Irregular endometrial hyperplasia needs to choose appropriate treatment programs according to different situations, mainly including medication scraping, purging and surgical treatment.
1. Drug scraping: For simple endometrial irregular hyperplasia, it is usually caused by the lack of progesterone secretion in the body, which prevents the endometrium from transforming from proliferative phase to secretory phase, thus causing the endometrium to be unable to shed.
You can take oral progesterone, such as progesterone, dydrogesterone, medroxyprogesterone and other drugs, so that the endometrium undergoes secretory phase transformation and shedding, also known as medicated curettage.
2. Hysterectomy: If irregular endometrial hyperplasia is accompanied by vaginal bleeding, and the effect of the above medications is not good enough, hysterectomy can also be performed to remove the hyperplasia of the endometrium, to achieve the purpose of rapid hemostasis. The removed material usually needs to be sent for pathologic examination to clarify the nature of the endometrium.
3. Surgery: If the pathology examination after hysterectomy reveals malignant pathological changes, it is necessary to take surgical treatment, such as laparoscopic or transabdominal total or subtotal hysterectomy, and after the operation, according to the situation, the corresponding radiotherapy or chemotherapy.
For patients with irregular endometrial hyperplasia, it is recommended to consult a doctor in a timely manner to further improve the relevant examinations, make a clear diagnosis under the guidance of a specialized doctor, and target treatment. The above drugs should be used under the guidance of clinicians to avoid adverse reactions.