Endometrial hyperplasia is characterized by excessive growth of mucous membranes in the uterus. The development of the disease can begin at any age. It occurs in 25% of all women with gynecological diseases. Therefore, it is important for everyone to know what it is - endometrial hyperplasia - and how to treat it.
Description
With the development of the disease in the endometrium, unnatural processes occur during menstruation. At the beginning of the cycle, the ovaries actively secrete estrogens. This causes the endometrium to thicken, which is designed by nature to prepare the body for pregnancy. By the middle of the cycle, the ovary releases an egg. Then progesterone is actively released. It is responsible for preparing the endometrium to receive fertilized eggs. In cases where a woman does not become pregnant, the level of estrogen and progesterone decreases. This provokes the beginning of a new cycle. With hyperplasia, female hormones become too much in the body, and endometrial tissues actively grow.
Reasons
Having found endometrial hyperplasia on ultrasound, the first thing to do is to identify the cause of its appearance. In fact, the disease always develops against the background of hormonal disruptions, when the estrogen content increases. It is he who leads to the growth of tissues.
Among the reasons leading to increased secretion of the hormone, the following factors are noted:
- The presence of excess adipose tissue contributes to the production of some estrogens. Progesterone, on the other hand, becomes low.
- Symptoms of the disease appear during the perimenopausal period. Then the female body undergoes hormonal changes.
- Often, taking a number of drugs aimed at treating a malignant tumor of the breast leads to the development of this disease.
- Polycystic ovaries are also a prerequisite for the development of the disease.
- Predisposition to endometrial hyperplasia is inherited.
About illness
The basis of the disease is excessively active cell reproduction, which leads to an increase in the volume of the uterus. At risk are women with increased production of estrogens with a reduced concentration of progesterone.
With a high probability, patients with such diagnoses as mastopathy, uterine fibroids, polycystic ovaries, endometriosis, hypertension, liver disease, diseases associated with increased blood sugar levels will suffer from the disease.
Often, female representatives during menopause and late menopause, who suffer from obesity, diabetes andarterial hypertension.
Varieties
Before treating endometrial hyperplasia of the uterus, determine the type of disease. There are 4 types:
- Glandular tissue grows in case of glandular hyperplasia.
- If glandular cystic hyperplasia was diagnosed, then we are talking about the presence of cysts in the growing tissue.
- When hyperplasia of the glandular-fibrous type is detected, it is taken into account that the connective tissue has grown along with the glandular one.
- Atypical hyperplasia is the most dangerous, as it is a sign of the presence of precancerous cells in the body. This type of disease often leads to malignant tumors in the uterus.
Modern classification
According to the classification, hyperplasia is simple and complex, atypical or without atypia.
With simple hyperplasia, the number of glandular and stromal structures increases. There is an increase in the size of the endometrium, a change in its structures. Part of the gland expands in a cystic manner. Vessels are distributed with uniformity. There is no atypia in the nuclei. In 3% of cases, this type of disease develops into a malignant tumor.
Glandular cells acquire an unusual, rounded shape. Often, polymorphism is manifested in the nuclei of cells, vacuoles expand. In such cases, there is a 20% chance that the cells will subsequently become cancerous.
Complex hyperplasia is manifested in the fact that the glands in the endometrium are located too closely or in separate foci. An irregular structure of the gland is observed, there is an imbalance in the growth of the stroma and glands. There is no atypia in the nuclei. Cancer develops with a 10% chance.
Complex atypical endometrial hyperplasia is recognized as the most dangerous form for patients. In 57% of cases, it turns into uterine cancer. With it, the proliferation of the epithelium is significantly expressed, atypia is established in cells and tissues. A variety of shapes and sizes appear in the glands.
In the epithelium there are large cells whose nuclei are elongated and polymorphic.
A moderate form of hyperplasia is also isolated separately. This is a transitional phase from a simple to a complex variety. It has few individual features, it is not always distinguished as a separate stage.
Symptoms
The most common sign of disease is bleeding. If a similar symptom is found, endometrial hyperplasia of the uterus should be urgently treated.
Another sign of the development of the disease is an increase in the duration of menstruation. Their abundance is also growing. Sometimes, for a month, a female representative continues to bleed with a change in intensity. This leads to anemia.
Sometimes discharge occurs in the intermenstrual period, while they are spotting. And this is also a sign of the presence of the disease.
If the number of days of the menstrual cycle has been reduced to 21 days, then this is also a sign that it is time to treat endometrial hyperplasia.
