There is no so-called best treatment program for endometrial irregular hyperplasia. It is necessary to choose the appropriate treatment plan according to different situations, mainly including drug scraping, hysterectomy, surgical treatment and so on.
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, and thus prevents the endometrium from shedding.
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 the treatment. The above drugs should be used under the guidance of clinicians to avoid adverse reactions.