How to Recognize and Treat Endometrial Hyperplasia

Endometrial hyperplasia is the thickening of the uterine lining, often caused by a hormone imbalance. It can lead to abnormal bleeding and, in some cases, increase cancer risk. Early diagnosis and treatment are key.

Symptoms to Watch For

The most common symptom of endometrial hyperplasia is abnormal uterine bleeding. This can include:

Heavy or prolonged periods
Bleeding between periods
Postmenopausal bleeding

If you're experiencing any of these, it’s essential to consult your healthcare provider. Don’t assume irregular bleeding is just a hormonal blip—sometimes, it's your body's way of signaling a more serious condition.

How Is It Diagnosed?

Diagnosis usually involves a combination of:

Pelvic ultrasound: to assess the thickness of the endometrial lining
Endometrial biopsy: a small sample of the lining is taken and examined for abnormal cells
Hysteroscopy: a small camera is used to look inside the uterus for abnormal tissue

These procedures help determine whether the hyperplasia is simple (less risk of cancer) or atypical (higher risk of progressing to cancer).

Treatment Options

Treatment depends on the type of hyperplasia and whether abnormal cells are present. Options may include:

Hormonal Therapy

Progestin pills, intrauterine devices (IUDs), or injections help balance hormones and thin the uterine lining.
Especially effective for simple hyperplasia without atypia.

Lifestyle Changes

If obesity is a contributing factor, weight loss can help rebalance hormones and reduce risk.

Surgical Options

In cases of atypical hyperplasia or when hormone therapy is not effective, a hysterectomy (removal of the uterus) may be recommended, especially if future pregnancies are not a concern.

Can It Be Prevented?

While not all cases are preventable, some strategies can help reduce your risk:

Maintain a healthy weight
Manage chronic conditions like diabetes or PCOS
Avoid unopposed estrogen therapy (always balance with progesterone if you still have a uterus)
Report any unusual bleeding to your doctor early

When to Seek Help

Any abnormal bleeding, especially after menopause or between periods, warrants medical attention. The earlier endometrial hyperplasia is detected, the easier it is to treat—and the better your outcome.

Final Thoughts

Endometrial hyperplasia can sound intimidating, but with early detection and appropriate treatment, most cases are manageable and do not lead to cancer. At our practice, we’re here to help guide you through your health concerns with care and clarity. If you're experiencing irregular bleeding or have questions about your risk, don't hesitate to reach out.

Stay informed. Stay healthy. And remember—listening to your body is always the first step toward better health.

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