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Endometrial …

Endometrial hyperplasia!!! Absolutely terrifying!

Good day. Please advise, I feel like I'm going out of my mind. My mum is 45 years old, in 2016 she had spotting blood discharge instead of her period for 3 weeks. They sent her for a D&C, histology result - simple glandular hyperplasia. They prescribed Klaira for six months. Ultrasound showed no problems (only chronic endocervicitis). In May 2018 ultrasound was also all normal for her age. In August no period... in September it started, but on the 7th day clots appeared, which didn't go away for 3 days. (They prescribed Tranexamic acid). Sent for D&C again. Ultrasound only showed thickened endometrium and a cyst. They did the D&C, said they removed a decent-sized clot, looks like hyperplasia. Histology takes 21 days to prepare!!! We've read so many horror stories about atypical cells, I'm afraid it might be cancer.... Has anyone had a similar situation specifically with recurrent hyperplasia and good histology afterwards? We're praying for good histology results... but how to get through these 20 days...
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Гость
#1
It seems to me that in such a case, they might even medically accelerate the onset of menopause to suppress the cycle and the pathological growth of the endometrium? Especially at 45, it can sometimes occur naturally (though for most it happens a bit later, but at 45 it's quite acceptable). It shouldn't be cancer. However, hormones can easily start acting up from perimenopause onwards. It seems to me that this is much more likely to be a problematic approach of menopause (which can start differently for everyone) than cancer.
Гость
#3
I'm 30. Even before pregnancy, I had hyperplasia and polyps. Three !!! D&C procedures. According to the tests, all are glandular. The gynecologist says nowadays this is very common among many. Don't worry.
Гость
#4
Гость

Message has been deleted

Your words are music to God's ears... We really hope everything will be fine! We're already considering the option of removing the uterus (keeping the ovaries) to prevent further endometrial growth... If only the test results come back normal...
Ди
#5
I was 23 years old (married) and was diagnosed with endometrial hyperplasia. It manifested with extremely heavy periods with clots, and there was also suspicion of a polyp in the uterus. You can laugh (though my gynaecologist didn’t laugh—she even approved), but I simply prayed for my healing and believed. During that time, I didn’t go to the hospital to confirm the polyp, and I didn’t undergo any treatment. After about 3 months, my periods became normal, not heavy, and after 8 months, I got pregnant on the first try. There is no endometriosis or polyps in the uterus. So, prayer and faith should never be underestimated.
Гость
#6
Гость

Message has been deleted

And did you have any symptoms? Besides what was seen on the ultrasound
Гость
#7
Ди

Message has been deleted

I pray every day for everything to be alright... Even though I'm married, my mum is the dearest person to me. And I worry about her health more than anyone else's.
Автор
#8
Гость

Message has been deleted

I wish you never have these problems again. Because while you're waiting for test results, you can't help but imagine all sorts of things, and the most dreadful scenarios flash through your mind...
Ди
#9
Гость

Message has been deleted

Everything will be fine, it's not such a terrible illness, just a hormonal imbalance. No need to clean if there are no polyps.
Гость
#10
I am 52 years old; at 40, I had hyperplasia, polyps, and very heavy periods that lasted about 7 days. I had polyps removed about 6 times, every six months. I was treated for 2 years, mainly with medication. Don’t worry, but make sure to go for check-ups every six months.
Автор
#11
Гость

