![]() Occasionally an operation to remove the womb (a hysterectomy) is needed. These are not quite as effective as the IUS and they may have more side-effects. An alternative is to have progestogen tablets each day for six months. It has a good success rate in treating endometrial hyperplasia. This stays in for at least six months, but for up to five years. It releases a progestogen hormone which thins the lining of the uterus (womb). This is better known as a contraceptive device (a type of coil). The best treatment for this type of endometrial hyperplasia is to have the intrauterine system (IUS) put in. However, it is more likely to return to normal (regress) if you have treatment. One option is to do nothing and repeat the biopsy in a few months to see if it has settled back to normal on its own. This type of hyperplasia very rarely turns into cancer, so treatment is not always needed. This will have been shown on the endometrial biopsy sample. Treatment options for endometrial hyperplasia depends on which type you have. You can find more details from our separate leaflet called Hysteroscopy. They can also take biopsies or sometimes remove polyps from your womb. A hysteroscopy allows your doctor to check for any womb abnormalities. This procedure can be carried out using a local or general anaesthetic. Our separate leaflet called Endometrial Biopsy gives more information.Ī hysteroscopy allows your doctor to see inside your womb using a thin tube-like telescope. You may be given some local anaesthetic before a thin tube is passed into your womb to take the sample. It is taken in a similar way to a smear test, using a plastic speculum to open your vagina up. Endometrial biopsy is also sometimes carried out if you are having treatment for infertility.Īn endometrial biopsy is a quick procedure that doesn't require a general anaesthetic. This is usually done to check for causes of abnormal vaginal bleeding. An endometrial biopsyĪn endometrial biopsy involves taking cells from the lining of the womb. However, ultrasound is more useful for making sure there are no other abnormalities in this age group. If it is less than 7 mm when measured, it is usually reassuring. This is because the thickness varies during your monthly cycle. ![]() If you are still having periods, it is harder to determine if the lining of the womb is normal. Whereas, if the lining is less than 3 mm, it is unlikely that you have endometrial hyperplasia. So if the scan picks up a thick womb lining, your doctor will arrange further tests. After your menopause, the lining of the womb is normally very thin (under 3-4 mm). In women who have had their menopause, this is particularly helpful. The scan can also measure the thickness of the womb lining. This can check for other causes of bleeding, such as lumps (polyps) in the womb (uterus), or cysts on the ovaries. ![]() How is endometrial hyperplasia diagnosed? An ultrasound scanĪn ultrasound scan is usually arranged if your doctor thinks you have endometrial hyperplasia symptoms.
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