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Overview

Endometrial Hyperplasia: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Endometrial hyperplasia is a condition which occurs when the lining (endometrium) of the uterus (womb) becomes too thick. In some cases it can also lead to uterine cancer. Throughout the menstrual cycle of a woman, the endometrium changes as a response to the hormones. During the first phase of the cycle, estrogen in a woman’s body is mainly made by the ovaries. The estrogen makes the uterine wall a bit thick for the body to prepare itself for pregnancy. If the walls get too thick without the presence of progesterone level to control the estrogen level, endometrial hyperplasia occurs. If a woman doesn’t go through ovulation at any menstrual cycle, the progesterone doesn’t get made and this in turn avoids the lining to be shed. The endometrium can grow as a response to the excessive estrogen, this can make the cells inside the uterine lining crowded, thus forming an abnormal growth.

Endometrial hyperplasia can occur after menopause when progesterone is no longer made by the uterus because ovulation stops naturally. In most cases, it also occurs during perimenopause (ovulation doesn’t occur naturally). Other causes of endometrial hyperplasia include, use of estrogen boosting medicines, long term use of estrogen in women who have already gone through menopause, irregular periods, polycystic ovary syndrome (PCOS) and obesity. However, it can be treated effectively by a gynaecologist. Consuming progestin orally or using it as a vaginal cream can make the progesterone level balanced with the estrogen content, hence treating endometrial hyperplasia.

How is the treatment done?

In many cases, progestin can also be given as a shot inside an intrauterine device. However, the doctor decides what quantity of progestin should be given to you depending upon the severity of the condition and your age. Excessive progestin can be fatal so it is advisable to seek advice from a doctor before getting this treatment. Sometimes, if endometrial hyperplasia is diagnosed too late and it has already developed into complex atypical hyperplasia, the risk of cancer rises. In such cases, a doctor usually prescribes surgery like hysterectomy.

Symptoms of endometrial hyperplasia include, bleeding during menses which is heavier than usual and lasts long, menstrual cycles which are shorter than twenty-one days and vaginal bleeding after menopause. You should get diagnosis as soon as you experience these symptoms. Diagnostic tests will be performed by your doctor for signs of uterine cancer or endometrial hyperplasia. A transvaginal ultrasound test can be done to calculate the thickness of the uterine wall (endometrium). Sometimes, a small tissue can also be extracted from your vagina and studied under a microscope. This can also be done along with hysteroscopy, curettage, dilation and endometrial biopsy.

Who is eligible for the treatment? (When is the treatment done?)

Women who don’t have regular menstruation and have signs of amenorrhea can also consume progestins. It can also be consumed along with OHT (Ovarian hormone therapy) or ERT (Estrogen replacement therapy). Endometriosis causes a lot of pain, so progestin can be given to reduce the pain.

Who is not eligible for the treatment?

If you do not have enough estrogen in your body, progestin should be only consumed after a doctor’s advice.

Are there any side effects?

Progestin can have a number of side effects such as irregular menstrual cycles, bleeding or spotting between periods, sore breasts, headache, nausea, dizziness, weight gain, bloating or complete ceasing of menstrual periods. Most of the times, these side effect are temporary and will disappear as soon as you quit progestin medications.

What are the post-treatment guidelines?

After the treatment, it is vital to take care of your health properly and maintain a good diet so that endometrial hyperplasia doesn’t reoccur in future. Smoking and being obese can increase the chances of this disorder, so it is recommended to quit smoking completely and exercise regularly to control weight gain. Smoking also results to female infertility, so it should not be continued if you aim for a healthy lifestyle.

How long does it take to recover?

Recovery usually depends on your own capacity and metabolism rate, but if you are on progestin medications, endometrial hyperplasia can become completely treated in a period of a few months. However, progestin should be continued as recommended by your doctor and should not be consumed in excess or the results can be fatal.

What is the price of the treatment in India?

The price of progestin in India ranges from Rs. 70 to Rs. 2,000.

Are the results of the treatment permanent?

The results of the treatment are only permanent if proper prevention measures and care is taken after the treatment. However, there is still a possibility of the relapse of endometrial hyperplasia.

What are the alternatives to the treatment?