Message has been deleted

Thank you 🙏 Did they also send yours for histology? I'm really sorry for the question... but how did all this stop for you?
471958
#12
Even now, I still have a cytology test every six months. I don't remember exactly, but I think everything was normal after treatment, and I was taken off the register. I've just realised that everything needs to be caught early; it's easier to treat then. Don't worry, most likely the results will be fine—hyperplasia is not cancer.
Гость
#13
You need to find a competent doctor; otherwise, they'll just keep performing endless curettages that only provide temporary relief. Since 2014, I was stuck in this vicious cycle—my endometrium was 23 mm, they even discovered a polyp, and I underwent five D&Cs in two years. Eventually, I insisted on getting a referral to MONIIAG, where they performed a hysteroresectoscopy and removed the polyp. The histology came back normal, and then I was referred to a gynecologist-endocrinologist. Based on the histology results, numerous tests, and ultrasounds, she identified the root cause of these issues—it turned out to be related to the thyroid. After the surgery at MONIIAG, I've been living a normal, healthy life for two years (touch wood...), with no bleeding and a restored cycle. I have an ultrasound every six months and am under the care of an endocrinologist.
ВЕРА
#14
I also experienced something similar at 50, when menopause began—my periods became less frequent and lasted longer. I underwent three curettages, and histology showed endometrial hyperplasia, which later progressed to recurrent hyperplasia without atypia. I was referred to an oncologist, who immediately recommended removal, as all of this is considered precancerous and can quickly develop into a serious condition. Hormonal pills were no longer an option. So, I had everything removed and forgot about it. Of course, things are different when you're younger—you need to consider hormone replacement therapy.
Автор
#15
ВЕРА

Message has been deleted

The main thing for us is that the histology comes back good. Removal isn't a problem... no need to have children, grandchildren will be here soon. I'm just afraid there won't be that cursed atypia. We didn't let it slide, the first time Mum took hormones for six months, got checked every six months (ultrasound, smear). In May the endometrium was normal! In October she was supposed to go for a routine check-up again, but her period started and just didn't stop. So this nonsense has happened again ((( they suggest fitting a coil if the tests come back normal. But I'm already suggesting Mum just remove everything. Then she'll be at peace and so will I.
Вера С П-б
#16
Автор

Message has been deleted

Don't be afraid and decide on the operation, all the 'commands' come from the brain and this will continue, if the endometrium builds up and doesn't reduce during the period, then it's all pointless, why tempt fate. When I was in for the operation, there were many women like that, and they removed everything. Anyway, the ovaries have already dried up, and they're of no use. If Mum is afraid of ageing quickly, that's nonsense, if there's a loving family nearby, there'll be spirit and a desire to live /by the way, it didn't affect libido, because it's all in our heads./ I'm 59, it's been 7 years since the operation, I've already forgotten all about it. My husband naturally supported me, we even went to a restaurant to celebrate my menopause. By the way, what kind of coil can there be, how could a doctor suggest that to you. 'Remove it to hell, without waiting for peritonitis.' Good luck to your Mum and health.
Гость
#18
Hello, I am 29 years old. I had a polyp removed in 2014; it was bleeding between periods. Then in 2016, I had hyperplasia and polyposis, but there was no bleeding between periods—all histology results were normal. Polyps were found in the uterus and removed via hysteroscopy. Now, a polyp has been found on the cervix along with erosion. On Monday, the gynecologist accidentally tore it, and it started bleeding. By Saturday, it began flowing like a period. I rushed to the doctor on Saturday, who told me to take the hemostatic drug Ascorutin. Then on Sunday, I went to another gynecologist, who also advised taking a hemostatic drug but a different one—Tranexamic acid. I’m currently taking it, and the bleeding seems less heavy, but clots are still passing. When I asked the doctors why such bleeding started, they said it’s due to an inflammatory process. I don’t understand why such discharge began, especially since the polyp is no longer in the uterus. I’ve taken tests and am waiting for the results. I just don’t understand the cause of this discharge. Two months ago, there was no polyp or erosion, and the smear test was perfect. I have only one partner. An ultrasound on September 3rd showed everything was fine, except for a follicle in the right ovary. Why is this happening? And I wanted to ask you: have you had a hysteroscopy? Did it bleed all the time with the polyps?
Автор
#19
In case anyone is interested... I received the histology results: hyperplasia without atypia. However, the bleeding hasn't stopped, and the ultrasound shows something like a polyp or that the curettage wasn't completed thoroughly (it was done blindly, without a hysteroscope). After the curettage, the clots stopped, but I'm still bleeding. I've been scheduled for hospital admission on October 1st; the head of the department will examine me then. He said they'll try to help.
ozz
#20
Гость

Message has been deleted

Please, could you tell me what kind of doctor and where she practises, the one who identified the thyroid issue? I really need to know.
Лена
#21
Автор

