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simple hyperplasia without aytpia

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I was recently diagnosed with simple hyperplasia without atypia via a biopsy. I went to the Dr. after missing my period one month and then when it did come the next month it was prolonged. At first, the Dr. told me that the treatment would be medicine ideally progesterone and then repeat biopsy in 3 months. However, when I went to the office for my recheck he said he had changed his mind and recommended a D&C. I am concerned of the risks of the D&C and also that it involves general anesthesia. I have a congential heart murmur and now they say high blood pressure. However, when I go to the Dr. it automatically goes up. Furthermore, I am now on blood pressure medicine to see if I can be cleared for a D&C. I asked the Dr. if there is an alternative to the D&C and he said that although he did a biopsy that the other tissue could have cancer cells in the surrounding lining and this was the only way to make sure. I also asked if the D&C could be done under iv sedation or a local and he said that he would never perform a D&C that way because the uterus could be preforated (not sure on the spelling on that) I would like any feedback on this. I really don't fit the profile to have gotten hyperplasia to begin with. I have never missed a period until now. Sorry for the long post but no other way to explain this. I would appreciate any advice.
Thanks,
Scared and Confused..
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First Helper Moogs
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replied September 5th, 2009
U failed to mention your age and weight coz usually this has bearing. I am 45 yrs old and overweight and suffering from the same. I was told i have simple hyperplasia without atypia after undergoing D&C. November of last year i stopped having my monthly periods and I thought I have started menopausing but February this year i started bleeding again but menses lasted 16 days so I went to the doctor, 2 of them actually coz i needed a 2nd opinion and after examinations they both told me the same, that i needed a biopsy and result was simple hyperplasia hyperplasio without atypia. My estrogen level is high and not balanced with progesterone so i need HRT for progesterone.. she prescribed PROVERA but after studying the side effects of the medicine online im having 2nd thoughts ... but i am also scared to get a hysterectomy ...until now im at a lost on what to do ..
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replied October 5th, 2013
Ladies, you need to do some research on the reasons why you have this condition. This condition is cause by the body producing more estrogen then progestorone. Unfortunatley the causes are rarely discussed in a doctors office. If you are over weight, your fat cells in addition to your ovalvies, produce estrogen. The fatter you are the more estrogen your body will produce. Losing weight is so so important to help your body balance your homomnes naturally without any medication. Furthermore, the American diet promotes this inbalance due to high intakes of animal products and fats. Meat is a big player here since it is high in fat and since all animals produce homomes as well and when we consume them, we consume their homomones too. This further adds to the inbalance of our own homones. In addition, the meat industry injects homones to these animals to help them grow faster. Do you every wonder why boys and girls are reaching puberty earlier?? Think about it. The best solution is a natural one. You will need to consider changing your diet and eliminate all animal products and losing weight. This is something all of us should think about. I have eliminated animal products for a variety of reasons. I too was diagnose with simple hyplasia without atypia. I will not be giving my body to the medical industry to play with and make money out of me. I will take responsiblity for myself and my health. For me, this is the only solution. I wish you guys luck and most of all hope that you take the time to educate yourselves since doctors have their own agenda and follow practices that are driven by the drug and medical industry. Best.
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replied April 16th, 2010
I''m new to this so not sure how to post or recieve reply. I''m 38, 3 grown up children & steralised 17yrs ago. For as long as I can remember I''ve had very painful, extremely heavy periods. Like many women I put up with it. " yrs ago I decided to ask my gp for advice. I''ve tried, many differnt treatment to ty & manage it but nothing work & infact side effects made me feel worse. I had a hystroscopy in Feb and last week had teh result.
I have simple hyperplasia (I''d never heard of this before)& I have been prescribed Provera for 6mth with follow up. Having rtead lots of info since I''ve called back to ask why I wasn''t considered fro a hysterectomy & they now agreed to see me again. Am I over reacting? I was exepcting 2 choices ablation treatment or hysterectomy so I was very surprised when tehy suggested more pills. I couldn''t bare to put up with teh pain and bleeding I have any longer regardless of the hyperplasia. But now I''m not sure as many women with more advance hyperplasia seem to want to avoiud surgery?

