Endometrial hyperplasia is a condition where the lining of the uterus (endometrium) thickens more than it should. This occurs due to an imbalance between two important hormones: estrogen and progesterone. During a normal menstrual cycle, estrogen helps the endometrium grow, while progesterone balances this by helping the lining shed.
When progesterone levels are too low or estrogen levels are too high, the endometrium continues to grow without shedding properly. This thickening can lead to abnormal cell growth, which can increase the risk of cancer if untreated. Endometrial hyperplasia is most common in women nearing menopause, but it can happen at any age.
Endometrial Hyperplasia and Pregnancy
For women trying to conceive, endometrial hyperplasia can complicate things. The thickened uterine lining can prevent a fertilized egg from implanting. This makes it harder to get pregnant. Women with this condition may also experience irregular periods, heavy bleeding, or spotting between periods, all of which can make it more difficult to track ovulation.
Treatment options depend on the type of endometrial hyperplasia and whether the woman wants to get pregnant. Doctors often prescribe hormone therapy to balance estrogen and progesterone levels. Progestin therapy is the most common treatment, helping to regulate the menstrual cycle and reduce excess lining. In more severe cases, surgery may be necessary to remove the thickened endometrial tissue.
While it can pose challenges, early diagnosis and treatment can improve the chances of conception. Women who experience unusual bleeding or irregular periods should see their doctor, especially if they plan to get pregnant. Regular check-ups and monitoring ensure this condition does not lead to more serious problems, such as infertility or cancer.