endometrial hyperplasia

The repeat ultrasound should also be performed within a day or two after menstruation stops. Endometrial hyperplasia describes a condition in which the lining of the uterus, called the endometrium, becomes too thick.

If pregnancy does not occur, estrogen and progesterone levels decrease. Transvaginal Ultrasound: A type of ultrasound in which a transducer specially designed to be placed in the vagina is used. The endometrium is thickest right before menstruation begins and thinnest right after it ends. It is not intended as a statement of the standard of care, nor does it comprise all proper treatments or methods of care. This can be done with an endometrial biopsy, dilation and curettage, or hysteroscopy. If the diagnosis is endometrial hyperplasia, it could be called: Endometrial hyperplasia can often be treated with progestin. Progestin therapy can ease symptoms. If the diagnosis is atypical, and you are done bearing children, your doctor may recommend removal of the uterus (hysterectomy), as the risk of uterine cancer rises with atypical hyperplasia. Although endometrial hyperplasia occurs mostly in postmenopausal women, it can occur at much younger ages when estrogen is unopposed, as seen in polycystic ovarian syndrome and obesity.. In many cases, endometrial hyperplasia can be treated with progestin. Hormones: Substances produced by the body to control the function of various organs. ACOG does not endorse companies or products. This information is designed as an educational aid to patients and sets forth current information and opinions related to women’s health. Intrauterine Device: A small device that is inserted and left inside the uterus to prevent pregnancy. Atypical endometrial hyperplasia raises the risk of endometrial cancer and uterine cancer. [4], Diagnosis of endometrial hyperplasia can be made by endometrial biopsy, which is done in the office setting or through curettage of the uterine cavity to obtain endometrial tissue for histopathologic analysis. Advertising on our site helps support our mission. Hyperplasia with increased gland-to-stroma ratio; there is a spectrum of endometrial changes ranging from glandular atypia to frank neoplasia. Endometrial hyperplasia is characterized by a thickening of the endometrium that is more than the typical pre and post-menstrual build up of endometrial tissue. We offer women's health services, obstetrics and gynecology throughout Northeast Ohio and beyond.

Instead, the lining continues to grow and thicken. One of the functions of progesterone is to oppose estrogen, which causes the uterus to shed the endometrium during menstruation before a new cycle of proliferation, or building up, begins in preparation for the next menstruation. This can be taken in several forms, including pill, shot, vaginal cream, or intrauterine device. Endometriosis is a medical condition in which the lining of the uterus grows on the outside of the uterus. Irregular menstrual cycles, which can be caused by infertility or polycystic ovary syndrome (PCOS). 1  You may experience symptoms of abnormal uterine bleeding in this condition, which results from a hormonal imbalance.

When it does not revert to normal, the endometrium may continue to thicken and develop into complex hyperplasia or complex hyperplasia with atypia. This synthetic hormone is given either orally, topically as a vaginal cream, in an injection, or with an intrauterine device. Endometrial cancer occurs in the lining of a woman’s uterus. What Are the Risk Factors for Endometrial Cancer?. The adipose tissue (fat stores in the abdomen and body) can convert the fat producing hormones to estrogen. Endometrial ablation is not a good treatment for hyperplasia because it may mask hyperplasia.

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