Please help x
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replied October 5th, 2013
Ladies, you need to do some research on the reasons why you have this condition. This condition is cause by the body producing more estrogen then progestorone. Unfortunatley the causes are rarely discussed in a doctors office. If you are over weight, your fat cells in addition to your ovalvies, produce estrogen. The fatter you are the more estrogen your body will produce. Losing weight is so so important to help your body balance your homomnes naturally without any medication. Furthermore, the American diet promotes this inbalance due to high intakes of animal products and fats. Meat is a big player here since it is high in fat and since all animals produce homomes as well and when we consume them, we consume their homomones too. This further adds to the inbalance of our own homones. In addition, the meat industry injects homones to these animals to help them grow faster. Do you every wonder why boys and girls are reaching puberty earlier?? Think about it. The best solution is a natural one. You will need to consider changing your diet and eliminate all animal products and losing weight. This is something all of us should think about. I have eliminated animal products for a variety of reasons. I too was diagnose with simple hyplasia without atypia. I will not be giving my body to the medical industry to play with and make money out of me. I will take responsiblity for myself and my health. For me, this is the only solution. I wish you guys luck and most of all hope that you take the time to educate yourselves since doctors have their own agenda and follow practices that are driven by the drug and medical industry. Best.
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replied April 25th, 2010
simple hyperplasia
similar scenario for me...I''m 56 and my recent hysteroctomy revealed the same thing. Simple hyperplasia to be treated for 3 months with Provera. I''ve been on the hormone for 1 month now and so far have not experienced any of the scary side effects I''ve read about but my bleeding has finally stopped. I''m to go back in 2 more months for another biopsy as I''m sure you were told the benign cells can turn malignant quickly and with no warning. Sounds like you''re on the right track. The thought of having to undergo a hysterectomy at my age really sucks as I''ve been a late entry into the menopause club.
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replied July 24th, 2010
hyperplasia returned for second time
I am 33yrs old and classified as obese. In Jan 09 I was diagnosed with simple hyperplasia without atypia after bleeding heavily for over 2 weeks. I had a biopsy which diagnosed this and was put on megace to stop the bleeding and a few weeks later an ultrasound showed my uterus was very very think (I believe 30mm)so my doctor then called and said I had to have a D&C. I was happy to do this, the sooner the better as the side effects from the megace turned me into a moody monster. I had the D&C and was advised to continue the megace for another month then had another biopsy to confirm all was now normal. I was so happy to hear that! I went on progesterine only contraceptive pill (I have history of stroke as child) and thought all was well. After 8 months we decided to start a family and with the advise of my fertility doc stopped the pill while we diagnosed my infertility as PCOS and I started Metformin. Now 5 months since stopping the pill I have just started very heavy bleeding and it seems the hyperplasia is back (ultrasound this weeks suggests this) and I am due for a bioposy this week to confirm. I am so down about it and assume the PCOS and hyperplasia go together for me like a chicken and the egg!!!!! I hope they will do a D&C again to lessen the time on the megace but I am not sure as I am also on Coumadin until Dec 2010 for a recent closing of a hole in my heart (also diagnosed during the infertility work ups!), so maybe they won't operate while I am on blood thinners. I was also told this week that I have hypoglycemia too and so need to follow a food plan to control this (and it would improve the PCOS possibly too.) Has anyone else experienced anything similar?
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replied September 11th, 2011
I am also an overweight female who is 47 years old. I have a pituitary tumor which caused me to stop cycling(I thought I was in menopause). I had other symptoms so the doctor was able to find the tumor. Began meds to shrink tumor in November and began bleeding very heavy in January. Decide to wait to see if the cycle would return to normal in a couple months however it did not. Went to see family doctor and she referred me to ob/gyn. She performed an ultrasound and uterine biopsy which came back with simple hyperplasis without atypia. Now she wants to do a hesteroscopy and D&C. Not sure if this is the best course of action. I wonder if the risk of surgery is greater than the risk of cancer? What is a girl to do? Don't nee the stupid uterus anyway. Kids all grown, grandkids....hmmm any advice
Thinking I might out off the surgery for 6 months and try to lose weight. I have read that many women have spontanous regression without any interventions. Any ideas would be greatly appreciated.