Any bleeding that started after menopause should alert. Much attention needs to be paid to this phenomenon. Howtreat endometrial hyperplasia in menopause, is somewhat different from the methods of therapy for women of childbearing age. Even if the discharge was spotting, you should immediately consult a doctor. This symptom is characteristic of both hyperplasia and cancer.
Necessary diagnostics
Most often, patients are examined using ultrasound. For this, an intravaginal probe is used. It gives an overview, which shows where the endometrium thickens, how many polyps are in the uterus, where they are located. Ultrasound is the easiest way to diagnose. It is the least traumatic, but at the same time, the reliability of the data obtained through its use is only 60%.
Echosalpingography is sent to study how passable the fallopian tubes are. But in the process of diagnosis with its use, an overview of the uterine cavities appears, and polyps and hyperplasia are visible.
When there are suspicions of the development of hyperplasia in the body, a biopsy of the mucous membranes is also carried out. The data obtained in this way is then examined with particular care under a microscope. The use of this method leads to high results. But it is not effective if the changes spread in foci. The thing is that there is not a single guarantee that the material taken belonged to the focus of the disease.
Sometimes hysteroscopy with targeted biopsy is also used. This method is the most informative. The sample is taken from the focus and the result is 100% guaranteed. The doctor assesses the condition of the internal membranes of the organ visually.
Popular and separate diagnosticscraping. With this method, a detailed picture of the nature and stage of development of the disease is visible. At the same time, it is also a method of treating hyperplasia.
During the procedures, the inner lining of the uterus is scraped out, then examining the material on histology.
As a result of the examination, the diagnosis is established with high accuracy. Curettage is a necessary procedure for every patient. The endometrium, which has already been affected, is removed only mechanically.
Sometimes you need to use a radioisotope study of the uterus. In this case, radioactive phosphorus is used. Thus, the stage of the disease, its nature, and activity are revealed, which is important.
Therapy
The disease is treated with complex therapy methods. How endometrial hyperplasia is treated will be described later. There are several stages of treatment. Each of them contains several different techniques. They are chosen depending on the type of hyperplasia. Usually therapy consists of four stages.
Before treating endometrial hyperplasia, stop bleeding. Then they are treated with hormonal agents. Next, the cycle is normalized. The patient has been followed up for 5 years, with a follow-up examination every 6 months.
In extreme cases, the uterus is removed. But such a surgical intervention has an extremely negative effect on the condition of a woman, as an artificial menopause and hormonal imbalance begin.
Drugs for the treatment of hyperplasia
The first thing they do is stop the bleeding. If the patient's conditionsatisfactory, then it is stopped using oral contraceptives containing estrogens and gestagens. A gamostatic mode of taking funds is used - on the first day a woman takes 5 tablets. Further daily dosage is reduced by 1 tablet. Then the medicine is taken for 21 days, 1 each, starting from the first day, when the patient drinks 5 tablets at a time.
How to treat endometrial hyperplasia if hormones are contraindicated? In such cases, therapy begins with curettage of the uterine cavity using a hysteroscope. Also, this method is used for large blood loss. Often used and hemostatic agents. Among them, 10% solutions of calcium gluconate, 5% solutions of aminocaproic acid, 1% solutions of Vikasol or Dicinon are distinguished. At this moment, the means leading to the normalization of the water-s alt balance, blood substitutes are also used. Injections are often used as well.
In the second stage of treatment, hormone therapy is used, which is necessary in order to reduce the tendency of the endometrium to grow. In order to achieve this goal, many different hormonal drugs are used. Be sure to take it according to a strictly prescribed scheme.
Usually high progestin products are needed. Often use one tablet from 16 to 25 days of the cycle for three to six months. How to treat endometrial hyperplasia in each case, the doctor determines. The list of drugs that are used during therapy is very wide. What pills treat simple glandular hyperplasiaendometrium? Agonists are used to normalize the work of the central nervous system and the endocrine system. Currently, agonists are used to treat all types of hyperplasia.
They are usually combined with gestagens for three to six months. At the moment, the most common use is goserelin and buserelin.
Along with gestagens and agonists, combined oral contraceptives are used. The use of monophasic drugs is carried out as follows: one unit from 5 to 25 days in each menstrual cycle, and three-phase drugs - from 1 to 28 days. Whether it is necessary to treat endometrial hyperplasia with monophasic and three-phase agents, only a specialist will decide. It is important to contact him, and not self-medicate. How to treat endometrial hyperplasia with folk remedies? You should consult your doctor about this.
At the third stage of therapy, the hormonal status and menstrual cycle of patients of reproductive age or women of persistent menopause after menopause are normalized. Again, only a doctor determines how to treat endometrial hyperplasia. Feedback from other patients should not influence the final decision on this matter.
