Is a hysterectomy recommended for endometrial hyperplasia?

Is a hysterectomy recommended for endometrial hyperplasia?

Endometrial Hyperplasia Treatments. Endometrial hyperplasia treatment depends on the type of hyperplasia and whether the patient desires to preserve the uterus for fertility. Hysterectomy (removal of the uterus) is recommended for patients who are postmenopausal or patients who have completed childbearing.

How do you get rid 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.

Can endometrial hyperplasia go away on its own?

Endometrial hyperplasia is an increased growth of the endometrium. Unlike a cancer, mild or simple hyperplasia can go away on its own or with hormonal treatment. The most common type of hyperplasia, simple hyperplasia, has a very small risk of becoming cancerous.

How often is endometrial hyperplasia cancer?

Simple atypical hyperplasia turns into cancer in about 8\% of cases if it’s not treated. Complex atypical hyperplasia (CAH) has a risk of becoming cancer in up to 29\% of cases if it’s not treated, and the risk of having an undetected endometrial cancer is even higher.

How serious is endometrial hyperplasia?

Endometrial hyperplasia thickens the uterus lining, causing heavy or abnormal bleeding. Atypical endometrial hyperplasia raises the risk of endometrial cancer and uterine cancer. The condition tends to occur during or after menopause.

What happens if your endometrial biopsy is positive?

Biopsy results may show cell changes linked to hormone levels, or abnormal tissues, such as fibroids or polyps. These can lead to abnormal bleeding.

Is endometrial biopsy necessary before hysterectomy?

Prior to having a hysterectomy for abnormal uterine bleeding, women require some type of sampling of the lining of the uterus (biopsy of the endometrium) to rule out cancer or pre-cancer of the uterus.

What are the signs that you need a hysterectomy?

The most common reasons for having a hysterectomy include:

• heavy periods – which can be caused by fibroids.
• pelvic pain – which may be caused by endometriosis, unsuccessfully treated pelvic inflammatory disease (PID), adenomyosis or fibroids.
• prolapse of the uterus.
• cancer of the womb, ovaries or cervix.

What are the disadvantages of having a hysterectomy?

Hysterectomy is a major surgery carrying the possibility of blood clots, severe infections, hemorrhage, bowel obstruction, or urinary tract injury. Long term risks include early menopause, bladder or bowel problems, and adhesions and scars in the pelvic area.