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replied October 26th, 2011
Hello everyone,today I was diagnosed with simple hyperplasia without atypia.I missed my cycle for 2months then on oct 3 it started and I bled for 3wks stopping yesterday.My doctor suggested progesterone stating that it would stop or shorten my cycle,although a hysterectomy was mentioned I refused and she also said that she doesn't like that option either.But with the threat of cancer its scary.Excuse me for noticing that everyone that I have read seems to be over weight as I also am.Does that cause or add to the condition ?I just turned 42 6days ago and also have fibroids and was told if the progesterone doesnt work than a d/c might be needed.
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replied December 8th, 2011
I just wanted to post a reply in here about the weight question. My Gyn said it *was* a pretty big factor in hyperplasia. Mostly due to the fact that fat cells store estrogen, and having too much/constant estrogen seems to contribute to the hyperplasia.
I'm 29 yrs old and obese myself. I recently had to have a D&C due to very heavy bleeding for over a month. Non atypical hyperplasia was diagnosed and I was put on a 10mg provera daily treatment for a 6 month time period. I'm currently on day 14..... and am on day 3 of a period. Not entirely certain what's going on now lol.
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replied December 20th, 2011
Simple Hyperplasia without A
This link (below) is an information about good treatment with megestrolAC and Yes obesity is a huge factor for having hyperplasia. I have it. I am obese and I am taking responsibility for it. I am exercising with Zumba and body pump and eating right.I am working out for 1:30hrs mon-sat. PLease CHECK YOUR THYROID LEVELS because i have hypothyroidism this is too a big factor not let the doctor only check your THS push to check your level of T3-T4.
http://www.springerlink.com/content/86mv9w qtbf157ycp/
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replied February 11th, 2012
I was just diagnosed today with simple hyperplasia w/out atypia after having a D&C, hysteroscopy & PAP test. Before that, I'd been on my period for a year - yes, a year, pretty much unabated. My specialist had wanted to put me on the pill, but I was worried about side effects. As a result of not going on the pill and bleeding pretty much non-stop, my iron levels dropped significantly. The D&C went very smoothly. I took a cervical softener orally, was put under general anesthesia and my specialist said everything went much more smoothly this time. (Last time she tried to do one, I was only under local anesthesia w/out a cervical softener and she wasn't able to access the area successfully.) I came out of the anesthesia after a couple of hours. My uteral lining was very thick. I have been prescribed progesterone only, for the next 3 months as I'm making too much estrogen and hardly any progesterone. The good news is that the problem is reversible. I asked if there was anything I could do and she said, yes, lose weight. Like everyone else on this forum, I'm overweight (44 yrs old). I used to have irregular periods in university (when I was at my heaviest) but when I moved to Asia to work, for 10 years, I lost a lot of weight and my periods had been extremely regular. After moving back to the West, I gained back all the weight I'd lost in Asia and soon started having menstrual problems again. Very heavy bleeding, starting 2x per month, and then progressing to only stopping for a few days before starting again - went on for a year. My doctor does not recommend a hysterectomy. I am going try losing weight - I finally have the motivation. Good luck to everyone else. We can do this!
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replied February 11th, 2012
For those who've been taking Provera progesterone - what are the side effects? My specialist said the only side effects are moodiness and a stimulated appetite. But the info I'm reading online seems a lot more concerning.
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replied February 13th, 2012
Hello all. I am 28 yo female, just diagnosed today with simple hyperplasia. My BMI is 21.8 (normal for height/weight). I will be starting Provera 20mg/day x 6 months. Just looking for more research on this diagnosis, and personal stories. Seems like my age, etc. is very atypical for this diagnosis. Curious about the treatment-side effects and effectiveness, as well as any research on fertility. Any guidance would be much appreciated
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replied April 12th, 2012
simple hyperplasia
I was just diagnosed with simple hyperplasia and told it would be best to have the Mirena IUD inserted as soon as possible. This would thin the liner and revers the hyperplasia. In 3 month another biopsy would be required to make sure all is good. Anyone out there have the mirena IUD for excessive bleeding and simple hyperplasia?
