What causes endometrial hyperplasia following menopause? What are its signs and symptoms? How is it identified? Is there a remedy? Please read the article after to find the answers to these queries.
Endometrial hyperplasia is a problem that occurs in the uterus, where the lining of the uterus becomes thick, which often leads to abnormal bleeding, and it occurs commonly in women after menopause or after menopause, and it is a condition that requires medical intervention so as not to It turns into a more serious problem.
More information about endometrial hyperplasia following menopause, including symptoms, causes, and methods of diagnosis and treatment, will be covered in this article.
Symptoms of endometrial hyperplasia after menopause
The main symptom of endometrial hyperplasia after menopause is abnormal menstrual bleeding and at the time when menstruation is supposed to stop. Endometrial hyperplasia symptoms typically include the following:
- Menstrual bleeding that is heavy or continues for a longer period than usual.
- Monthly cycles less than 21 days apart.
- Bleeding between periods.
- Bleeding after menopause and menopause.
Postmenopausal endometrial hyperplasia causes and risk factors
Endometrial hyperplasia or hyperplasia is most frequently caused by an imbalance in the production of the hormones progesterone and oestrogen, which are crucial to the menstrual cycle. Pregnancy.
In the event that menopause is reached, ovulation stops, which means that the body will not produce the hormone progesterone anymore, so the level of estrogen in the body becomes more than the level of progesterone, which leads to an overgrowth of endometrial cells.
Among the factors that may cause hormonal imbalance and may increase the risk of endometrial hyperplasia:
- reaching menopause, premenopause, or postmenopause, when oestrogen may be taken but ovulation is irregular.
- Irregular cycle for several reasons, including polycystic ovaries or infertility.
- Obesity.
- Taking medications that may act like estrogen.
- Starting menstruation at a young age or late menopause.
- Age over 35 years old.
- Other diseases such as diabetes.
Methods for diagnosing endometrial hyperplasia after menopause
A doctor may order one or more of the following tests to determine whether endometrial hyperplasia is the cause of abnormal bleeding.
- Ultrasound: Ultrasound is used to create images of the uterus that show whether the lining has thickened or not.
- Biopsy: To determine whether or not there is cancer, cells from the uterine lining are examined.
- Hysteroscopy: A thin, light-equipped instrument called a hysteroscope is used to examine the cervix and look inside the uterus itself. Through this process, the physician can also take a biopsy.
Treatment of endometrial hyperplasia after menopause
Following menopause, endometrial hyperplasia is treated differently depending on the type of hyperplasia and the endometrial cells:
1. Endometrial hyperplasia without atypia
The most effective treatment in this case is progesterone therapy either through the IUD device that is installed in the clinic, or progesterone tablets taken daily according to the instructions stipulated for a period of at least 6 months. When progesterone use is not recommended, the condition is only monitored while taking a second sample six months after endometriosis.
A follow-up procedure, such as a biopsy or hysteroscopy, is always required to determine whether the cells will eventually return to normal or not.
2. Endometrial hyperplasia with atypia
The preferred course of treatment for atypical hyperplasia is hysterectomy because uterine cancer risk is higher.
Methods of prevention of endometrial hyperplasia after menopause
Endometrial hyperplasia risk can be decreased through a variety of strategies and actions, such as:
- After consulting a doctor, it is advised to take a form of progesterone if you take oestrogen after menopause to lower the risk of endometrial hyperplasia.
- In the event of irregular menstruation, take a form of progesterone after consulting a physician to stop the uterine lining from expanding further.
- Weight loss for obese people.