The concept of endometrial hyperplasia
Endometrium - is the inner layer of the uterus. Endometrial hyperplasia - increase uterine inner layer thickness. It can develop at any age, as in 17 and in 60 years or more.
The cause of abnormal growthsthe inner layer of the uterus is a hormonal imbalance women, so endometrial hyperplasia is often associated with menstrual disorders.
Furthermore, endometrial hyperplasia maydevelop as a malignant process, so it is important to identify the disease in time. In addition, the danger lies in the fact that in the early stages of its development, a woman can not disturb anything, and it can not be aware of the disease starting.
Often, the diagnosis of endometrial hyperplasia firstexhibit, when a woman begins to be tested for infertility. The lack of pregnancy is due to two factors. The first factor - endometrial hyperplasia - dishormonal state, and therefore ovulation can be absent.
The second factor is the inability of the embryo implantationthe modified endometrium. It is understood that in such cases of infertility treatment by stimulating ovulation, the luteal phase of the cycle support, the use of anti-inflammatory therapy and in vitro fertilization will be unsuccessful unless detected and eliminated the main cause of infertility, ie endometrial hyperplasia.
The difference of certain types of endometrial hyperplasia is the histological pattern, ie microscopic structure of mucosa proliferation plots obtained by curettage.
The causes of the development of endometrial hyperplasia
First of all, it's hormonal disorders,pathology of carbohydrate and lipid metabolism, and other types of gynecological diseases, disorders of menstrual and reproductive function, surgery on the uterus and appendages.
Furthermore, endometrial hyperplasia oftencommon in women suffering giperestrogeniey, uterine myoma, mastopathy, endometriosis, polycystic ovary disease, disorders of fat metabolism (impaired synthesis of estrogen in fatty tissue), hypertension, high blood sugar, liver disease, in which the utilization of hormones is disrupted.
Doctors alarming signs of anovulation,absence of the usual two-phase cycles. Thus, the detection of endometrial hyperplasia is of great importance for two reasons: prevention and treatment of infertility and prevention of endometrial cancer.
To identify endometrial hyperplasia is useda variety of methods. The most common (but, unfortunately, not always reliable) is an ultrasound. The picture of the uterus often allows accurate diagnosis of endometrial polyps, but also see a thickening of the uterine lining. Unfortunately, the accuracy of the method is less than 60%.
On the X-rays can be seenfestochatost uterine cavity contours with glandular hyperplasia, endometrial polyps and in - filling defects. In addition, to avoid the radioactive burden and ehogisterosalpingografiya (Echo GHA) may be carried out to reduce pain. Just as GHA, this procedure is primarily aimed at the study of tubal patency, but the screen is perfectly visible features of the uterus that are typical hyperplasia and endometrial polyps.