Partial hyperplasia of the endometrium

Partial hyperplasia of the endometrium is a common gynecological disease, mainly characterized by local or diffuse thickening of the endometrium. Partial hyperplasia of the endometrium may be related to endocrine disorders, long-term anovulation, obesity, diabetes and other factors. It usually manifests as abnormal menstruation, prolonged menstruation, increased menstrual flow and other symptoms. It is recommended to seek medical treatment promptly and make a clear diagnosis through ultrasound examination, diagnostic dilation and curettage, etc.

1. Endocrine disorders

Endocrine disorders are one of the common causes of endometrial hyperplasia. Too much estrogen or not enough progesterone in the body can lead to excessive growth of the lining of the uterus. Patients may experience symptoms such as irregular menstrual cycles and increased menstrual flow. For treatment, progesterone capsules, dydrogesterone tablets and other drugs can be used according to the doctor's advice to regulate hormone levels. At the same time, the endometrium needs to be reviewed regularly.

2. Long-term anovulation

Long-term anovulation will cause the endometrium to continue to be stimulated by estrogen and proliferate. This condition is common in women with polycystic ovary syndrome and manifests as oligomenorrhea or amenorrhea. Treatment requires the use of ovulation induction drugs such as clomiphene citrate tablets as directed by the doctor. If necessary, progesterone drugs such as norethindrone tablets can be used to protect the endometrium.

3. Obesity factors

Increased aromatase activity in adipose tissue of obese women can increase the conversion of androgens into estrogens, leading to endometrial hyperplasia. Such patients are often accompanied by insulin resistance, manifested by overweight, acanthosis nigricans, etc. Treatment requires weight control, and you can use metformin tablets to improve insulin resistance as directed by your doctor. At the same time, you can regularly monitor changes in the endometrium.

4. Impact of diabetes

Poor blood sugar control in diabetic patients may affect the normal metabolism of the endometrium and increase the risk of hyperplasia. Hyperglycemia can lead to abnormal endothelial function and affect the endometrial blood supply. Treatment requires strict control of blood sugar. You can use insulin or oral hypoglycemic drugs such as glimepiride tablets as directed by your doctor, and have regular gynecological examinations.

5. Drug factors

Long-term use of estrogen drugs such as estradiol valerate tablets without progestins may lead to endometrial hyperplasia. Certain breast cancer treatment drugs such as tamoxifen tablets may also increase the risk of endometrial lesions. During the period of medication, regular gynecological examinations are required. If necessary, the medication regimen should be adjusted according to the doctor's advice or progesterone should be added to protect the endometrium.

Patients with partial endometrial hyperplasia should pay attention to maintaining a regular schedule and avoid staying up late and being stressed. The diet is recommended to be low-fat and high-fiber, with an appropriate amount of high-quality protein such as fish and soy products, and to limit the intake of sweets and high-calorie foods. Moderate exercise helps control weight and improve endocrine conditions. Regular gynecological examinations and ultrasound monitoring are very important. If any abnormalities are found, seek medical attention promptly. Postmenopausal women should be more vigilant if they experience vaginal bleeding and seek medical attention promptly to rule out malignant lesions.