Thickening of the endometrium, also known as endometrial hyperplasia, involves increasing the thickness of the tissue lining the inside of the uterus due to excessive exposure to estrogen, which can occur in women who do not ovulate every month or who are being treated.estrogen.
Endometrial hyperplasia is not always linked to cancer, but there is a risk, especially in women who are exposed to high estrogen levels, who have another risk factor such as obesity and diabetes, or who have liver or kidney disease, for example.
- Symptoms that can occur in the case of endometrial thickening are mainly abnormal uterine bleeding.
- Severe abdominal cramps.
- Less than 21 days between menstruations and a slight increase in the size of the uterus.
- Detected by ultrasound.
Endometrial hyperplasia is caused by excessive exposure to the hormone estrogen and usually an insufficient amount of progesterone.This hormonal imbalance in women can be caused by the following situations:
The increased risk of developing endometrial hyperplasia occurs between the age of 40 and 60.
The main types of endometrial hyperplasia are
Non-atypical endometrial hyperplasia is a type of endometrial thickening that does not involve precancerous cells.
Atypical endometrial hyperplasia is a slightly more serious endometrial injury than the previous ones and may be related to the development of endometrial cancer.Treatment will vary depending on the stage of the disease and, in some cases, the uterus may need to be removed.
Diagnosis of endometrial hyperplasia can be made by a gynecologist by analyzing the symptoms presented and transvaginal ultrasound, finding out what transvaginal ultrasound is and how it is done.
In addition, your doctor may also perform a hysteroscopy, which involves inserting a camera with a camera into your uterus to see if there is anything abnormal, and/or performing a biopsy, in which a small sample of endometrial tissue is taken for further analysis.
Treatment of endometrial hyperplasia will depend on a woman’s type of hyperplasia and severity, but treatment options include liking endometrial tissue or using drugs such as progesterone or oral, intramuscular or intrauterine synthetic progestin.
After treatment, an endometrial tissue biopsy is recommended to check for treatment success.