Does the dysplastic endometrium bleed heavily after eating luteal copper?

Patient's question:

Patient gender: Female
Patient age: 33
Endometrial hyperplasia will cause heavy bleeding after taking luteal copper?

Doctor's answer:

Based on the above analysis, it is more likely that the withdrawal bleeding after stopping progesterone occurs due to endometrial hyperplasia. It can also be treated with a diagnostic (D&C).