Atypical endometrial hyperplasia


2018-03-17 18:06:22




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Endometrial Hyperplasia – is the abnormal growth of the inner (mucous) sheath of the uterus, when it becomes much thicker than normal. In General, the concept "hyperplasia" means an increase in the number of cells of a tissue or of a body, whereby the volume of the body increases. According to medical statistics, endometrial hyperplasia affecting up to 20% of women and 5-10% of them the disease transformirovalsya in cancer.

There are several types of hyperplasia, this:

  • Glandular hyperplasia;
  • Cystic hyperplasia;
  • Adenomatosis, i.e., atypical endometrial hyperplasia;
  • Focal hyperplasia of the endometrium.

Possible causes of the disease called hormonal disorders, gynecologic disorders, polycystic ovary syndrome (PCOS), abortion, uterine myoma, diagnostic curettage, adenomyosis, concomitant extragenital diseases (diseases of the adrenal glands, thyroid gland, diabetes, obesity, high blood pressure).

Symptoms of endometrial hyperplasia can be irregularities in the menstrual cycle (the elongation or reduction in, heavy blood loss); sudden uterine bleeding during menstruation or mid-cycle, lasting up to several weeks; infertility.

Atypical endometrial hyperplasia Is the most serious disease of all of the above types. The threat of its degeneration into cancer, if untreated, reaches from 20% to 80% and most often occurs in the period of the termination (by age) of menstrual function. When atypical hyperplasia endometrial thickness reaches 3 cm.


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Limited (of focal) hyperplasia of the endometrium is polyps growing private homes. The structure of the polyps are fibrous, glandular and adenomatous. Depending on the size of the polyp, thick endometrium can reach 6 cm

Underdeveloped inner layer of uterus-endometrium is hypoplastic – is not a disease. Such endometrium is observed in the weak influence of ovarian hormones and does not require treatment – just watch it.

In cases where atypical endometrial hyperplasia Recurs and there is a high risk of its transition in cancer form, the use of surgical intervention – remove the overgrown layer of the endometrium. The procedure is highly accurate, quick and absolutely safe, thanks to modern technology.

Other methods of treatment of complicated diseases is the removal of polyps-polypectomy, removal of the uterus together with appendages – hysterectomy. Hysterectomy, usually used for severe, complicated by the development of atypia, forms, internal polyps, fibroids.

In many ways, the results of surgical intervention depends on how effective is preoperative hormonal therapy to significantly reduce the volume of the hearth giperplazirovannah endometrium. Is used for the combined treatment combining several methods, for example, surgical treatment with hormonal therapy.

Atypical endometrial hyperplasia Diagnosed:

  • Transvaginal ultrasound;
  • Echohysterosalpingography (Echo GHA);
  • Hysteroscopy (HSG);
  • Endometrial biopsy;

For the prevention of disease should:

  • The passage once or twice a year gynecological examination (even if there are no complaints);
  • The different treatment of concomitant extragenital diseases (diabetes mellitus, obesity, hypertension, etc.);
  • Diagnosis and subsequent treatment of diseases of the reproductive organs (uterine fibroids, adenomyosis, etc.);
  • Getting rid of excess weight.

Periodic examinations by experts will allow time to identify a terrible disease and will significantly increase the chances of a full and rapid recovery.

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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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