Whether endometrial atypical hyperplasia needs to be operated or not needs to be decided according to the specific conditions of the patients. For women without reproductive needs, surgery should be adopted as far as possible; for women with reproductive needs, oral progestins can be used to inhibit the growth of the endometrium, and the commonly used drugs include micronized progesterone, methylhydroxyprogesterone and so on, and regular diagnostic scraping should be used to review the condition.
Endometrial atypical hyperplasia is a precancerous lesion, which may develop into endometrial cancer if left untreated. The choice between surgical treatment and medication needs to be made according to the patient’s own condition.
For women who have no need for childbearing, the older ones should try to be treated by surgery as much as possible. Total hysterectomy can remove all the diseased tissue and reduce the risk of cancer.
For women with reproductive needs, conservative treatment can be used to inhibit the growth of endometrium by taking oral progesterone drugs, commonly used drugs include: micronized progesterone, medroxyprogesterone, etc. After the treatment, endometrial scraping plus pathological examination is needed periodically to clarify the regression or progression of the disease.
Therefore, patients with atypical endometrial hyperplasia should consult a doctor in a timely manner, and the specific treatment plan should be decided by a professional doctor taking into account the patient’s condition, age and fertility requirements.