Patient's question:
I am 50 years old. Before July 2016, my menstrual cycle was normal. In August, I did not have a period. In September and October, it was normal. In November, I did not have a period. On December 28, 2016, I had a heavy period. On February 4, 2017, I had a D&C procedure. The pathology diagnosis was: hyperplastic endometrium, with dense glandular areas in some regions, round glandular epithelial nuclei, vacuolated, prominent nucleoli, suggesting atypical hyperplasia of the endometrium. The doctor suggested removing my uterus. Is it necessary to remove my uterus if everything was normal before and only this time had a heavy and prolonged period, resulting in atypical hyperplasia of the endometrium? Can I undergo conservative treatment? What medication should I use? How should I use it? Thank you, doctor!Doctor's answer:
It is recommended to undergo surgery. If it is endometrial CA, early surgery is the best treatment option. Conservative treatment is ineffective for this condition. The prognosis of this disease is not greatly related to whether you will have menstrual periods in the future. You should not have any concerns, as this surgery is very well-established and will not affect your normal life in the future.