How is simple endometrial hyperplasia treated?

The uterus is a vital reproductive organ in women and bears the critical responsibility of nurturing life. The endometrium—the inner mucosal lining of the uterus—plays an essential role during fetal growth and development; thus, its health is of paramount importance. So, how is simple endometrial hyperplasia treated?

How Is Simple Endometrial Hyperplasia Treated?

In general, simple endometrial hyperplasia can be managed through pharmacological therapy or surgical intervention. A detailed analysis follows:

1. Pharmacological Therapy

If symptoms are mild, progesterone capsules may be prescribed to regulate hormonal balance, alleviate endometrial hyperplasia, and promote transformation and shedding of the endometrium. For patients without childbearing intentions and no contraindications to hormonal therapy, a levonorgestrel-releasing intrauterine system (LNG-IUS, e.g., Mirena®) may be inserted under physician guidance. This device releases progestin locally within the uterine cavity to counteract endometrial hyperplasia, prevent endometrial pathology, and treat abnormal uterine bleeding.

2. Surgical Intervention

In cases of severe symptoms, diagnostic and therapeutic dilation and curettage (D&C) may be performed under physician supervision to remove the hyperplastic endometrial tissue. Concurrent endometrial biopsy allows for definitive histopathological diagnosis.

In daily life, maintain personal hygiene, adopt healthy lifestyle habits, and avoid excessive physical exertion. Dietarily, minimize intake of cold, raw, or spicy-irritating foods—such as ice cream and chili peppers—and ensure adequate abdominal warmth to support recovery.
Hope this information proves helpful to you!