Quick Answer: Should I Have A Hysterectomy For Endometrial Hyperplasia?

How thick is endometrial hyperplasia?

This is the risk of cancer among women with a thick endometrium.

An illustration of how the numbers were calculated is provided in the Appendix.

Among postmenopausal women with vaginal bleeding, an endometrial thickness ≤ 5 mm is generally considered normal, while thicknesses > 5 mm are considered abnormal4, 5..

Does thick uterine lining cause bloating?

Buildup of endometrial-like tissue can cause inflammation in the abdomen. This can result in swelling, water retention, and bloating. The endometrial-like tissue can cover or grow into the ovaries. When this happens, trapped blood can form cysts, which may cause bloating.

What is the most common age to get endometrial hyperplasia?

In our study, among women 18–90 years the overall incidence of endometrial hyperplasia was 133 per 100,000 woman-years, was most common in women ages 50–54, and was rarely observed in women under 30. Simple and complex hyperplasia incidences peaked in women ages 50–54.

What happens if my endometrial biopsy is abnormal?

Your doctor may perform a hysteroscopy with dilatation and curettage if the results of an endometrial biopsy are inconclusive or the doctor couldn’t obtain enough tissue for a biopsy. In this procedure, the doctor widens the opening of the cervix with thin, metal rods called dilators.

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.

Is endometrial hyperplasia serious?

Endometrial hyperplasia is a condition of the female reproductive system. The lining of the uterus (endometrium) becomes unusually thick because of having too many cells (hyperplasia). It’s not cancer, but in certain women, it raises the risk of developing endometrial cancer, a type of uterine cancer.

How do I know if my bleeding is caused by endometrial hyperplasia?

Endometrial hyperplasia typically causes abnormal uterine bleeding and most commonly occurs in postmenopausal women. Additional symptoms include: Shorter menstrual cycles (less than 21 days) Bleeding during menstrual cycle that is heavier and longer than usual.

Is 13mm endometrial thickness normal?

For ovulatory cycles, the mean of endometrial thickness was 7.8 +/- 2.1 mm (3-13 mm) in the follicular phase, 10.4 +/- 1.9 mm (8-13 mm) around ovulation and 10.4 +/- 2.3 mm (8-19 mm) in the luteal phase. The average thickness of endometrium for postmenopausal women without bleeding was 1.4 +/- 0.7 mm (1-5 mm).

How long before endometrial hyperplasia turns into cancer?

Unless you have taken hormones, which can cause it to grow faster, endometrial hyperplasia is slow growing. It takes ten to twelve years from the time it begins to grow for it to develop into endometrial cancer.

What is the treatment for endometrial hyperplasia?

In many cases, endometrial hyperplasia can be treated with progestin. Progestin is given orally, in a shot, in an intrauterine device, 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 menstrual period.

Can endometrial hyperplasia be seen on ultrasound?

The endometrial hyperplasia has a cystic lace-like appearance on ultrasound. Endometrial polyps manifest as focal areas of endometrial thickening, and the stalk of the polyp may be seen if sufficient fluid is present in the endometrial cavity.

Can losing weight help endometrial hyperplasia?

You cannot prevent endometrial hyperplasia, but you can help lower your risk by: Losing weight, if you are obese. Taking a medicine with progestin (synthetic progesterone), if you already are taking estrogen, due to menopause or another condition.

What is a significant early sign of endometrial carcinoma?

Most women with endometrial cancer have early symptoms. The most common symptom of endometrial cancer is abnormal uterine bleeding. For women who are premenopausal, this includes irregular menstrual bleeding, spotting, and bleeding between menstrual periods. For women who are postmenopausal, any bleeding is abnormal.

Can a thick uterine lining cause weight gain?

Endometriosis causes endometrial tissue, which usually lines the uterus, to develop outside of the uterus. It can cause chronic pain, heavy or irregular periods, and infertility. Some people also report weight gain and bloating.

Will I lose weight on progesterone?

One of the primary symptoms of this is weight gain. In all these effects note that progesterone does not directly cause weight loss. Instead it reduces the effect of other hormones in the body which are causing the weight gain. Think of it as allowing rather than causing the body to lose weight.