How to quickly detect the five major characteristics of endometrial hyperplasia: signals

Endometrial hyperplasia is a common gynecological disease with many abnormal manifestations. We must make a prompt diagnosis and make a reasonable examination and diagnosis.

Types of endometrial hyperplasia

1. Simple hyperplasia: Endometrial gland and interstitial hyperplasia, with a significant increase in gland size and uneven distribution. Occasionally, the gland expands into a cyst, and the glandular epithelial cells are columnar and lack secretion, often arranged in a pseudostratified pattern. Nuclear fission is common. Interstitial cells are tightly arranged. The probability of developing endometrial cancer is approximately 1%.

2. Complex hyperplasia: Gland hyperplasia is obvious, crowded, and structurally complex, with adjacent glands appearing back-to-back. Due to the proliferation of glandular epithelium, it can sprout into the glandular cavity in a papillary or interstitial manner. Due to significant glandular hyperplasia and reduced stroma, approximately 3% can develop into endometrial adenocarcinoma.

3. Atypical hyperplasia: refers to glandular hyperplasia with atypical cells. In the technique of simple or complex hyperplasia, it is manifested as glandular epithelial cell proliferation, increased hierarchy, cell polarity disorder, increased volume, increased nucleocytoplasmic ratio, deep nuclear infection, and mitotic figures. Atypical hyperplasia of the endometrium can sometimes be difficult to differentiate from well differentiated adenocarcinoma, with the main distinguishing point being the absence of interstitial infiltration in the former. Some people believe that it is a precancerous change in endometrial adenocarcinoma.

Symptoms of endometrial hyperplasia

1. Infertility: About 50% of patients are accompanied by infertility, and among patients with unexplained infertility, about 30% -40% suffer from endometriosis, often caused by factors such as pelvic lumps caused by lesions.

2. Dysmenorrhea: The clinical feature is progressive dysmenorrhea, mostly secondary. Some dysmenorrhea is severe and unbearable, requiring bed rest or medication to relieve pain. The pain often increases with the Menstrual cycle, and disappears at the end of the menstrual cycle.

3. Periodic rectal irritation symptoms: rectal, anal, vulva swelling, pain, Rectal tenesmus and increased stool frequency.

4. Irregular menstruation: patients often have shortened Menstrual cycle, increased menstruation or prolonged menstruation, which indicates that patients have ovarian dysfunction.

5. Sexual intercourse pain: sexual intercourse pain can occur when there are ectopic endometrial nodules in the vaginal vault, depressed rectal nodules or adhesions, or ovarian adhesions in the pelvic floor.

Endometrial hyperplasia judgment

1. Endometrial hyperplasia generally manifests as normal thickening and abnormal thickening of the endometrium. First, the endometrium is thickened normally: during the ovarian cycle, when there are follicles developing and maturing in the ovary, under the effect of estrogen secreted by the ovary, the blood circulation of the endometrium is enhanced, and the phenomenon of gradual thickening is the hyperplasia endometrium. The endometrium is thickened, providing good conditions for the transplantation of Zygote and the growth and development of embryos