Hyperplasia of the endometrium of the uterus

Quite often gynecology diagnoses endometrial hyperplasia of the uterus. This should be taken seriously, since this disease without appropriate treatment can lead to infertility and even cancer.

However, with timely diagnosis and adequate therapy, it is completely curable. At the outset, this disease of the endometrium of the uterus can be asymptomatic. It is often found for the first time in a survey of infertility.

Sometimes a gynecologist has suspicions about the state of the endometrium of the uterus when viewed or it is accidentally detected during a planned ultrasound, which is one of the methods for diagnosing it. However, to force a woman to see a doctor can and his symptoms.

This disease of the endometrium of the uterus manifests itself as follows:

• Frequent, prolonged, profuse menstruation;
• Irregular cycle;
• Uterine bleeding;
• Discharge after or before the month, and between them;
• Uterine bleeding during menopause.

In this condition, excessive proliferation and thickening of the inner layer of the uterus. The reason for this phenomenon is a violation of the balance of sex hormones, which increases the amount of estrogen and lacks progesterone.

Many problems can cause this, including ovarian tumors, their dysfunction, PCOS, obesity. Inadequate estrogen therapy also leads to hormonal imbalance. Concomitant conditions are myoma, endometriosis, mastopathy, liver pathology, diabetes mellitus, hypertension.

In the diagnosis of this disease, the endometrium of the uterus uses hysteroscopy, ultrasound examination, but it is accurate to say that it takes place, can only histological examination. To do this, a biopsy or scraping is performed, and the material received for study is sent to the laboratory. With this disease, "cleansing" is also a therapeutic manipulation.

With the help of histological examination, it is possible to establish the presence of hyperplasia, its appearance, and to find out whether there is a malignant process. This is very important for the appointment of a treatment regimen and a prognosis.

Hyperplasia of the endometrium can be atypical, when the expanded tissue contains altered cells. This variant of the disease is more likely to lead to cancer.

In addition, hyperplasia can be simple when the cells are overgrown, or complex, when special structures (adenomatosis) appear in the surface layer, which are not characteristic of its normal structure. There is also a form of the disease, in which there are several or one polyps of the endometrium of the uterus.

It is established that hyperplasia leads to the inability to become pregnant. Firstly, if there is a violation of the hormonal background, it usually does not occur or rarely happens ovulation. Secondly, if it does take place, implantation of a fertilized egg can not occur in the modified endometrium.

After passing the necessary treatment, the patient can become pregnant. Therapy must include scraping and taking hormonal medications. Treatment of a simple form of the disease occurs in a gynecologist-endocrinologist.

Scheme and drugs are selected individually after the hormonal examination, taking into account age, height, weight, concomitant diseases, the desire to have a child in the near future and in general.

Treatment of atypical forms of hyperplasia are performed by gynecologists-oncologists. In this case, the question arises of the removal of the uterus, since the likelihood of developing cancer is high.

Thus, endometrial hyperplasia of the uterus is a disease that necessarily requires treatment, otherwise it can lead to infertility and cancer. When detecting this condition, it is necessary to make a curettage with subsequent histological examination. The tactics of treatment depend on its results.