Women who have atypical hyperplasia can go through a surgery known as hysterectomy. This surgery should be considered keeping in mind, that she will not be able to conceive children after undergoing hysterectomy. Women with endometrial hyperplasia without atypia should consider using an IUS (Intrauterine system). This device releases progestogen in the lining of the uterus and reduces the symptoms of endometrial hyperplasia.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 70 - Rs. 2,000

Popular Health Tips

All About Endometrial Cancer

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
All About Endometrial Cancer

Cancer that originates in the uterus is termed as Endometrial Cancers. The cancer is known to originate in the endometrium i.e. lining as well as the cells of the uterus. Abnormal vaginal bleeding causes the cancer to be detected early and a consultation with the doctor should be done immediately. When other cancers originating from the uterus are considered, endometrial cancer is found to be the most common.

Causes: The exact cause for endometrial cancer is not known clearly. The cells in the endometrium tend to become abnormal due to the occurrence of a genetic mutation, which causes rapid multiplication of cells that ultimately lead to the formation of a tumour like mass. They begin to spread to other parts and proceed to affect the tissues in the surrounding areas.

Symptoms:
The typical symptoms of endometrial cancer include:

  1. 1. Irregular bleeding in between periods
  2. 2. A watery discharge from the vagina
  3. 3. Bleeding from the vagina postmenopausal
  4. 4. Pain in the pelvic floor muscles

Risk factors that might increase the chances of being affected by endometrial cancer include:

  1. 1. Aging increases the chances of this disease, especially post menopause.
  2. 2. Obesity can cause hormonal imbalance.
  3. 3. Certain drugs used in hormone therapy
  4. 4. Early onset of menstruation, especially before 12 years of age

Treatment for Endometrial Cancer Includes:

  1. Radiation therapy: This treatment procedure involves using radiations, such as X-rays to target and destroy the cancer cells. The two forms of radiation therapy are external radiation therapy (external machine is used to direct radiation on the cancer cells) and internal radiation therapy (radioactive substance enclosed within small and consumable items is placed near to or directly at the spot of cancer).
  2. Hormone therapy: Medications are administered to eliminate imbalances in hormone levels and prohibit the growth of cancer cells in the body. This remedy is preferred if the cancer progresses to an advanced stage.
  3. Chemotherapy: This form of treatment uses oral administration or injection of chemicals into the veins so that the growth of cancerous cells is curbed, either by elimination of the cells or by prohibiting cell division.
  4. Surgery: In this surgery, the areas affected by cancer are surgically removed; i.e. the uterus in this case. The surgical procedures that might be used include total hysterectomy (total removal of uterus), radical hysterectomy (removal of the cervix, uterus and part of the vagina) and Bilateral salpingo-oophorectomy (removal of both the ovaries and the fallopian tubes). In case you have a concern or query you can always consult an expert & get answers to your questions!
6347 people found this helpful

Benign Prostatic Hyperplasia

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Akola
Benign Prostatic Hyperplasia

Disease introduction: prostate enlargement or benign prostatic hyperplasia (bph) benign prostatic hyperplasia is a nonmalignant (non-cancerous) enlargement of the prostate gland. Bph is very common in men over 40 years of age in races and culture; however, symptoms are usually noticeable after 50 years. Data have suggested that the incidence of bph is 50% in men who are 60 years old and as high as 90% in men aged 85years of age.

Symptoms

Difficulty starting urine stream (hesitancy and straining. Decreased strength of the urine stream (weak flow. Dribbling after urination. Feeling that the bladder is not completely empty. An urge to urinate again soon after urinating. Pain during urination (dysuria).

4 people found this helpful

Benign Prostrate Hyperplasia And Its Symptoms!

MBBS, MS - General Surgery, MCh - Urology
Urologist, Agra
Benign Prostrate Hyperplasia And Its Symptoms!

Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostrate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chance of developing BPH increases after one crosses the age of 50. But it is yet unknown as to why some men experience more severe symptoms than others.

Causes of BPH
This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.

Symptoms of BPH
Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarged prostate gland have not complained about any discomfort faced. 

Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion. There are certain medicines, which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.

The symptoms of BPH are related to bladder emptying and issues with bladder storage.

Symptoms related to the urine drainage from the bladder are:

  1. Strain while urinating
  2. Weak urine flow
  3. Some dribbling after urination
  4. Sudden urge to urinate
  5. Pain while urinating

Symptoms related to storage of urine in the bladder are:

  1. Waking during the night to urinate
  2. Urinating frequently during the day and at night
  3. Sudden urge to urinate, which may be hard to control

It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but are the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus, it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2129 people found this helpful

Reasons Behind Benign Prostate Hyperplasia!

