Patient's question:
Patient Gender: 9/9 menstrual cycle, 30-day period, seventh day after cessation of menstruation went to the hospital for hysteroscopy, diagnosed with endometrial hyperplasia, two polypoid lesions were treated with uterine aspiration. The doctor said it was anovulatory type, prescribed treatment medication of 18-day progesterone capsule. 11/15 menstrual cycle, seventh day began medication, period lasted 14 days. 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 some progesterone for me to take in cycles and see how it goes. My cond
Doctor's answer:
Hello:Endometrial hyperplasia (endometrial hyperplasia) is clinically manifested as functional uterine bleeding, with main symptoms including 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, it leads to endometrial hyperplasia on one hand and inhibits the secretion of follicle-stimulating hormone (FSH) from the anterior lobe of the pituitary gland on the other. Ultimately, the follicles degenerate due to the lack of FSH support, causing a sudden decline in estrogen secretion. The hyperplastic endometrium then undergoes necrosis and shedding due to the sudden lack of estrogen, resulting in uterine bleeding.
It is best for you to visit a regular hospital for examination. Only after a detailed understanding of your condition can effective treatment be provided. If endometrial hyperplasia is present, it may also have an impact on future pregnancy.