Symptoms and treatment of uterine endometrial hyperplasia depending on the type of pathology
Excessive growth of the endometrium of the uterus is classified in gynecology as hyperplasia. Pathology can be diagnosed at any age, but most often it occurs during the period of serious hormonal changes, during premenopause, menopause. Treatment of uterine endometrial hyperplasia depends on the specific type of disease diagnosed by the gynecologist.
How the disease manifests itself
The main symptom of the pathology is intermenstrual bleeding of various nature. In adolescence, they are small, slightly brown and viscous, in the elderly they are almost always abundant, they can lead to large blood loss and anemia.
Symptoms of glandular hyperplasia of the endometrium: pain that occurs immediately after sexual intercourse, abundant yellowish-brown mucous secretions, the feeling of the presence of a foreign body ("balls") in the lower abdomen, the absence of bloody discharge.
Most often, gynecologists diagnose the disease "accidentally", during a medical examination or a routine professional examination.
Methods of diagnosing endometrial hyperplasia
"Unauthorized" bleeding is not always a sign of this pathology. To clarify the diagnosis, the gynecologist will conduct a number of examinations.
Blood and smear from the vagina and cervical canal are not informative in this case. And signs of complex endometrial hyperplasia are not a valid argument for establishing a final diagnosis. The only thing that makes sense is instrumental research of the patient: ultrasound, laparoscopic, diagnostic scraping for endometrial hyperplasia for further histological examination.
How pathology is treated
Even if the disease does not manifest itself in any way and the woman does not complain about anything, and the pathology itself was diagnosed "accidentally", treatment is necessary. Many women believe that if endometrial hyperplasia developed during menopause, it can be left untreated, because the reproductive function has already been exhausted and pregnancy is not planned. But gynecologists have repeatedly noted the transformation of this pathology into oncology. The causes of atypical hyperplasia of the endometrium have not yet been clarified. Timely treatment will help to avoid a malignant disease.
Therapeutic (drug) treatment
Therapy is prescribed to every patient who has been diagnosed with pathology, regardless of age. The choice falls primarily on oral contraceptives of the hormonal series - Zhanin or Yaryna. These drugs are prescribed for the treatment of endometrial hyperplasia in girls and women of childbearing age. The course of therapy is at least 6 months.
Progestogenic drugs are prescribed for the treatment of patients of any age. If the disease is diagnosed in young women, they can be given a progestagen intrauterine spiral. This type of treatment is called local, the effect is found directly on the pathologically changed areas of the endometrium.
Simple hyperplasia of the endometrium in postmenopause can be treated with conventional hormonal drugs. This age does not provide for childbearing, so the woman is under the constant supervision of a doctor with mandatory laboratory tests of biological material for the purpose of timely diagnosis of the transformation of healthy cells into oncology.
Vitamins are prescribed as additional therapy, as well as some physical procedures - for example, electrophoresis will be effective.
Surgical treatment
How to treat endometrial hyperplasia in postmenopause, if taking hormonal drugs does not give positive results and the pathology progresses? In this case, doctors recommend a gentle surgical intervention - scraping of the pathologically changed endometrial layer. After the operation, the woman is discharged for outpatient treatment. In the postoperative period, she may be bothered by minor bleeding and pain in the lower abdomen.
If atypical endometrial cells are detected, it is recommended to perform a complete excision of the endometrial layer. Such manipulation is performed with a laser, after which the removed layer is never restored.
Consultation regarding this disease, as well as an answer to the question of what glandular-cystic hyperplasia of the endometrium is, can be obtained from experienced gynecologists. You can sign up for a consultation with them on our website Dobrobut.com.
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