It is important for every post-menopausal female to complete her menstrual cycles and achieve a stable menopause. For this purpose, products containing male sex hormones are used.
Sometimes conservative treatments are ineffective. In such cases, surgical intervention is required. The way glandular cystic hyperplasia of the endometrium, other types of the disease, is treated is different.from the treatment of an atypical form of the disease. In the first case, the endometrium is removed, and in the second, the entire uterus.
Indications for surgical treatment are limited to the list below.
For women before menopause:
- presence of atypical complex endometrial hyperplasia, which does not respond to traditional methods of treatment for three months;
- atypical and non-atypical hyperplasia, provided that the effect of its therapy does not occur within six months.
For post-menopausal patients, both complex atypical and non-atypical disease are indicated. It also includes a simple atypical variety of the disease.
In the fourth stage of therapy, the patient's he alth is monitored for five years every six months.
How to treat endometrial hyperplasia with Duphaston? The drug is an analogue of the hormone progesterone. It is used in the treatment of a number of gynecological diseases that are associated with progesterone deficiency.
How is endometrial hyperplasia treated at 50? If there is heart disease, then hormonal agents are used. The thing is that with age, an increasing number of patients' he alth deteriorates.
How to treat focal endometrial hyperplasia or any other type of ailment? Your doctor will tell you more about this.
Complications after treatment
Although the treatment is carried out with the help of standard manipulations, which are often carried out, sometimes curettage leads to manynegative consequences. Among them:
- Tears in the cervix.
- Infertility.
- Injuries in the uterus, including significant ones, up to the appearance of through holes in them.
- Infections in the uterus.
- Repeated bleeding if the doctor did not remove all parts of the endometrium.
Scraping
Before you treat simple endometrial hyperplasia, you need to understand that traditional therapies can lead to complications. Pregnancy after scraping is possible. Moreover, it may well come in a month if the patient did not use hormonal drugs. If she followed all the instructions of the specialist, being treated with hormones, then she can become pregnant already 2 months after the completion of the course.
In which cases pregnancy after the procedure is possible, and in which it is not, only the attending physician determines. The thing is that a specialist for this examines scrapings of the endometrium under a microscope.
Most often do not recommend getting pregnant immediately after the first cycle. There is no guarantee that the internal uterine membranes have already been renewed and can allow the fetus to develop normally before the end of the term. Gynecologists advise waiting about 3-6 months before you stop using contraception.
Can hyperplasia be left untreated?
The most dangerous complication of hyperplasia is the malignancy of structures, which leads to the formation of malignant neoplasms. That is, the cells will simply degenerate into cancer cells. It is important to remember that the disease itself will not go away. It needs to be treated in consultation with a specialist. Beforehow to treat uterine endometrial hyperplasia with folk remedies, you need to undergo a traditional course of therapy. None of the alternative medicine is not able to completely rid a woman of hyperplasia.
Also, due to illness, a woman cannot become pregnant: the embryo will not be fixed in her uterus, as it was deformed by foci of the disease.
Intimate life with endometrial hyperplasia
During the course of the disease, sexual intercourse is allowed. Many gynecologists recommend actively having sex. But if there are pains, uncomfortable sensations, then you need to focus on treatment and in no case suffer. If in the process of therapy a woman who enters into an intimate relationship and experiences pain with her decides to have sex anyway, then the pain can be removed by increasing the duration of the foreplay, the careful attitude of the partner, and the selection of positions. Of course, with bleeding and severe pain, you can’t have sex.
Pain during intercourse is the main symptom of the development of the disease. Most women with this diagnosis have a similar symptom.
Along with pain, spotting often occurs. Before them, aching pains usually begin in the genital area. Many women do not pay attention to these signs and trigger hyperplasia. But painful sensations, extra discharge are direct evidence that there are deviations in the body, that you need to immediately contact a specialist.
He althy female representative of pain duringdoes not experience sex.
Reviews
According to most reviews of women, endometrial hyperplasia is not treated to the end. One can only support an organism suffering from an illness. Many go through multiple scraping procedures. Sometimes the uterus is removed. But conscientious doctors fight to the last to save the organ. Therefore, it is important to look for just such.
Folk remedies
Often, after learning about their diagnosis, women resort to non-traditional methods of therapy. To understand how to treat endometrial hyperplasia with folk remedies, in any case, you must first consult with your doctor. While these therapies are always gentle, they should not be used lightly or be relied upon.
How to treat endometrial hyperplasia with folk remedies? Doctors recommend combining drug treatment with such a gentle type of therapy. This enhances the effect.
