Back
Home » Health
  •  
    Technology
    • Realme 5 Pro New Firmare Update Improves Camera Performance
    • Buying Guide: Best Smartphones Under Rs. 8,000
    • Redmi 8A India Launch Date Set For September 25
    • PlayStation 4 Games Diwali Sale: Sony India Offering Discount Up To 40 percent
    • Vivo U10 Stops By Geekbench; Snapdragon 665 SoC, Android Pie Tipped
    • WD My Passport Go SSD Review: Experience Redefined Portability
    • Call Of Duty Hitting Android, iOS Phones Starting October 1
    • Xiaomi Mi Band 4 Set To Go On Sale Today In India: Price And Features
    • Nokia 7.2 Launched In India For Rs. 18,599 Onwards; First Nokia Smartphone With Triple Cameras
    • OnePlus 7T Pro Images Leaked: Might Feature a 3D ToF Sensor
    • OnePlus 7T Outperforms OnePlus 7 Pro On Geekbench 5
    • Infinix Hot 8 To Go On Sale From September 19 Via Flipkart: Price, Specs, And Offers
    • Buying Guide: Realme Smartphones With 6GB RAM To Buy In India Right Now
    • Flipkart Big Billion Days Offers: Mobile Offers Schedule Days
    • Realme XT’s First Firmware Update Improves Camera Performance
    • MIUI 11 Animations Teased Ahead Of September 24 Launch
    • Realme XT’s First Firmware Improves Camera Performance
    • Exclusive: OnePlus To launch 55" OnePlus Q1 Pro And Q1 Smart TVs With Oxygen Play Content Service
    • Exclusive: Vivo U10 To Offer 6.35" HD+ Display, 5,000mAh Battery And 18W Charger In Box
    • Exclusive: Vivo U10 To Offer 6.35" HD Display, 5,000mAh Battery And 18W Charger In Box
Endometrial Hyperplasia: Causes, Symptoms, Diagnosis And Treatment
Boldsky | 14th May, 2019 03:45 PM

Abnormal uterine bleeding is not uncommon and it is quite likely that you might have approached your doctor at some point of time complaining about such abnormal bleeding. Heavier than normal menstrual bleeding, post-menopausal bleeding or bleeding in between your periods could all be signs of endometrial hyperplasia .

Abnormality of the lining of the uterus or endometrium indicates a condition known as endometrial hyperplasia . Although this condition does not hint at the arrival of cancer, it might lead to uterine cancer in some women, especially if left untreated.

Read on to know more about endometrial hyperplasia and how it can be treated.

What Is Endometrial Hyperplasia?

It is a condition wherein the endometrium (lining of the uterus) turns abnormally thick. This condition occurs when there is an excess of estrogen, but no progesterone .

Your endometrium is what builds up and sheds each month in the form of your regular monthly periods. When there is an imbalance in the hormonal stimulation of the endometrium, an abnormality arises. In women with endometrial hyperplasia, progesterone is not made and the lining of the uterus does not shed itself as a result of missed ovulation . The endometrium continues to grow in response to the rise in production of estrogen. When the cells of the endometrium get crowded abnormally (causing hyperplasia), it may lead to uterine cancer .

The following are some of the conditions that can cause excess production of estrogen, in turn, leading to endometrial hyperplasia:

  • Anovulation: In case you do not ovulate (there can be a variety of reasons), there won't be an increase in the production of progesterone. If this happens, you will not get your periods, in other words, the lining of your uterus will not shed .
  • Obesity: Presence of fat tissues can make other hormones convert to estrogen . This result in extra estrogen that stimulates the lining of the uterus in addition to the normal estrogen that is produced by the ovaries.
  • Exogenous hormones: Hormonal medication can cause abnormal thickening of the endometrium . For people using hormone replacement therapy, this condition is quite common.
  • Estrogen producing ovarian tumours: Benign ovarian tumours can produce excess estrogen .
Symptoms Of Endometrial Hyperplasia

The major symptoms of this condition are abnormal menstrual bleeding. You should consult your doctor immediately whenever you face any of the following :

  • Menstrual cycles shorter than 21 days
  • Menstrual bleeding between menstrual period cycles
  • Menstrual bleeding that is heavier and lasts longer than usual
  • Pre-menopause (not having a period at all)
  • Post-menopause uterine bleeding

Causes Of Endometrial Hyperplasia

The two main causes of this condition are as follows:

1. Too much estrogen: This is a hormone that plays an important role in the menstrual cycle. Estrogen makes the cells grow . When an abnormal scenario occurs, there can be a production of too many cells.

