What Causes Endometrial Hyperplasia In A Patient With Obesity?

Posted on Fri, 18 Sep 2015

Question: hi, i am 28 years old. i am diagonised with endometrial hyperplasia 16.1 mm. i m 131 kgs. obesity is all what i have .. but no thyroid, blood sugar etc. i m sufferins from heavy bleeding since 37 days now. my doc gave me transtant 10 tabs plus injecion and then then bleeding stopped for a while like 2 days or 3. but later i again started bleeding. she asked me to continue metformn.. im still bleeding. please help what cani do now. do i have uterus cancer.. im really worried. i already had a D&C once. i have delivered a bay last year like he is now 1 year 5 months. please advice urgent

Answered by Dr. Nidhi Setia (40 minutes later)

Brief Answer:
D&C will help in stopping bleeding. cancer chances are less.

Detailed Answer:
Hello,

Welcome to HCM,

I can understand your concerns,

In your case endometrium hyperplasia is because of obesity.

I advice that first you should lose your weight. It will surely help in maintaining endometrium thickness.

To stop bleeding continue taking tablet transtat for 5 days.

If it does not stop with drugs,you should go for D&C.

To get regular and normal flow, i suggest that you should take tablet progestin every month( prescription drug)
Consult your Gynecologist. It will help in maintaining endometrium thickness.

At this age,chances of cancer are very less. There are different types of endometrium hyperplasia.at this age most of hyperplasia are benign

D&C will help in knowing type of endomrtrium hyperplasia.

Hope it helps.

Feel free to ask further.

Thanks.

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. Chakravarthy Mazumdar