If you correctly combine hormone therapy, herbal medicine and surgery, you can get rid of the disease quite easily. If a woman, having found information on how to treat endometrial hyperplasia with folk remedies, will rely entirely on them, then there will be no effect.
The main task in therapy is to block the excessive production of hormones, as these conditions provoke the division of cancer cells. Alternative medicine methods are aimed at solving this problem.
Herbs
How to treat glandular endometrial hyperplasia? A number of herbs can suspendpathology. This is:
- Potentilla white.
- Comfrey.
- Sparrow.
- Bruise.
- Kubyshka.
- Blackroot.
It is not uncommon to find the use of herbal antagonists of female hormones. We are talking about fireweed, yarutka, colza. To the later stages of hyperplasia, they begin taking an alcohol tincture of hemlock.
How to treat endometrial hyperplasia in menopause? This can be done with the help of tinctures from viburnum, nettle, peony, boron uterus. It is believed that milk thistle, and discorea root, sleep-grass, linseed oil help.
Collections from these herbs can solve the problem. It is also useful to use them for prevention.
Recipes
Since ancient times, nettle decoctions have helped to defeat many ailments. Among them is endometrial hyperplasia. To carry out therapy using this herb, you will need to prepare a tincture from the plant. To do this, take 200 g of nettle and pour 500 ml of vodka or alcohol. Infuse the mixture for two weeks, and then drink every day a teaspoon in the morning and evening. Such treatment helps to restore the immune system, improve the condition of the uterus.
The next effective folk method of therapy is cucumber decoction. To prepare it, cucumber lashes are dried, and then 50 g of the component is boiled in 0.5 liters of water. Boil the remedy for no more than 5 minutes, then leave for 60 minutes, drink 100 ml three times a day.
To get rid of endometrial hyperplasia, they also drink peony decoctions. For this, the plant extract is diluted with water in a ratio of 1: 2. Prim althe dosage is 2 ml. A decoction is taken three times a day. It contributes to the normalization of hormonal levels, prevents further development of the disease.
Also, supporters of alternative medicine advise drinking plantain infusion 4 times a day. The leaves of grass are finely chopped, and then brewed in a glass of boiling water. Infuse the decoction for 2 hours. Strain through cheesecloth before use.
Traditional healers also recommend using herbal preparations to combat hyperplasia. For example, every day they advise drinking 0.5 cups of collection with serpentine roots, shepherd's purse grass, calamus roots and cinquefoil, knotweed grass and nettle leaves. Mix all ingredients in the following proportion: 1:1:2:2:2:2. The collection is carefully crushed, and then they take 2 tablespoons of the mixture and pour 0.5 liters of boiling water. For 5 minutes, the broth is boiled, and then poured into a thermos, left for 1.5 hours. Take the remedy 100 ml at a time. The full course of therapy lasts 1 month, then they take a break for 10 days, and then repeat the procedure.
Proven recipes from alternative medicine allow you to get rid of the disease soon if they are combined with drug treatment and surgery. It should be remembered that it is worth fighting to the last for the preservation of the uterus, since its removal provokes a number of negative consequences in the body. There are cases when, due to a hormonal imbalance, women with a removed uterus began to experience panic attacks and lost their jobs.
Therefore, timely treat endometrial hyperplasiaimportant. Its transformation into a malignant tumor occurs in 55% of cases. The likelihood of developing cancer depends on the age of the patient and her history of previous illnesses.
Other folk methods
In addition to herbal tinctures, leeches are often treated. The procedures are repeated twice a year for ten sessions. Leeches thin the blood, lower blood pressure, improve metabolism and stimulate the immune system.
Narine probiotic is often used. If you consume fermented milk products every day, then the work of the gastrointestinal tract improves, the woman gets rid of dysbacteriosis, the body's immune system is restored.
Douching is also carried out with infusions of celandine and calendula. The full course of therapy is twelve days.
Using garlic swabs also gets rid of endometrial polyps, according to alternative medicine proponents.
Prevention
As a preventive measure for the development of the disease, women visit a gynecologist on a regular basis. It is best to do this twice a year. In order to prevent, many are engaged in fitness, take hormonal contraceptives. It is important immediately after detection to treat inflammatory diseases in the female reproductive system, to control the level of glucose, pressure, weight.
Every violation in the body is subjected to scrutiny. It is important to have a balanced diet. This is what will keep your weight in check. If the uterus is examined monthly, then diseases can be prevented.
Conclusion
Endometrial hyperplasia is a dangerous female disease. If timely treatment has not taken place, a woman is at risk of suffering from uterine cancer. Therefore, it is important to know that this is endometrial hyperplasia, and how to treat the disease, as well as to be examined by a gynecologist every six months.
