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Endometrial hyperplasia is a condition of excessive proliferation of the cells of the endometrium, or inner lining of the uterus. Most cases of endometrial hyperplasia result from high levels of estrogens , combined with insufficient levels of the progesterone-like hormones which ordinarily counteract estrogen's proliferative effects on this ...
Uterine hyperplasia, or enlarged uterus, is a medical symptom in which the volume and size of the uterus in a female is abnormally high. It can be a symptom of medical conditions such as adenomyosis , uterine fibroids , ovarian cysts , and endometrial cancer .
Pain and infertility are common symptoms, although 20–25% of affected women are asymptomatic. [1] Presence of pain symptoms are associated with the type of endometrial lesions as 50% of women with typical lesions, 10% of women with cystic ovarian lesions, and 5% of women with deep endometriosis do not have pain. [22]
Diagnosis of AUB starts with a medical history and physical examination. [2] Normal menstrual bleeding patterns vary from woman to woman, so the medical history covers specific details about the woman's individual menstrual bleeding pattern, such as its predictability, length, volume, and whether she experiences cramps or other pain.
Endometrial biopsy in those with high risk endometrial cancer or atypical hyperplasia or malignancy. [16] Sonohysterography to assess for abnormalities within the uterine lining [17] Hysteroscopy (anaesthesia should be offered) [16] Thyroid-stimulating hormone and thyrotropin-releasing hormone dosage to rule out hypothyroidism [18]
Cross section through the wall of a hysterectomy specimen of a 30-year-old woman who reported chronic pelvic pain and abnormal uterine bleeding. The endometrial surface is at the top of the image, and the serosa is at the bottom. Misplaced endometrial tissue proliferation in the myometrium causes symptoms through different mechanisms. [6]
Metropathia haemorrhagica, also known as metropathia haemorrhagica cystica, is a menstrual disorder which is defined as a specialized type of anovulatory dysfunctional uterine bleeding associated with endometrial hyperplasia and intermenstrual bleeding.
Pelvic pain is pain in the area of the pelvis. Acute pain is more common than chronic pain. [2] If the pain lasts for more than six months, it is deemed to be chronic pelvic pain. [3] [4] It can affect both the male and female pelvis. Common causes in include: endometriosis in women, bowel adhesions, irritable bowel syndrome, and interstitial ...
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