Patient's question:
What are the symptoms of endometrial hyperplasia??? What kind of impact will it have on future life??? Please help explain it to me, doctor. I'm very worried!!!Doctor's answer:
Hello: The endometrium is the mucous membrane that covers the uterine cavity. It is one of the most differentiated tissues in the human body. During childhood, the endometrium develops and grows slowly until the premenarche period, when estrogen begins to have a significant effect on the glandular stroma of the endometrium.Menstruation marks the beginning of sexual maturation in women. During the menstrual cycle, the endometrium also undergoes cyclical changes. Under normal conditions, an egg is released once per menstrual cycle. If fertilization does not occur, menstruation occurs, and a new cycle begins. If the egg is fertilized and leads to pregnancy, the endometrium undergoes decidualization. The menstrual cycle is primarily regulated by ovarian hormones. If ovarian hormone levels are disrupted, it will inevitably lead to menstrual irregularities, along with corresponding morphological changes in the endometrium. Clinically, this may manifest as amenorrhea or "dysfunctional uterine bleeding" (DUB). Among these, DUB is more common.
There are many causes of DUB, and the main causes can vary depending on the age group. Endometrial hyperplasia is one of the most common conditions.
Endometrial hyperplasia is caused by excessive estrogen stimulation of the endometrium. Clinically, it presents as irregular, excessive, and abnormal uterine bleeding. Patients may experience persistent bleeding after a prolonged period of amenorrhea, which may be mistaken for miscarriage in clinical practice. It can also manifest as a shortened cycle length, prolonged menstrual periods, with bleeding lasting up to one month.
Pathological examination shows that the degree of endometrial hyperplasia does not always correlate with the severity of bleeding. The endometrium appears thickened, with a thickness ranging from 3 to 12 millimeters, and in some cases, it can even reach 20 millimeters. The endometrium is grayish-white or pale yellow, with a smooth surface or polypoid elevations, and may be accompanied by edema. The cut surface exhibits