What are the symptoms of endometrial thickening?

In life, many women are worried that they will suffer from uterine diseases, but there are many types of uterine diseases that are prone to occur. Everyone should pay attention to some common ones. Endometrial hyperplasia is one of them. After the occurrence of this disease, it is very harmful to the patient's body. Everyone should pay attention to the common pathological characteristics. So, what are the symptoms of different types of endometrial hyperplasia?

(1) Simple endometrial hyperplasia: The affected uterus is slightly larger, the endometrium is significantly thickened, and sometimes appears diffusely polypoid. The amount of curettage material is large and may be mixed with red, smooth polypoid tissue. Microscopically, the lesion is diffuse, involving the functional layer and basal layer of the endometrium. Due to the simultaneous proliferation of the stroma and glands, there is no glandular crowding. The glands are of different sizes and have smooth contours. The morphology of the glandular epithelial cells is similar to that of the normal late proliferative stage and does not have atypia.

(2) Complex endometrial hyperplasia: The etiology of complex hyperplasia is similar to that of simple hyperplasia. However, due to the focal nature of the lesions, it may also be related to the distribution of hormone receptors in the tissue. A small number of complex hyperplasias can develop into atypical hyperplasias, thus affecting the prognosis. In 1993, 21 cases of endometrial hyperplasia in women under 40 years old were reported, of which 4 were complex hyperplasias. After short-term drug treatment, the lesions regressed and the women became pregnant and delivered full-term babies. Among them, 3 cases had recurrence of lesions 2 to 3 years after delivery and were still complex hyperplasias. No cancer was found during the follow-up period of 9 to 38 years.

The diseased endometrium can be thickened or very thin, or it can be polyp-like. Unlike simple hyperplasia, the lesion is a focal hyperplasia of the glandular components without involving the stroma. The amount of curettage material can be more or less, and is often mixed with normal, atrophic or other types of hyperplastic endometrium. The glands in the lesion area are crowded and can be "back to back", the stroma is significantly reduced, the contour of the gland is irregular, or curved and serrated, or intraglandular papillae are formed, but there is no atypia of the glandular epithelial cells.

(3) Atypical hyperplasia of the endometrium: The occurrence of atypical hyperplasia is similar to that of complex hyperplasia, but some cases can slowly develop into cancer. In severe atypical hyperplasia, the canceration rate can reach 30% to 50%.

Everyone should pay attention to the development of this disease, and pay attention to the inspection and identification methods. After discovering the disease, we must carry out reasonable treatment. At the same time, we must also pay attention to some health care. Regular check-ups are the primary task. We should not ignore the development of this disease, discover the disease as early as possible, and stay away from the torture of the disease.