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replied May 5th, 2012
MIrena
Hi Carole
I had a Mirena fitted 10 days ago for simple hyperplasia. I have just been back to my GP as I bleeding started a few days later and has increased gradually. Have been given a course of antibiotics to rule out an infection. Seems to be settling down so fingers crossed.
I hope you get on well with the mirena if you do have it fitted - it sounds a sensible way to counter the hormone imbalance that causes the thickening and side effects are supposed to be much slighter than taking HRT tablets. I know its early days but I have felt absolutely fine. Best wishes Celia
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replied November 10th, 2012
simple hyperplasia
I am 45 yo diagnosed with simple hyperplasa without atypia. I eat heathy exercise and I'm not overweight and have never been obese. Although that is a strong risk factor u don't have to be obese to have a thickened lining. I was 1st dianosed in 2009 Bc my cycles were becoming. Irregular. 3 months on and 4 month off. I thought it was perimenopause. The Dr prescribed prometrium to bring on my period Bc at that time my lining was 23 mm after an u/s. I had 3 biospies and 1 d&c in Sept 2012. It showed that I still have the hyperplasia so my never reversed. My last menstural cycle was in Jan 2012. I think I'm postmenosausal now but of course my lining is now 18 mm from the u/s I had the other day. Mjy hormones are not balanced. I only get hotflashes once in awhile which leads me to believe I'm estrogen dominant with no progesterone. My decision is to have a hysterectomy Bc breastt cancer does run on my dads side of the family. There are 4 stages of hyperplasia before cancer. Although it is slow growing my never reversed so I want to live without the hormones therapy and no worries of cancer growing inside of mean.I don't want to keep having biospies either. Listen to your bodies. If you bleed abnormally or after menopause get it checked out. You don't have to be fat!
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replied January 10th, 2013
friends hope my post will help you alot.just read my story and you will understand.I am 31 years of age and married,no kid/s yet and been married for five years.
Had experienced prolonged menstruation, Ive experienced this example in a month 3x times bleeding in a month,sometimes twice in a month, I experienced this irregularities with my menstruation few months ago started august 2012-dec 2012 and because I am very confused already with this and this sounds new to me y?because I had regular menstruation monthly so definitely normal to abnormal uterine bleeding, really scared of and found myself thinking over and over so I decided to have a check up with OB-GYNE a private one,I told my story that few months had prolonged menses and sometimes its breakthrough,sometimes its just slow kakaunti and she told me to have an ultra sound and I Found out I have Myoma but thats the problem I have thickened endometrium and its hyperplasia and have cystic follicle on the left ovary and go back to the ob-gyne to see the result of the ultra sound she said I need D&C have to do it within the week,because her professional fee is too high and I cannot afford i think eventhough shes not explaining the whole thing. I decided a second opinion another OB-GYNE a public doctor in a public hospital but eventhough its public I choose to be private with her meaning its Professional fee is private as well,had D&C one day in hospital and get some tissue from me bring to private hospital to biopsy and the result is endometrium hyperplasia, simple without atypia so medications lang 3 months pills its althea,metporfim its glucophage 2x a day,folinc anti anemic and mutivitamins lang looking forward na maging normal na ang regla ko at wala akong sakit,alam ko kasi ang feeling na pinagdadaanan nyo,medyo mataba din ako 72 kilos 5'1 in height need to diet and exercise lang,GOD is good and lets pray.keep our faith alive.tignan nyo wala na akong sakit lets pray
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replied August 21st, 2013
d&c
im 30, 5ft in height weight 56kg.
