What factors are associated with endometrial hyperplasia? What are the symptoms of endometrial hyperplasia

Endometrial hyperplasia is a common gynecological disease in women, and its occurrence must be taken seriously. It is worth noting that this disease does not vary in age and must be immediately examined after abnormal manifestations occur.

Symptoms of endometrial hyperplasia

1. Women of any age can suffer from endometrial hyperplasia at any age, adolescence, Genital stage period, amenorrhea or postmenopausal period. Elderly patients with severe hyperplasia over 40 years old must be alert to the possibility of cancer transformation.

2. Vaginal bleeding: The main symptoms of endometrial thickening are irregular vaginal bleeding and menstrual disorders. Menstruation is rare, with amenorrhea or continuous bleeding after amenorrhea. Or the menstruation is not clean, the Menstrual cycle is disordered, the length of the menstrual period is different, the amount of menstruation is uncertain, or even bleeding. During the bleeding period, there is generally no abdominal pain or other discomfort. Excessive or prolonged bleeding can lead to anemia in women, and rapid and massive bleeding can lead to shock. Therefore, when menopausal women experience menstrual disorders such as irregular vaginal bleeding, they must seek medical attention immediately, and should not be treated as a normal phenomenon during menopause, nor should they take medication to stop bleeding.

3. Infertility: endometrial thickening will lead to anovulatory dysfunctional uterine bleeding in the Genital stage, so in addition to vaginal bleeding, infertility is also the main symptom of patients.

Endometrial hyperplasia examination

1. Hysteroscopy examination: Use hysteroscopy to observe the appearance of the endometrium and observe its condition, and perform curettage or negative pressure suction under direct vision.

2. Serum hormone determination: Use B-ultrasound or laparoscopic examination to determine the presence or absence of polycystic ovary.

3. X-ray or CT examination: examination of pituitary sella and fundus visual field to exclude Pituitary tumour.

4. Basic body temperature measurement: Ovulation/Based on the arc of temperature rise and the duration of maintenance after rise, it can be determined whether the function of the corpus luteum is healthy.

Diagnosis of endometrial hyperplasia

1. Age identification: It is very rare for patients with endometrial adenocarcinoma to be under 40 years old. Therefore, for young women, especially those who wish to give birth, if the curettage material may not show the characteristics of interstitial infiltration, obvious glandular hyperplasia and cell abnormalities, it is not inclined to diagnose endometrial thickening.

2. Response to medication: The response to medication also contributes to the differential diagnosis of atypical endometrial hyperplasia and endometrial adenocarcinoma. The former is sensitive to drug treatment responses, with a significant reversal of the endometrium in a short period of time after drug use, and a small amount of drug use. For moderate and severe atypical hyperplasia, the dosage of pregnancy hormone used must be increased and must be continuously used for 3-6 months. Although relapse may occur after discontinuation of medication, most cases occur after a considerable period of remission. However, patients with endometrial adenocarcinoma usually have a slow response to drug treatment and require more doses. Discontinuing medication also has the characteristic of immediate recurrence. Therefore, the response to drug therapy can serve as a reference for diagnosis.