How to treat simple endometrial hyperplasia

Simple endometrial hyperplasia can be treated through drug conditioning, intrauterine device placement, dilation and curettage surgery, hormone therapy, traditional Chinese medicine conditioning, etc. Simple endometrial hyperplasia may be related to factors such as excessive estrogen levels, endocrine disorders, obesity, polycystic ovary syndrome, long-term anovulation, etc. It usually presents with symptoms such as increased menstrual flow, prolonged menstruation, and irregular vaginal bleeding.

1. Drug conditioning

Patients with simple endometrial hyperplasia can use progesterone capsules, dydrogesterone tablets, medroxyprogesterone acetate tablets and other progesterone drugs as directed by their doctor to regulate hormone levels. This type of drug helps the endometrium transform into the secretory phase and shed by inhibiting excessive endometrial proliferation. During the period of medication, endometrial thickness needs to be reviewed regularly to observe the efficacy of the medication.

2. Intrauterine device placement

The levonorgestrel sustained-release intrauterine system can locally release progesterone and directly act on the endometrium to shrink and thin it. This method is suitable for patients who need long-term contraception and are unwilling to take oral medications, and generally need to be replaced every 5 years. Side effects such as spotting and bleeding may occur after placement, but most of them will gradually resolve within 3-6 months.

3. Dilation and curettage surgery

Diagnostic dilation and curettage can not only confirm the pathological diagnosis of the endometrium, but also quickly remove excessive endometrial tissue. Dilation and curettage may be considered for patients who are ineffective in drug treatment, have severe abnormal bleeding, or are suspected of having malignant transformation. Postoperative hormonal therapy is required to prevent recurrence and regular follow-up is required.

4. Hormone treatment

Oral contraceptives such as ethinyl estradiol and cyproterone tablets can reduce endogenous estrogen levels by inhibiting ovarian ovulation. Gonadotropin-releasing hormone agonists such as leuprolide can temporarily suppress ovarian function and cause artificial menopause. This type of treatment needs to strictly control the indications and pay attention to side effects such as osteoporosis.

5. Traditional Chinese Medicine conditioning

Traditional Chinese medicine believes that this disease is mostly caused by kidney deficiency and blood stasis, and prescriptions such as Shaofu Zhuyu Decoction and Guizhi Fuling Pills can be used to activate blood circulation and remove blood stasis. Acupuncture selects acupuncture points such as Guanyuan and Sanyinjiao to regulate the Chong and Ren meridians. During treatment, you should avoid raw and cold foods, keep your mood comfortable, and do appropriate exercises to promote the circulation of qi and blood.

Patients with simple endometrial hyperplasia should pay attention to maintaining a regular schedule and avoid staying up late, which may cause endocrine disorders. Reduce the intake of high-fat foods in the diet and control the weight within the normal range. Do moderate aerobic exercise such as brisk walking, swimming, etc., 3-5 times a week, for more than 30 minutes each time. Monitor changes in condition with regular gynecological examinations, and seek medical attention promptly if abnormal bleeding occurs. During the treatment period, strictly follow the doctor's instructions and do not increase or decrease the dosage or stop the medication on your own.