What does endometrial simple hyperplasia mean?

Endometrial hyperplasia is a benign lesion caused by continuous estrogen stimulation, leading to abnormal proliferation of endometrial glands and stroma, characterized by increased gland numbers and disorganized arrangement, while the cellular morphology remains normal. Detailed analysis is as follows:

If the endometrial hyperplasia is mild, patients may experience no obvious symptoms and the thickened endometrium may only be detected during a physical examination, with no abnormal changes in menstrual cycle or flow. This situation is often caused by short-term fluctuations in estrogen levels and can be managed by lifestyle adjustments and monitoring menstrual patterns; in some cases, the endometrium may return to normal on its own.

When endometrial hyperplasia is severe or persistent, patients may develop menstrual irregularities such as prolonged menstrual periods, heavy menstrual bleeding, or vaginal bleeding outside the menstrual cycle. If left untreated for a long time, it may increase the risk of endometrial cancer. At this stage, progestin medications should be used under a doctor's guidance to regulate hormone levels and inhibit endometrial proliferation. Diagnostic curettage or hysteroscopy may be necessary to determine the nature of the endometrial lesion and rule out malignancy.

Once diagnosed with endometrial hyperplasia, timely medical consultation is essential. A treatment plan should be formulated based on the degree of hyperplasia and symptoms. Patients must strictly follow medical instructions during treatment, regularly review endometrial status, maintain a healthy lifestyle, and avoid long-term estrogen exposure to reduce the risk of disease progression.