The inner lining of the uterus is the endometrium, and the thickening of this lining is called endometrial hyperplasia, and it usually causes abnormal vaginal bleeding... but it may turn into endometrial cancer in the later stages.

What conditions lead to uterine endometrial hyperplasia?

In most cases, endometrial hyperplasia is caused by excessive secretion of estrogen and insufficient secretion of progesterone.... If ovulation does not occur, the hormone progesterone is not produced and therefore the tissue inside the uterus (endometrium) does not shed.

On the other hand, due to the secretion of estrogen, the tissue of the uterus continues to grow, and their excessive proliferation leads to the accumulation and thickening of tissue-forming cells.

When does uterine endometrial hyperplasia occur?

In most cases, this disease occurs around and after menopause when the ovulation cycle is disturbed... Endometrial hyperplasia in menopause is because during this period ovulation stops and progesterone is no longer produced... Of course, there are other conditions. Menopause to be used for a long time.

Read more: Normal dimensions of the uterus and everything you need to know about it

What are the symptoms of endometrial hyperplasia?

• Bleeding with short intervals and less than once every 21 days
• Bleeding or spotting after menstruation
• Abnormal uterine bleeding (including heavy bleeding during menstruation and its long duration)
• A lot of secretions from the genitals
• Heartache in lower abdomen

What are the long-term effects of hyperplasia?

Perforation of the uterus and infection of the abdomen and pelvis is one of the rare complications that may occur due to surgical procedures such as endometrial sampling, dilating the uterus and scraping the endometrial tissue, and viewing the uterus through a hysteroscope.

Also read: Endometriosis; Symptoms, causes, diagnosis, complications and treatment

What are the methods of diagnosing endometrial hyperplasia?

There are different ways to diagnose this disease, which include the following.

sonography

In this method, the presence of a mass in the uterus or an ovarian cyst, which is another cause of abnormal bleeding, is checked. Also, the thickness of the endometrium of the uterus is measured by ultrasound, and it is a useful diagnostic method for menopausal women.

Endometrial sampling

In this method, some of the internal tissue of the uterus is removed for examination, and it is usually done on an outpatient basis.

Hysteroscopy

Gynecologist A narrow tube-like device called a hysteroscope is carefully passed through the vagina and cervix and enters the uterus... The gynecologist sees the inside of the uterus through a camera installed on the hysteroscope and separates samples from the thick parts of the endometrium..

Pap smear test

Pap smear test is done to check cervical cells..

Learn more: Uterine polyps and pregnancy

What is the treatment of endometrial hypoplasia?

The treatment is different depending on its type and is determined by endometrial sampling. In most cases, the disease is treated with oral progesterone, hormonal cream or vaginal IUD.

If the disease becomes hyperplasia by aspiration, the risk of endometrial cancer increases, and if the person does not intend to become pregnant, a uterus is often recommended.

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