Message has been deleted

Лена
#22
Don't tremble with fear or live in anticipation of the analysis, because during a D&C (dilation and curettage) or hysteroscopy, the accuracy of the test for atypical cells will be no more than 60%. In Russia, they perform D&C on everyone indiscriminately, although in many cases, not only D&C but even hysteroscopy (as a gentler method) are not indicated! D&C is not performed in Israel or Germany, only here. Your mother needs an ultrasound, and it must be the most precise, using new equipment, and performed by an ultrasound specialist. If you're in Moscow, Dr. Dmitry Mikhailovich Lubnin can help you. In St. Petersburg, it's more challenging, but at the Almazov National Medical Research Centre on Udel'naya, they perform highly precise ultrasounds, and a gynecologist examines you immediately afterward. The cost ranges around two and a half thousand rubles.
Miru
#22
Автор

In case anyone is interested... I received the histology results: hyperplasia without atypia. However, the bleeding hasn't stopped, and the ultrasound shows something like a polyp or that the curettage wasn't completed thoroughly (it was done blindly, without a hysteroscope). After the curettage, the clots stopped, but I'm still bleeding. I've been scheduled for hospital admission on October 1st; the head of the department will examine me then. He said they'll try to help.

How is your mum doing with the hyperplasia now, a year later?

I have the same problem...
Гость
#23
Hello, I am 40 years old and have endometrial hyperplasia, with 7 episodes of recurrent bleeding in a year. I have been fitted with a Mirena coil, but I am worried about cancer. Should I consider having my uterus removed?
Гость
#25
Miru

How is your mum doing with the hyperplasia now, a year later?

I have the same problem...

And how are you getting on? I've got the same story
Гость
#26
Miru

How is your mum doing with the hyperplasia now, a year later?

I have the same problem...

Looks like a solution's been found already
Гость
#27
It's very frightening. Today's ultrasound showed a thickness of 10 mm. Endometrial hyperplasia. I'm 45 years old. Seeing the doctor on Tuesday. I'm also a hypochondriac. I have cancer phobia. There is no discharge. There was a delay of a month and a half. I took Duphaston. Where does this come from? I haven't had any abortions.
Гость
#28
Гость

It's very frightening. Today's ultrasound showed a thickness of 10 mm. Endometrial hyperplasia. I'm 45 years old. Seeing the doctor on Tuesday. I'm also a hypochondriac. I have cancer phobia. There is no discharge. There was a delay of a month and a half. I took Duphaston. Where does this come from? I haven't had any abortions.

Hello, did they perform a curettage on you?
Гость
#29
Ди

Everything will be fine, it's not such a terrible illness, just a hormonal imbalance. No need to clean if there are no polyps.

And what about fibroids?
Гость
#30
Гость

You need to find a competent doctor; otherwise, they'll just keep performing endless curettages that only provide temporary relief. Since 2014, I was stuck in this vicious cycle—my endometrium was 23 mm, they even discovered a polyp, and I underwent five D&Cs in two years. Eventually, I insisted on getting a referral to MONIIAG, where they performed a hysteroresectoscopy and removed the polyp. The histology came back normal, and then I was referred to a gynecologist-endocrinologist. Based on the histology results, numerous tests, and ultrasounds, she identified the root cause of these issues—it turned out to be related to the thyroid. After the surgery at MONIIAG, I've been living a normal, healthy life for two years (touch wood...), with no bleeding and a restored cycle. I have an ultrasound every six months and am under the care of an endocrinologist.

Sorry, please, what specific surgery was it? My daughter has the same problem. Thanks in advance for your reply.
Гость
#31
At that age, the uterus is removed because the risk of recurrence and cancer is very high. My colleague had the same situation, and to avoid further unfortunate consequences, she had her uterus removed, as it is the path to a peaceful life—knowing for sure that this won't happen again, especially cancer. Besides, she wasn't planning to have any more children.
Гость
#32
Hello author. I had bloody discharge for 2 weeks, underwent curettage, and was diagnosed with simple endometrial hyperplasia. I waited 3 months for the histology results, and they later said it was normal.
Гость
#33
Then, the drug Buserelin Depot was prescribed for 6 months.
Гость
#34
Автор

I wish you never have these problems again. Because while you're waiting for test results, you can't help but imagine all sorts of things, and the most dreadful scenarios flash through your mind...

