Endometrial hyperplasia - a disease of the body of the uterus, which is characterized by excessive growth of a layer of the endometrium (the inner mucosa of the body of the uterus).The pathology occurs in women of any age, but most often endometrial hyperplasia is diagnosed in women in the body that occur hormonal changes (puberty or menopause).
addition to hormonal imbalance in the development of the disease can result in inflammatory diseases of the sexual sphere, numerous abortions and curettage, diseases of the uterus (fibroids, adenomyosis), other diseases (diabetes, thyroid disease, obesity). Content
There are several classifications of endometrial hyperplasia.The World Health Organization (WHO) provides the most understandable for doctors and their patients:
Many doctors regard the atypical endometrial hyperplasia as a precancerous condition, so any vio
The main feature of the disease - non-cyclic vaginal bleeding.They appear in the intermenstrual period or after a delay period.Selections neobilnye more like spotting.In adolescence, bleeding may be heavy with clots and long minor bleeding can cause anemia.This will result in weakness, fatigue, appearance of dizziness, fainting, and other symptoms of anemia.
Sometimes endometrial hyperplasia can occur without obvious clinical symptoms, and then the reason for seeking medical attention can be no pregnancy.Very often, the symptoms of endometrial hyperplasia confused with the threat of miscarriage in early pregnancy.
When any alarming spotting a woman should see a doctor.
disease itself can not get through, so it is necessary to treat it, regardless of age, women and even in those cases when the patient no symptoms of endometrial hyperplasia (a disease found by chance).
The basis of the treatment of the disease is hormone therapy.It is used several groups of hormones:
addition of hormone therapy to women appointed vitamins (B vitamins, ascorbic acid), sedatives (valerian or motherwort), and with the development of anemia - iron supplements (Sorbifer, Ferlatum).From physiotherapy treatments in endometrial hyperplasia shows electrophoresis, acupuncture is also useful.
of reproductive age at menopause, as well as in the event of major bleeding, life-threatening patient, doctors prefer the surgical methods of treatment.Curettage of the uterus - Keying in which the body is removed from the walls of hyperplastic endometrium and polyps.After histological examination and determine the type of hyperplasia, as well as taking into account the individual characteristics of the patient (age, comorbidities) woman chosen further hormone therapy.
After surgery, a woman can be discharged at home treatment the next day.Within 2 weeks after surgery may not abundant bleeding from the genital tract, this time she will need to abstinence.
If any of histology adenomatosis in the absence of the need to preserve fertility doctors recommend to carry out the operation for endometrial ablation.Ablation (resection) of the endometrium - the complete destruction of the lining of the uterus using a laser or thermal effects.After such an operation, the endometrium is not never recover.
after curettage or endometrial ablation is necessary to conduct routine inspection at the gynecologist, and if necessary, ultrasound, then every 3 months during the year.