2. Not enough progesterone: This is also another important hormone for the normal functioning of the menstrual cycle. Progesterone signals the shedding of the cells . When there is an imbalance, it can produce abnormal cells.

Diagnosis Of Endometrial Hyperplasia

When you approach your doctor with complaints of abnormal uterine bleeding, you are most likely to be advised to undergo a biopsy of the lining of the uterus. Either of the following two procedures could be tried out :

1. Endometrial biopsy: This is a very common gynecologic procedure. However, to minimize the cramping during or after the procedure, you can carry a small warm pack with you. Also, you can choose to have a little snack about an hour before the procedure. The procedure is almost like a routine pap smear. Your cervix is held using a grasper and a small aspirator device is inserted . The discomfort experienced might be like mild period cramps. The procedure will last less than a minute.

2. Hysteroscopy: At times, your doctor might suggest that you get a hysterectomy done instead of an endometrial biopsy. The benefit of this procedure is that the doctor can get a direct view of the lining of the uterus . This procedure ensures that all areas of the endometrium are adequately sampled.

Note that endometrial hyperplasia cannot be diagnosed by a blood test or an ultrasound. However, your doctor might suggest certain blood tests to rule out other causes of abnormal uterine bleeding.

Treatment For Endometrial Hyperplasia

The most common treatment approach is through the use of progestin . This can be taken in the form of a pill, as a shot, vaginal cream or in the form of an intrauterine device.

Complex endometrial hyperplasia increases your risk of getting cancer. In case, one has the atypical type of endometrial hyperplasia (there could be a presence of tumours in the uterus), then she should consider a hysterectomy (a surgical process of getting the uterus removed). This is recommended if you no longer wish to conceive .

For the younger women who wish to have babies in the future, progesterone therapy works best.

Risk Factors And Prevention Of Endometrial Hyperplasia

Women who have gone through menopause are more likely to have this condition. This is because the menstrual cycle changes along with the bodily hormones.

The following are some of the risk factors associated with this condition :

  • Obesity
  • First menstrual cycle at an early age
  • Long-term use of medicines containing high levels of estrogen
  • Use of tobacco
  • Not being pregnant ever
  • Going through menopause at an older age
  • Irregular menstrual cycles
  • Family history of uterine or ovarian cancer.

Although endometrial hyperplasia cannot be prevented, the risks of it occurring can be lowered by

  • taking birth control to regulate hormonal changes,
  • losing weight, if obese and
  • taking medicine with progestin, if you are already taking estrogen medicines.
 
Health and Life
  • Chemicals In Beauty Products May Harm Women's Reproductive Hormones, Says Study
  • How To Brush Your Teeth Correctly
  • Celiac Disease: Symptoms, Causes, Risk Factors, Diagnosis And Treatment
    • Primary Amoebic Meningoencephalitis: Causes, Symptoms, Diagnosis, Treatment And Prevention
    • 19 Amazing Health Benefits Of Hops
    • Does Eating Too Much Sugar Cause Diabetes?
      • World Ozone Day 2019: Products That Cause Ozone Depletion And Their Eco-friendly Alternatives
      • Sebaceous Horn (Devil’s Horn): Causes, Symptoms, Risk Factors, Treatment, And Prevention
      • 10 Benefits Of Cycling For Your Health
        • Microcytic Anemia: Symptoms, Causes, Risk Factors, Treatment, And Prevention
        • Cyberchondria: How The Internet Can Affect Your Mental Health
        • Everything You Need To Know About The Hypercholesterolemia (High Cholesterol Levels) Condition
          • Fournier Gangrene: Causes, Symptoms, Risk factors, Treatment, And Prevention
          • Milk And Yoghurt May Help Improve Your Heart Health
          • World Sepsis Day 2019: Sepsis In Infants And Children
            • Diabetes Drug Can Cause Flesh-Eating Genital Infection, New Study Reveals
            • Are Drinking Water Bottles Exposed To Sun Good For Health?
            • Why We Say Onam Sadhya Is A Healthy Well-balanced Meal!
              • 10 Best Exercises For Tired Eyes
              • Is Cooking In Microwave Oven Bad For Your Health?
              • Vitamin E: Health Benefits, Food Sources, Dosage, Side Effects And Precautions