Endometrial hyperplasia? I hope not.

April 9, 2008 at 2:15 pm | Posted in All, Health, Women | Leave a comment

I went back to my gynaecologist today for my post-op consultation. I had undergone hysteroscopy + D & C (Dilation and Curettage) six weeks ago to correct abnormal menstrual problems. There was supposed to be a polypectomy too but the doctors didn’t find the polyp as was reported in my pelvic ultrasound.

The biopsy report came back negative and so was my pap test. That sounded good. But the report suggested a thickening of the endometrium verging on hyperplasia. I have never heard of that medical jargon before so I didn’t know what to make of it.

Basically, as the doctor explained, (endometrial) hyperplasia is the thickening endometrium, the lining of the uterus. The endometrium is an unusual tissue with a definite structure and function, which for much of a woman’s life, her body sloughs off most of it monthly through menstruation, and then rebuilds it again. This sloughing and rebuilding is regulated by the hormones of the menstrual cycle, mainly estrogen and progesterone.

I told my doctor I was on the fifth day of my period on the day of the operation but haven’t had it back since, except for some spotting two weeks ago. That means, the tissue build-up is not being shed off. She assured me there is nothing to worry about as periods do not come back to normal straight away after a D & C. She told me to wait up to three months and come back if my period is still not normal. She’ll then give me something to ‘force’ my period to come. It used to annoy me when I have my period but now, I just want it to be back to normal.

Also, even though the biopsy report showed no evidence of hyperplasia, the doctor still recommended another pelvic ultrasound in six months to re-check for evidence.

Googling hyperplasia returned a lot of confusing if not worrying results. Some say it is a benign condition, others say it is pre-cancerous. Scary stuff.

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