Patient's question:
I had a heavy menstrual flow this October. An ultrasound showed my endometrium to be 1.4 cm thick. The doctor recommended a D&C (dilation and curettage). The pathology results from the D&C indicated endometrial polyp hyperplasia. I have already taken medication (mexiletine tablets and anti-inflammatory drugs) for two cycles. The doctor has asked me to continue for three cycles. There is still one more cycle to go. Is it harmful to the body to take too much of this type of hormone medication? Should the uterus be removed? I would like to get your help.Doctor's answer:
Analysis of the condition: Hello, endometrial hyperplasia is caused by excessive estrogen stimulation of the endometrium. Clinically, it manifests as irregular, excessive abnormal uterine bleeding. Patients may experience persistent bleeding after a long period of amenorrhea, or it may be characterized by shortened cycles, prolonged periods, with bleeding lasting up to one month. Performing a uterine curettage surgery only provides temporary relief from bleeding symptoms. Since the endometrium continues to thicken after the curettage, recurrent bleeding may still occur.Recommendation: For treatment, progesterone can be used for drug-induced curettage to promote the shedding of the endometrium. Start using it one week before your menstrual period and continue for three months. Your current treatment plan is appropriate. Continue using it for three to six months, then observe the results. During treatment, the medication has minimal side effects on the body, so please do not worry.