What is the best treatment of endometrial hyperplasia?

What is the best treatment of endometrial hyperplasia?

In many cases, endometrial hyperplasia can be treated with progestin. Progestin is given orally, in a shot, in an intrauterine device (IUD), 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 period.

What does endometrial atrophy mean?

Endometrial atrophy (thinning of the uterine lining): The endometrium is the tissue that lines your uterus. It responds to hormones like estrogen and progesterone. Low hormone levels after menopause can cause it to get too thin. This may trigger bleeding.

How common is endometrial atrophy?

Clinical presentation. While most patients are asymptomatic, endometrial atrophy is one of the commonest cause of postmenopausal bleeding, accounting for approximately 60-75% of cases 1.

Can endometrial atrophy be reversed?

Based on four large series, more than 90% of endometrial hyperplasia caused by ERT can be reversed by medical treatment.

What is treatment for endometrial atrophy?

The most common treatment is progestin. This can be taken in several forms, including pill, shot, vaginal cream, or intrauterine device. Atypical types of endometrial hyperplasia, especially complex, increase your risk of getting cancer. If you have these types, you might consider a hysterectomy.

Is endometrial atrophy painful?

For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms.

When does endometrial atrophy occur?

Endometrial Atrophy. Endometrial atrophy usually results from loss of ovarian function. It occurs (1) at anestrus, (2) with malnutrition or cachexia, and (3) in disorders of sexual development. Focal endometrial atrophy of unknown cause sometimes occurs in the mare. Atrophic endometrium is macroscopically thin.

What is the treatment for endometrial atrophy?

What are the symptoms of endometrial atrophy?

Symptoms

• Vaginal dryness.
• Vaginal burning.
• Vaginal discharge.
• Genital itching.
• Burning with urination.
• Urgency with urination.
• Frequent urination.
• Recurrent urinary tract infections.

How is endometrial atrophy diagnosed?

Your doctor can perform an exam and tests to diagnose the main condition. A transvaginal ultrasound measures your endometrium. It uses sound waves to see if the layer is average or too thick. A thick layer can indicate endometrial hyperplasia.

What is endometrial atrophy?

Endometrial atrophy is a response to a hypo-oestrogenic state. If it occurs after menopause it can be more specifically termed postmenopausal endometrial atrophy .

What is endometriosis and what causes it?

Endometriosis is a painful condition in which tissue that normally lines your uterus (endometrial tissue) grows in other parts of your pelvis, such as your ovaries or fallopian tubes. The different types of endometriosis are based on where the tissue is located.

Can endometrial atrophy cause postmenopausal bleeding?

If it occurs after menopause it can be more specifically termed postmenopausal endometrial atrophy . While most patients are asymptomatic, endometrial atrophy is one of the commonest cause of postmenopausal bleeding, accounting for approximately 60-75% of cases 1 .

What causes hypo-oestrogenic endometriosis?

The most common reason for a hypo-oestrogenic state is menopause. Other factors that can cause endometrial atrophy include The uterine body-to-cervix ratio will also tend to decrease and may approach 1:1. Often the atrophic endometrium is associated with cystic dilatation of the endometrial glands.