M Ch Urology, MBBS, MS - Urology
Urologist, Kolhapur
Reasons Behind Benign Prostate Hyperplasia!

Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostrate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chance of developing BPH increases after one crosses the age of 50. But it is yet unknown as to why some men experience more severe symptoms than others.

Causes of BPH
This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.

Symptoms of BPH
Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarged prostate gland have not complained about any discomfort faced. 

Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion. There are certain medicines, which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.

The symptoms of BPH are related to bladder emptying and issues with bladder storage.

Symptoms related to the urine drainage from the bladder are:

  1. Strain while urinating
  2. Weak urine flow
  3. Some dribbling after urination
  4. Sudden urge to urinate
  5. Pain while urinating

Symptoms related to storage of urine in the bladder are:

  1. Waking during the night to urinate
  2. Urinating frequently during the day and at night
  3. Sudden urge to urinate, which may be hard to control

It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but are the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus, it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3066 people found this helpful

Benign Prostate Hyperplasia

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Benign Prostate Hyperplasia

Benign Prostatic Hyperplasia is a noncancerous enlargement of Prostate gland seen in males of above forty to fifty years of age.The Prostate gland enlarges and produces obstruction to the urine flow.The severity of obstruction varies from individuals to individuals.

Popular Questions & Answers

I am suffering from endometrial hyperplasia last 1 month and UTI problem also. I take medicine given by doctor but when I take medicine I am ok and when I leave to take medicine pain is started. Dr. said to remove uterus.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
UTI is different problem, reports to be done and to be treated by ideally urologist. For endometrial hyperplasis Gynecologist who can examine you, go through detailed medical history, can see all medical records and reports can decide.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Menstrual Irregularities
Hello!

I am Dr Nikhil D Datar I am a senior gynaecologist practicing in the area of Mumbai. I am attached to Cloudnine hospital, lifewave hospital and Yashoda hospital which is situated in Malad and Goregaon area in Mumbai.

Today I am going to give you some kind of information about a very common problem that women face and that problem is excessive heavy and sometimes irregular bleeding during or in between your periods. Well this is a very common problem that is found and many a times women tend to neglect this problem. Now first of all it is very important to understand that excessive menstrual fluid or blood loss is not good for the health and that's why it is very important that you visit the doctor and get yourself treated. The commonest cause of anaemia that means less of haemoglobin in the body is because of this problem. So that's why it is very important to find the causes of the problem and also treat the problem. Very commonly we find problems of fibroids, problem of adenomyosis, problems of endometrial hyperplasia which is thickening of the lining of the uterus and hormonal imbalances being the causes of such a kind of situation. But women unnecessarily get worried they think that something is going to wrong with them and that's why they don't come to the doctor, so they should go to the doctor because treatment for these type of problems are relatively very-very easy, extremely safe and even if occasionally, the small surgery is required you will recover and go back to your house just in a span of 3 days. There are so many good medications that are available today that simple medical treatment or taking tablets can also help you significantly. So my request to all of you is do not shy away from going to gynaecologist, do or through check up find out the cost and very easily get yourself treated. It is very important that you live a very healthy and a very fruitful life at all points of time. On Lybrate platform you can book a consultation appointment or even do an online chatting with me.

Thank you.
Play video
PCOS (Polycystic Ovarian Syndrome)
Hello,

Myself Dr Shilpa Bansal consultant gynaecologist at Harleys Clinic, Mumbai at Andheri West.

