Post Date August, 06 2023
The occurrence of endometrial hyperplasia, especially after the occurrence of abnormalities, must be immediately examined and diagnosed, and reasonable cooking should also be paid attention to during treatment.
Can endometrial hyperplasia be cured
For the treatment of atypical hyperplasia of endometrium, the first step is to make a clear diagnosis and find out the causes. If there are polycystic ovaries, ovarian functional tumors, and other endocrine disorders, targeted Sex therapy should be carried out. At the same time, those diagnosed as atypical hyperplasia of endometrium should start Symptomatic treatment immediately, and take medication or surgery. The selection of the plan should be determined based on the patient's age, reproductive requirements, and physical health status.
People under the age of 40 have a lower tendency to develop cancer, so medication treatment should be considered first. Young people who look forward to childbirth must try medication treatment. After medication treatment, about 30% of patients are still at risk of pregnancy and full term delivery. Women before and after amenorrhea have a higher potential for cancer than young people, so they often undergo direct hysterectomy.
Treatment of endometrial hyperplasia
1. Medication treatment: Standardize medication treatment, conduct long-term examinations, conduct regular examinations, and promptly assist with pregnancy. Drug type:
① Clomiphene, an ovulation promoting drug, should be taken once a day on the 5th to 9th day of the cycle. If necessary, the medication period can be extended by 2-3 days.
② Pregnancy hormone drugs: According to the typicality of the endometrium, mild atypical proliferation can be injected into the progesterone muscle, with a cycle starting from the 18th or 20th day. The shared drugs are 5-7 days. Patients with moderate and severe atypical hyperplasia are continuously treated with medroxyprogesterone for a period of 3 months. After each course of treatment is completed, curettage or endometrial tissue is taken for histological examination. Based on the response to the drug, treatment is stopped or the dosage of the drug is appropriately increased or decreased. Rings can also be placed in the uterine cavity.
2. Surgical treatment: curettage and suction of the uterus is not only an important diagnostic method, but also one of the treatment methods. Because local lesions may also be cleared through curettage. Patients with atypical endometrial hyperplasia who are over 40 years old and have no reproductive requirements can undergo hysterectomy once diagnosed. However, for people with hypertension, diabetes, obesity, and the elderly with poor surgical endurance, drug treatment can also be tried under strict diagnosis. Young patients who have failed drug treatment, have sustained or worsened endometrial hyperplasia, or are suspected of developing cancer, or have vaginal bleeding that cannot be controlled by curettage and drug treatment, or have postpartum recurrence, may consider surgical hysterectomy.
