There are three types and four methods for detecting and diagnosing endometrial hyperplasia

The uterus is an important part of the female body, but there are also abnormalities in the uterus, and female friends with endometrial hyperplasia must pay attention to timely examination.

Types of endometrial hyperplasia

1. Simple hyperplasia: Both endometrial glands and stroma proliferate, with a significant increase, varying in size, and uneven distribution of glands. 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 very common. Interstitial cells are tightly arranged. The probability of developing endometrial cancer is only about 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 this is a precancerous change in endometrial adenocarcinoma.

Symptoms of endometrial hyperplasia

1. Symptoms of normal endometrial hyperplasia

During the ovarian cycle, when there are follicles in the ovary that develop and mature, under the secretion of estrogen by the ovary, the blood supply of the endometrium increases and gradually thickens. This is the phenomenon of endometrial thickening during the proliferative period

Hyperplasia endometrium thickening: the level of estrogen in the blood gradually rises from the 5th day of the Menstrual cycle to the 7th to 10th day. The endometrium begins to repair, gradually thickening, and blood vessels and uterine glands also grow, but at this time, the endometrium is still very thin;

Endometrial thickening during the secretory phase: starts approximately the 15th day after menstruation and lasts for about 14 days. At this time, the follicles in the ovary have already ovulated. After ovulation, the corpus luteum is formed. The secreted Progestogen continues to thicken the thickened intima, and the glands further increase and bend, secreting mucus. At this time, the thick and soft intima stores the necessary secretion and waits for the Zygote to be implanted at any time.

2. Symptoms of abnormal endometrial hyperplasia

Ovarian hormone disorders can easily cause abnormal endometrial thickening, known as endometrial hyperplasia, due to the stimulation of the endometrium by a large amount of estrogen. The clinical manifestation is irregular large amount of Abnormal uterine bleeding. The patient can continue bleeding after long-term amenorrhea. It can be clinically suspected of abortion. The cycle is shortened, the menstrual period is prolonged, and the bleeding time can reach one month.