Today I am going to talk about a common endocrinal abnormality imbalance which is happening known as Polycystic ovarian syndrome. According to the present statistics about 20 to 25% of Indian females suffered with it, Polycystic ovarian syndrome becomes a part of an Android excess problem there are other problem such as adenomas, hyperplasia of adrenal, stress and thyroid abnormalities which too mimic something like symptoms of Polycystic ovarian. In Polycystic ovarian syndrome we expect various signs and symptoms to trouble a lady, at the teenage this becomes the teenage crisis, symptoms like she has acne, she has weight, she has bald patches, hirsutism becomes the issue weight which is uncontrollable or which is very difficult to lose. These teenage prices after sometime do become reproductive age crisis or medial crisis, in medial crisis again she is struggling to conceive she is struggling to get her period back to normal, if unattended that time again leads to old age crisis. Old age, she is at risk of endometrial carcinoma, she become at risk of diabetes, she become at risk of atherosclerosis. Now after all of this the point is that we can't blame everything on hormones you get stressed you skip your periods and your hairs start falling and you blame it on hormones, not that. There are various causes for getting the symptoms as well, so correct diagnosis is very important that are we really dealing with PCOD or there is something else which needs to be attended. So now the situation is how to combat PCOS, how to handle the picture, first people who do not have it please don't get it. We have to understand the importance of discipline in life, we have to understand the difference of diet in 8th schedule in our daily life, we have to give importance to the sports in our daily activities in our daily schedules, this helps a woman not to become a PCOS. Moreover, thin lady does not mean a fit lady, if we eat a junk food, if we are induldged into activities which are not good that we all of us know comes with the price, she eventually would be the one of the candidates to become PCOS. People who are struggling at the moment with the PCOS, we need a group of people to handle PCOS like cosmetologist to handle pimples coming we need, a diet Counsellor to tell you what portions to be omitted, what portion to be started, how much you should be taking to combat that weight issues and for the gynaecologist we can give you certain medications to combat those acute crisis in which all the things are troubling you and we decides the time you need to take it up to. People who are struggling with the PCOS again have to understand that we have to take care of the diet, we have to take care of the exercise and we can put some of the medications but that is for sometime to combat those acute crisis. We need lot of more people like as a cosmetologist, who can take care of the acne hair, fall and hirsutism. We need of the diet counsellor who can talk to you about your diet which things can be added which can be omitted, we need a psychotherapist sometimes if there is a mood swings which are troubling a lot are there is a depression between a part of the PCOS. We can help you out with certain cases of infertility and because of PCOD, we can correct the menstrual irregularity through medication, till you reach your own target, till you did the right weight with you hoping to get in the end.

In case of further questions or any queries you can write to us through lybrate or you can contact Harleys clinic.
Play video
Difficulty In Urination
Difficulty urinating can be a result of anatomical abnormalities within the genitourinary tract.In men, enlargement of the prostate gland, due most commonly to benign prostatic hyperplasia and less commonly to prostate cancer, can cause difficulty urinating.
Play video
Benign Enlargement Of Prostate
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate. Complications can include urinary tract infections, bladder stones, and chronic kidney problems.
Play video
Symptoms and Treatments for Uterine Bleeding
Here are some treatments and symptoms of uterine bleeding

Symptoms and Treatments for Uterine Bleeding
I m Dr. Sharda Jain, Director of Life Care Centre. I m going to talk today about uterine bleeding.
Uterine bleeding is a very common problem. Every fifth woman after she starts having periods is troubled because of altered heavy bleeding pattern. Now, if she is less than 20 years then, in that particular case, if the cycle is coming less in 21 days and she is bleeding for more than five days and if she does see passage of clots she should, you should not delay it because her haemoglobin is going to dropped out, her studies are going to get suffered, so, please see gynaecologist as early as possible.

Between 20 to 40 years, this time, the bleeding is usually related to pregnancy because these people are married and anytime in case if there is a lapse in using a contraceptive, effective contraception then, in that particular case it is all related to pregnancy. After your doctor s visit and examination a trans-vaginal sonography is done and we find out what is the cause and the treatment is done early.
After 40 years, when the woman has got problems, we have to be worried about it, because at that particular time the chance is we think that they can be uterine malignancy or it can be genital malignancy. Again, it is a very simple procedure.

After doctor s examination, after an ultrasound, opsis, endometrial biopsy is done and that sorts out everything. So, the diagnosis right on the day 1 is done in 90 percent of cases at the end of 48 hours, you find you have a full diagnosis. Sometime the bleeding comes after the stoppage of period that is after menopause and that time we view it just like that it can be, it is cancer unless proved otherwise.
Again, we have to be aggressive here, along with ultrasound, along with endometrial biopsy, hysteroscopy is also done at that particular stage and then we want to find out that there is no underlying malignancy.
Do not ignore the bleeding problem in your wife, in your daughter, in your daughter-in-law.
Seek the doctor s help early.
You can visit us on the site of Lybrate.

Having issues? Consult a doctor for medical advice