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Suggest Treatment For Endometrial Hyperplasia
Question: I had endometrial hyperplasia back in 2011. The lining measured 12mm...had the procedure to trim it back. Discovered I had a calcified fibroid. Beginning of this year I started having the same symptoms...bleeding after I exercised (my husband & I are avid exercisers). Anyways was determined it has come back with the lining being 15mm...fibroid is still there along with a pea size cyst.
Since 2011 I have had a small portion of my colon removed due to diverticulous (had it for 16 yrs), appendix removed & also my gallbladder. I have had 4 partial blockages due to complications from all the surgeries I have had. I am 60 yrs old, 5'7" & weigh 125 lbs. Never have had children.
My Dr. mentioned I should consider a hysterectomy....just very nervous about that considering all the complications I have had...if something can go wrong it will happen to me. I am just going to have the same procedure done...trim the lining back. Is that wise? Any input would be greatly appreciated. Thank you.
Since 2011 I have had a small portion of my colon removed due to diverticulous (had it for 16 yrs), appendix removed & also my gallbladder. I have had 4 partial blockages due to complications from all the surgeries I have had. I am 60 yrs old, 5'7" & weigh 125 lbs. Never have had children.
My Dr. mentioned I should consider a hysterectomy....just very nervous about that considering all the complications I have had...if something can go wrong it will happen to me. I am just going to have the same procedure done...trim the lining back. Is that wise? Any input would be greatly appreciated. Thank you.
Brief Answer:
answered below....
Detailed Answer:
Hi dear and thanks for your query to HealthcareMagic.
I have read your question carefully and understand your concern.
In fact treatment of endometrial hyperplasia vary from its type,
1.endometrial hyperplasia without atypia (chances progressing to cancer is less than 5%), this form can be treated with Dilatation and curettage (trim the lining back )
2.endometrial hyperplasia with atypia, chances progressing to cancer is higher and the best treatment is total hysterectomy
Hence while you have other surgeries(colon) and you are afraid of any complication, I would suggest you go for a dilation and curettage (trim endometrium back) but with biopsy this time.
And from the results of the biopsy, it can be decided later if you need to do a hysterectomy or not.
Hope I have been helpful and please feel free for further discussion.
Best regards
answered below....
Detailed Answer:
Hi dear and thanks for your query to HealthcareMagic.
I have read your question carefully and understand your concern.
In fact treatment of endometrial hyperplasia vary from its type,
1.endometrial hyperplasia without atypia (chances progressing to cancer is less than 5%), this form can be treated with Dilatation and curettage (trim the lining back )
2.endometrial hyperplasia with atypia, chances progressing to cancer is higher and the best treatment is total hysterectomy
Hence while you have other surgeries(colon) and you are afraid of any complication, I would suggest you go for a dilation and curettage (trim endometrium back) but with biopsy this time.
And from the results of the biopsy, it can be decided later if you need to do a hysterectomy or not.
Hope I have been helpful and please feel free for further discussion.
Best regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
Dr. Vjollce Mbiarra
OBGYN, Maternal and Fetal Medicine
Practicing since :2006
Answered : 1572 Questions
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