What is endometrial hyperplasia, and how should it be managed?

Under normal circumstances, possible causes of endometrial hyperplasia may include pregnancy, luteal phase deficiency, polycystic ovary syndrome (PCOS), endometriosis, and endometrial cancer. If discomfort symptoms occur, it is recommended to seek medical attention promptly and receive targeted treatment under a doctor's guidance. Specific analyses are as follows:

1. Pregnancy

During pregnancy, high levels of progesterone may stimulate endometrial hyperplasia to provide sufficient nutrition and protection for the embryo. As pregnancy progresses, the endometrium gradually transforms into part of the placental tissue. Endometrial hyperplasia during pregnancy is a normal physiological phenomenon and does not require special treatment. Regular prenatal check-ups, monitoring fetal development, and following medical advice for proper pregnancy management are recommended.

2. Luteal Phase Deficiency

Poor follicular development may lead to luteal phase deficiency. The corpus luteum produces progesterone; when progesterone secretion is insufficient, it may fail to effectively inhibit endometrial growth, resulting in endometrial hyperplasia. This condition may also be accompanied by symptoms such as shortened menstrual cycles, infertility, or early miscarriage. Treatment under the guidance of a healthcare professional may include medications such as progesterone capsules, dydrogesterone tablets, or clomiphene citrate capsules.

3. Polycystic Ovary Syndrome (PCOS)

Factors such as excessive obesity or unhealthy dietary habits may contribute to PCOS. This condition typically causes hormonal imbalances, disrupting the normal menstrual cycle and preventing regular shedding of the endometrium, thus leading to endometrial hyperplasia. It may also present with irregular menstruation, acne, and hirsutism. Medications such as metformin tablets, dydrogesterone tablets, or clomiphene citrate tablets may be used as directed by a physician to alleviate symptoms.

4. Endometriosis

Endometriosis may result from factors such as abortion or sexual intercourse during menstruation, causing abnormal displacement of endometrial tissue. The displaced endometrial tissue responds to hormonal changes during the menstrual cycle, triggering inflammatory reactions that may affect endometrial growth. In severe cases, symptoms such as dysmenorrhea, painful intercourse, and infertility may also occur. Under proper medical supervision, medications such as ibuprofen tablets, indomethacin tablets, or medroxyprogesterone acetate tablets may be used for treatment.

5. Endometrial Cancer

This condition may be associated with prolonged estrogen stimulation, sexually transmitted infections, obesity, and other factors. Cancer cells can cause hormonal imbalances in the body, leading to excessive endometrial proliferation. In severe cases, symptoms such as vaginal bleeding, increased menstrual flow, and prolonged periods may occur. It is recommended to visit a正规 hospital and undergo hysterectomy under a doctor’s guidance.

Maintaining healthy eating habits, engaging in moderate physical activity, avoiding excessive weight gain, and using estrogen-containing medications appropriately are advisable in daily life.