Curettage with endometrial hyperplasia: features, indications and implications

Women because of the peculiarities of the structure of your body is often faced with diseases. Pathological processes may have different nature. Some of them are quite difficult to detect. So you do not bite your elbows, you need to promptly see a doctor. The gynecologist will examine you, listen to your concerns and if necessary refer for additional diagnostics.

About half of women in menopause and after it is detected endometrial hyperplasia. Without uterine curettage to defeat the pathology is possible only under special conditions. Today's article will tell you about the origin of this disease and will present it to you. You will also learn do you have to do curettage in endometrial hyperplasia and what this means.

What is it?

Not every woman has to endure such manipulation as gynaecological curettage. When endometrial hyperplasia it is often, but not always. Before you learn about the features of the manipulation, please purchase presentation about the disease. Endometrial hyperplasia develops as a result of proliferation of the inner surface of the muscular reproductive organ. Each cycle in a woman's body changes in hormonal levels. During menstruation the endometrium is rejected and goes out with the blood. After that comes the time of estrogen. They contribute to the growth of the follicles and restoring the mucous layer of the uterus. Then, after ovulation, progesterone promotes the proper secretion of the endometrium, it prepares the reproductive organ to pregnancy (attachment of the ovum). If conception does not occur, the progesterone level is on the decline, which starts next bleeding. It's that simple.

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But if for some reason the woman has a hormonal imbalance occurs, the endometrium is not rejected by or not exposed to progesterone. This starts the uncontrolled division of cells, their growth. It was then that the doctors diagnosed as “endometrial hyperplasia”.

Types of hyperplasia and features of correction

There are several varieties of this disease. Some of them are not so dangerous and can succumb to hormonal correction. Others call for surgical procedures. In some situations, completely removes the uterus. What could be endometrial hyperplasia?

• Ferrous. Considered to be one of the easiest, often amenable to medical treatment. The mucous surface expands uniformly without forming between the stromal cells.
• Cystic. This form is similar to glandular, but the surface of the inner shell expands maskoobraznoe, forming a bubble similar to cysts. Treated by hormonal means.
• Focal or diffuse. The mucous surface expands uniformly (diffuse) or maskoobraznoe (when focal). In emerging areas are made up of cysts and polyps. There are known cases of such escalating hyperplasia into cancer.
• Atypical. This form is considered the most dangerous. When it overgrowth of the mucosa occurs not only on the surface of the inner layer. Cells are actively dividing, penetrating into the basal layer. Curettage with endometrial hyperplasia this nature is often ineffective. For certain indications it is necessary to remove the uterus.

The symptoms of the disease, indicating the need for curettage

The Main signs of this disease are a variety of disruptions of the menstrual cycle. A woman can complain of the delay, heavy bleeding, spotting before and after menstruation. Also in this period present the symptoms of malaise, abdominal pain, indigestion, feeling unwell, fever and so on. Hypertrophy is often accompanied by infertility. In some cases, appointed by scraping? When endometrial hyperplasia readings should be as follows:

• Pain in the lower segment of the abdomen;
• Prolonged bleeding
• The duration of the cycle more than 40 days;
• Infertility lasting more than six months;
• Spotting during cycle.
• Laboratory confirmation of hyperplasia.

Prepare to manipulation: features

Uterine Curettage if endometrial hyperplasia is only possible after preparation. Previously the patient needs to get checked out by doctors such as neurologist, cardiologist, therapist. Experts give the opinion that no contraindications to manipulation, no. This involves research such as analysis of blood General and biochemical determination of antibodies to hepatitis, HIV, and syphilis. Definitely need to explore the heart through ECG.

Then the patient has to visit the gynecologist. The doctor prescribes additional examinations which include ultrasound examination, smear for determination of purity of the vagina. Forbidden manipulation with poor results. If there is inflammation, then it should be removed.

Holdingprocedure: course of action

The Scraping of the uterine endometrial hyperplasia is only possible within the walls of medical institutions. The procedure lasts no more than 20 minutes. Manipulation requires intravenous anesthesia. During curettage the patient is asleep or is half asleep: she doesn't feel discomfort. Using dilators, the doctor reveals the cervical canal into the cavity of the genitals. The curette removed the overgrown layer, which will be further investigated.

In the process of scraping are two positive steps: the doctor cleans the accumulated layer, and may further determine the composition and risk (by histology). After cleaning, the patient is monitored by medical staff for another 2-4 hours. If there are no complications, the woman can go home.

After curettage

If you did the cleaning due to the fact that you have endometrial hyperplasia, treatment after curettage will be assigned as necessary. Always doctors recommend a course of antibiotic therapy. If necessary, appointed by the painkillers and anti-inflammatory drugs. Taken forward only after obtaining histological decryption.

If came the data suggests that in the studied material there are no malignant findings, then the patient is assigned standard hormonal therapy. When it is confirmed the presence of malignant tumors, it is necessary to delete in a separate operation. Consider what the consequences of scraping.

Inflammation

If you have endometrial hyperplasia (treatment after curettage was not performed), then there is a high probability of inflammatory process. It is manifested by the following symptoms: abdominal pain, an unusual discharge with an unpleasant odor, increase in body temperature. In all situations shown urgent correction. Usually doctors prescribe a long course of antibiotics for oral, intravenous and vaginal administration.

If the inflammation that was caused due to scraping, not treated, the disease can spread to adjacent organs: ovaries, fallopian tubes and so on. All this is fraught with its consequences.

Perforation of the uterus or thinning the walls of the organ

Treatment of endometrial hyperplasia without scraping is quite rare. If within one month of hormonal therapy has not come improvement, then it is necessary to clean. While manipulation can occur complications such as perforation of the uterine wall. This disorder requires emergency surgical intervention.

It is Also a consequence of the manipulation can be thinning of the walls of the reproductive organ. In the future this leads to my complication. For example, pregnancy can occur a rupture of the uterus. Often with thin walls is assigned to a planned cesarean section.

Endometrial Hyperplasia: dilatation and curettage. Feedback about the effects of treatments

What is the opinion one gets from patients about this procedure? Many say that endometrial hyperplasia after curettage does not disappear. After a few cycles of the mucous membrane again begins to thicken, forming cysts, polyps. Indeed, if the patient is not assigned to appropriate therapy, the very surgical intervention to save her from illness. Curettage does not eliminate the cause of hyperplasia, but only adjusts its consequences. Therefore, it is important to listen to doctor's appointments and after the operation to comply with the assigned therapy.

Bottom line

From the article you could learn that treatment of endometrial hyperplasia without scraping is possible, but only in exceptional cases. To really appreciate the condition of the patient, it is necessary to produce a biopsy or curettage. The only way to find effective treatment that will relieve you from the problem.