Post Date November, 17 2024
The uterus is an important part of the female body, and it also plays an important role. However, when not paid attention, the uterus can also have abnormal conditions, where endometrial hyperplasia often occurs.
Symptoms of endometrial hyperplasia
1. Irregular uterine bleeding: The primary symptom of endometrial thickening is uterine bleeding, which is often manifested as irregular bleeding with a small amount of bleeding, but not simply menstrual irregularities. Because this type of bleeding may occur during non menstrual periods or after menopause in women, it is called anovulatory dysfunction. In addition, in addition to vaginal bleeding, infertility is also the main symptom in patients with anovulatory dysfunction during the reproductive period.
2. Increased secretions and abnormal vaginal discharge: Patients with endometrial hyperplasia may experience increased vaginal secretions and fluid discharge, leading to fever grade abdominal pain, which may be accompanied by bloody vaginal discharge in the later stage. At this point, the number of white blood cells in the body also increases, becoming a sperm killer, and the patient's probability of pregnancy decreases.
3. Anal swelling sensation: It often occurs before and after menstruation, and the patient's liver feels more swollen during defecation.
4. Dysmenorrhea cannot be tolerated: This situation requires vigilance against women who have previously experienced painlessness and then experienced symptoms of dysmenorrhea. The degree of dysmenorrhea will also worsen as the female's physiological day continues.
5. Bladder symptoms: Endometrial hyperplasia causes bladder compression, frequent urination, urgency, pain, and hematuria.
6. Pain during sexual intercourse: When a female friend experiences endometrial hyperplasia, the surrounding tissue of the uterus swells. On the one hand, sexual contact can cause certain pain, and on the other hand, the pleasure of sexual intercourse decreases, especially before the onset of menstruation, which can be more severe. The feeling of sexual life is very numb.
7. Systemic lesions: When pulling hair and moving the whole body, endometrial hyperplasia not only affects reproductive health, but may also induce systemic failure such as anemia, fever, and weight loss.
Endometrial hyperplasia examination
1. Hysteroscopy: Using hysteroscopy to observe the appearance of the endometrium and observe its condition, curettage or negative pressure suction can be performed under direct vision.
2. Serum hormone determination: Ultrasound examination and laparoscopic examination to determine if there is polycystic ovary.
3. X-ray or CT examination: Visual field examination of the pituitary sella and fundus, except for pituitary tumors.
4. Basic body temperature measurement: Ovulation/Based on the arc of temperature rise and the duration of maintenance after rise, it can be determined whether the function of the corpus luteum is healthy.
Diagnosis of endometrial hyperplasia
1. Age identification: It is very rare for patients with endometrial adenocarcinoma to be under 40 years old. Therefore, for young women, especially those who wish to give birth, if the curettage material may not show the characteristics of interstitial infiltration, obvious glandular hyperplasia and cell abnormalities, it is not inclined to diagnose endometrial thickening.
2. Response to medication: The response to medication also contributes to the differential diagnosis of atypical endometrial hyperplasia and endometrial adenocarcinoma. The former is sensitive to drug treatment responses, with a significant reversal of the endometrium in a short period of time after drug use, and a small amount of drug use. For moderate and severe atypical hyperplasia, the dosage of pregnancy hormone used must be increased and must be continuously used for 3-6 months. Although relapse may occur after discontinuation of medication, in most cases, it takes a considerable period of relief before relapse occurs. Patients with endometrial adenocarcinoma generally have a slow response to drug treatment and require a higher dose to induce endometrial transformation. Discontinuing medication also has the characteristic of immediate recurrence. Therefore, the response to drug therapy can serve as a reference for diagnosis.
