What to do if endometrial thickness occurs

What should I do if I have thick endometrium? Thick endometrium is also called endometrial hyperplasia or endometrial thickening. It is common in women over 30 years old and has a certain tendency to become cancerous. Therefore, it is classified as a precancerous lesion. However, most endometrial thickening maintains a persistent benign state. Only a few cases may develop into cancer after a long time interval. So, what should I do if I have thick endometrium?

For the treatment of atypical endometrial hyperplasia, the first step is to make a clear diagnosis and find out the cause. If it is accompanied by polycystic ovary, functional ovarian tumors, or other endocrine disorders, targeted treatment should be given. At the same time, symptomatic treatment should be started immediately for those diagnosed with atypical endometrial hyperplasia, using drug therapy or surgical treatment.

The choice of treatment should be determined based on the patient's age, fertility requirements, and physical health. Those under 40 years old have a low tendency to cancer and can first consider drug treatment. Young people who hope to have children should try drug treatment first, because about 30% of patients can still conceive and give birth to a full-term baby after drug treatment. For women before and after menopause, the potential for cancer is higher than that of young people, so hysterectomy is often performed directly.

The principles of drug treatment are standardized medication, long-term examination, regular testing, and timely assisted pregnancy. Curettage and aspiration is not only an important diagnostic method, but also one of the treatment methods. Because local lesions can also be removed through curettage. Patients with atypical endometrial hyperplasia who are over 40 years old and have no fertility requirements can undergo hysterectomy once diagnosed.

However, for patients with high blood pressure, diabetes, obesity or advanced age who have poor tolerance to surgery, drug treatment may be considered first under close follow-up monitoring. For young patients who have not responded to drug treatment, have persistent or worsening endometrial hyperplasia or suspected cancer, or have vaginal bleeding that cannot be controlled by curettage and drug treatment or relapses after delivery, surgical removal of the uterus may be considered.