Atypical endometrial hyperplasia is a type of endometrial hyperplasia. Atypia exists in glandular epithelium, atypical endometrial hyperplasia belongs to intraepithelial neoplasia in endometrium which can be divided into mild, medium and serious according to lesion degree.
A woman should know the cause of her atypical endometrial hyperplasia, then choose a treatment, if there are polycystic, a functional tumor and other endocrine dysfunction together with the disease, the treatment should be targeted. At the same time, patients with the disease need to get suitable medical or surgical treatments immediately according to their ages, demands for pregnant or not and body condition.
Patients who are younger than 40 have lower possibility to get cancer when compared with the old, so they can consider medical treatments first. For those young and have demands for pregnancy, it is better to choose medical treatments first, for 30 percent of patients can still get pregnant after medical treatments and give birth. For women near their menopause, the possibility of getting cancer is higher than the younger one, so usually they receive hysterectomy.
If they choose medical treatments, they need to take medicines correctly, get long term checks on time to help be pregnant. They can use ovulation stimulants once a day and keep taking them for 5-9days, if necessary, they can take them for another 2-3 days. Also they can try hormones according to the degree of their disease. Patient with mild degree can get intramuscular injection of progesterone for 5-7 days. Medium and serious degree patients can try medroxyprogesterone continuously for 3 months as a course and have curettage or biopsy of tissues in endometrium to get a check after every course, then they can choose stop the treatment, increase or decrease the dose of the medicine accordingly.
For patients who can't be cured by western antibiotics or hard to be cured by it, if they don't want a hysterectomy, they can choose an alternative treatment which is called Fuyan Pill also, it is a Chinese herb medicine which is made of natural herbs only, without side effect or drug resistance.
For surgical treatments, dilatation and curettage is not only an important diagnosis but also one of treatments. For local lesion can also be eliminated by this way. For women more than 40 years old and don't have demands for pregnancy, once they are diagnosed with atypical endometrial hyperplasia, they can get hysterectomy. But patients who have hypertension and diabetes, who are fat or old, for they can't tolerate the surgery, they can try medical treatment under rigorous detection first. For young patients who failed to cure the disease by medical treatments, also the hyperplasia grows continuously or becomes more serious, or even there is a suspected cancer, for patients who can't get curettage or medical treatment to control the disease or patients who get the disease again after giving birth, they can consider hysterectomy.