had d&c for having abnormal bleeding. after d&c and biopsy ob said i had hyperplasia without atypia. had my d&c last 26june, got my 1st period back yesterday 21st aug. now im stilmobserving.... hope my period is back to normal
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replied October 5th, 2013
Ladies, you need to do some research on the reasons why you have this condition. This condition is cause by the body producing more estrogen then progestorone. Unfortunatley the causes are rarely discussed in a doctors office. If you are over weight, your fat cells in addition to your ovalvies, produce estrogen. The fatter you are the more estrogen your body will produce. Losing weight is so so important to help your body balance your homomnes naturally without any medication. Furthermore, the American diet promotes this inbalance due to high intakes of animal products and fats. Meat is a big player here since it is high in fat and since all animals produce homomes as well and when we consume them, we consume their homomones too. This further adds to the inbalance of our own homones. In addition, the meat industry injects homones to these animals to help them grow faster. Do you every wonder why boys and girls are reaching puberty earlier?? Think about it. The best solution is a natural one. You will need to consider changing your diet and eliminate all animal products and losing weight. This is something all of us should think about. I have eliminated animal products for a variety of reasons. I too was diagnose with simple hyplasia without atypia. I will not be giving my body to the medical industry to play with and make money out of me. I will take responsiblity for myself and my health. For me, this is the only solution. I wish you guys luck and most of all hope that you take the time to educate yourselves since doctors have their own agenda and follow practices that are driven by the drug and medical industry. Best.
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replied October 5th, 2013
hyplasia without atypia
Ladies, you need to do some research on the reasons why you have this condition. This condition is cause by the body producing more estrogen then progestorone. Unfortunatley the causes are rarely discussed in a doctors office. If you are over weight, your fat cells in addition to your ovalvies, produce estrogen. The fatter you are the more estrogen your body will produce. Losing weight is so so important to help your body balance your homomnes naturally without any medication. Furthermore, the American diet promotes this inbalance due to high intakes of animal products and fats. Meat is a big player here since it is high in fat and since all animals produce homomes as well and when we consume them, we consume their homomones too. This further adds to the inbalance of our own homones. In addition, the meat industry injects homones to these animals to help them grow faster. Do you every wonder why boys and girls are reaching puberty earlier?? Think about it. The best solution is a natural one. You will need to consider changing your diet and eliminate all animal products and losing weight. This is something all of us should think about. I have eliminated animal products for a variety of reasons. I too was diagnose with simple hyplasia without atypia. I will not be giving my body to the medical industry to play with and make money out of me. I will take responsiblity for myself and my health. For me, this is the only solution. I wish you guys luck and most of all hope that you take the time to educate yourselves since doctors have their own agenda and follow practices that are driven by the drug and medical industry. Best.
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replied October 6th, 2013
Experienced User
All good points, Organicchic. Another important bit of info - Women getting an ultrasound to view lining thickness need to be sure to have it done 1 or 2 days after their period stops when it's thinnest.

Endometrial hyperplasia is more often than not cured with medication (progestins). Sadly, too many women undergo hysterectomy unnecessarily (for this condition and others). In the U.S. and some other countries, it's the most overused surgery after c-section. 76% don't meet ACOG criteria and a measly 2% are done for cancer. The most common reasons for overuse are not doing proper diagnostics, not offering more conservative treatments, and not trying more conservative treatments. For the most part, it's all about the $$ gained by the doctors and hospitals doing these destructive surgeries.

So ladies, do your homework before proceeding with "what the doctor orders." We have to advocate for ourselves because we're the ones who have to live with the consequences of treatment.
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replied March 5th, 2014
I'm turning 32 this month, married for 3 years. No child yet. I've had 3 fractional curettage since 2011 with the last one only more than a week ago. The result of the histopath shows simple endometrial hyperplasia without atypia. I was given Duphaston to be taken for 21 days for the next 3 months. Then will have to undergo another curettage to check if my body responded to the treatment. My hubby and I direly wants to have a baby, I just want to ask whether anyone of you who has the same condition who was able to conceive full term during or after the treatment.
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replied March 5th, 2014
I'm turning 32 this month, married for 3 years. No child yet. I've had 3 fractional curettage since 2011 with the last one only more than a week ago. The result of the histopath shows simple endometrial hyperplasia without atypia. I was given Duphaston to be taken for 21 days for the next 3 months. Then will have to undergo another curettage to check if my body responded to the treatment. My hubby and I direly wants to have a baby, I just want to ask whether anyone of you who has the same condition who was able to conceive full term during or after the treatment.
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