I'm waiting for test results right now, crying every day.
Гость
#35
Гость

I'm waiting for test results right now, crying every day.

How are you? I'm also waiting right now... Really worried...
Гость
#36
Лена

Don't tremble with fear or live in anticipation of the analysis, because during a D&C (dilation and curettage) or hysteroscopy, the accuracy of the test for atypical cells will be no more than 60%. In Russia, they perform D&C on everyone indiscriminately, although in many cases, not only D&C but even hysteroscopy (as a gentler method) are not indicated! D&C is not performed in Israel or Germany, only here. Your mother needs an ultrasound, and it must be the most precise, using new equipment, and performed by an ultrasound specialist. If you're in Moscow, Dr. Dmitry Mikhailovich Lubnin can help you. In St. Petersburg, it's more challenging, but at the Almazov National Medical Research Centre on Udel'naya, they perform highly precise ultrasounds, and a gynecologist examines you immediately afterward. The cost ranges around two and a half thousand rubles.

I'm in the same situation.. I'm in Germany... they did a curettage in the CLINIC!! The endometrium was 15ml, removed under general anaesthesia... sent home the same day... bled unreal amounts... then prescribed hormones... still spotting to this day, about 3 months now... 2 doctors said they didn't remove the polyp... going for a check-up, most likely they'll do a hysteroscopy. So tired of these procedures already... but I'm scared to have the operation to remove the uterus - simply because I'm alone here with two kids, 7 and 11 years old. Need to go to work... get the kids to school, etc. Had kids very late... had problems with progesterone back then too... Carried the kids on Utrogestan. Had the youngest at 39. So don't think everything's so great in Germany)) It all depends on the doctor.
Гость
#37
Гость

I'm in the same situation.. I'm in Germany... they did a curettage in the CLINIC!! The endometrium was 15ml, removed under general anaesthesia... sent home the same day... bled unreal amounts... then prescribed hormones... still spotting to this day, about 3 months now... 2 doctors said they didn't remove the polyp... going for a check-up, most likely they'll do a hysteroscopy. So tired of these procedures already... but I'm scared to have the operation to remove the uterus - simply because I'm alone here with two kids, 7 and 11 years old. Need to go to work... get the kids to school, etc. Had kids very late... had problems with progesterone back then too... Carried the kids on Utrogestan. Had the youngest at 39. So don't think everything's so great in Germany)) It all depends on the doctor.

Can you tell me, did your problem get resolved? What test result came back?
Гость
#38
Гость

I'm 30. Even before pregnancy, I had hyperplasia and polyps. Three !!! D&C procedures. According to the tests, all are glandular. The gynecologist says nowadays this is very common among many. Don't worry.

I've had 11 curettages for this reason!
Гость
#39
Гость

It's very frightening. Today's ultrasound showed a thickness of 10 mm. Endometrial hyperplasia. I'm 45 years old. Seeing the doctor on Tuesday. I'm also a hypochondriac. I have cancer phobia. There is no discharge. There was a delay of a month and a half. I took Duphaston. Where does this come from? I haven't had any abortions.

What do abortions have to do with it? It's genetic predisposition. One ultrasound technician also tried to sell me the idea that it's all because of abortions. Whose, I wonder.
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Гость
#40
Вера С П-б

Don't be afraid and decide on the operation, all the 'commands' come from the brain and this will continue, if the endometrium builds up and doesn't reduce during the period, then it's all pointless, why tempt fate. When I was in for the operation, there were many women like that, and they removed everything. Anyway, the ovaries have already dried up, and they're of no use. If Mum is afraid of ageing quickly, that's nonsense, if there's a loving family nearby, there'll be spirit and a desire to live /by the way, it didn't affect libido, because it's all in our heads./ I'm 59, it's been 7 years since the operation, I've already forgotten all about it. My husband naturally supported me, we even went to a restaurant to celebrate my menopause. By the way, what kind of coil can there be, how could a doctor suggest that to you. 'Remove it to hell, without waiting for peritonitis.' Good luck to your Mum and health.

Silly
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