Is Endometrial Hyperplasia Serious?

What is the treatment for endometrial hyperplasia?

In many cases, endometrial hyperplasia can be treated with progestin.

Progestin is given orally, in a shot, in an intrauterine device, or as a vaginal cream.

How much and how long you take it depends on your age and the type of hyperplasia.

Treatment with progestin may cause vaginal bleeding like a menstrual period..

Can endometrial hyperplasia go away on its own?

Endometrial hyperplasia is an increased growth of the endometrium. Unlike a cancer, mild or simple hyperplasia can go away on its own or with hormonal treatment. The most common type of hyperplasia, simple hyperplasia, has a very small risk of becoming cancerous.

Does endometrial hyperplasia cause weight gain?

Endometriosis causes endometrial tissue, which usually lines the uterus, to develop outside of the uterus. It can cause chronic pain, heavy or irregular periods, and infertility. Some people also report weight gain and bloating.

What does it mean if your Pap shows endometrial cells?

However, sometimes Pap tests show signs of abnormal cells in the lining of the uterus (endometrium), which can be used to identify the potential presence of endometrial cancer. For this reason, following an abnormal Pap test, a sample of endometrial tissue must be removed and examined for cancer cells.

Can losing weight help endometrial hyperplasia?

You cannot prevent endometrial hyperplasia, but you can help lower your risk by: Losing weight, if you are obese. Taking a medicine with progestin (synthetic progesterone), if you already are taking estrogen, due to menopause or another condition.

Can endometrial hyperplasia be seen on ultrasound?

When a patient presents with abnormal bleeding, ultrasound should be your go-to imaging modality to look for signs of endometrial hyperplasia.

Is 13mm endometrial thickness normal?

For ovulatory cycles, the mean of endometrial thickness was 7.8 +/- 2.1 mm (3-13 mm) in the follicular phase, 10.4 +/- 1.9 mm (8-13 mm) around ovulation and 10.4 +/- 2.3 mm (8-19 mm) in the luteal phase. The average thickness of endometrium for postmenopausal women without bleeding was 1.4 +/- 0.7 mm (1-5 mm).

Can you get pregnant if you have endometrial hyperplasia?

If you have atypical hyperplasia, removing your uterus will lower your cancer risk. Having this surgery means you won’t be able to get pregnant. It may be a good option if you’ve reached menopause, don’t plan on getting pregnant, or have a high risk of cancer.

How thick is endometrial hyperplasia?

This is the risk of cancer among women with a thick endometrium. An illustration of how the numbers were calculated is provided in the Appendix. Among postmenopausal women with vaginal bleeding, an endometrial thickness ≤ 5 mm is generally considered normal, while thicknesses > 5 mm are considered abnormal4, 5.

What can I expect after an endometrial biopsy?

You may want to wear a sanitary pad for bleeding. It is normal to have some mild cramping and spotting or vaginal bleeding for a few days after the procedure. Take a pain reliever as advised by your healthcare provider. Aspirin or certain other pain medicines may increase the chance of bleeding.

Should I have a hysterectomy for endometrial hyperplasia?

When is hysterectomy indicated for endometrial hyperplasia? Simple or complex hyperplasia without atypia can be treated with hysterectomy if medical therapy does not resolve the condition and the patient does not require fertility. Laparoscopic hysterectomy should always be performed.

What is a significant early sign of endometrial carcinoma?

Most women with endometrial cancer have early symptoms. The most common symptom of endometrial cancer is abnormal uterine bleeding. For women who are premenopausal, this includes irregular menstrual bleeding, spotting, and bleeding between menstrual periods. For women who are postmenopausal, any bleeding is abnormal.

How can I decrease my uterine lining?

What is endometrial ablation? Endometrial ablation is a procedure to permanently remove a thin tissue layer of the lining of the uterus to stop or reduce excessive or abnormal bleeding in women for whom childbearing is complete. Endometrial ablation may be recommended to destroy the lining of the uterus.

How does hyperplasia occur?

Physiologic hyperplasia: Occurs due to a normal stressor. For example, increase in the size of the breasts during pregnancy, increase in thickness of endometrium during menstrual cycle, and liver growth after partial resection. Pathologic hyperplasia: Occurs due to an abnormal stressor.

How long before endometrial hyperplasia turns into cancer?

Unless you have taken hormones, which can cause it to grow faster, endometrial hyperplasia is slow growing. It takes ten to twelve years from the time it begins to grow for it to develop into endometrial cancer.

How common is endometrial hyperplasia?

In our study, among women 18–90 years the overall incidence of endometrial hyperplasia was 133 per 100,000 woman-years, was most common in women ages 50–54, and was rarely observed in women under 30. Simple and complex hyperplasia incidences peaked in women ages 50–54.

What happens if my endometrial biopsy is abnormal?

Your doctor may perform a hysteroscopy with dilatation and curettage if the results of an endometrial biopsy are inconclusive or the doctor couldn’t obtain enough tissue for a biopsy. In this procedure, the doctor widens the opening of the cervix with thin, metal rods called dilators.

Does thick uterine lining cause bloating?

Buildup of endometrial-like tissue can cause inflammation in the abdomen. This can result in swelling, water retention, and bloating. The endometrial-like tissue can cover or grow into the ovaries. When this happens, trapped blood can form cysts, which may cause bloating.

Can endometrial hyperplasia cause pain?

When endometrial hyperplasia symptoms occur, they usually involve pain during intercourse or various abnormalities of menstruation, including: Heavy menstruation. Bleeding between period or after menopause. Abnormally long periods.

Can polyps cause thickened endometrial lining?

An ultrasound scan can also detect a uterine polyp but ultrasound scan is not always correct especially in younger women who are still having menstrual periods. Thickened fold of the lining of uterus may be interpreted as polyps on an ultrasound scan.