hyperplasia is a common and frequently occurring disease in women, often seen during puberty and the perimenopausal transition. Endometrial hyperplasia is classified into simple, complex, and atypical types. This condition is often associated with excessive endogenous or exogenous estrogen stimulation or progesterone deficiency. Simple hyperplasia is commonly seen in dysfunctional uterine bleeding. It is recommended that you undergo dilation and curettage (D&C) for hemostasis, followed by sequential estrogen-progestogen therapy postoperatively to regulate endometrial growth and shedding.