Final answer:
The treatment of endometrial hyperplasia without atypia includes progestin therapy, oral contraceptives, dilation and curettage, and in severe cases, hysterectomy. Progestin therapy and oral contraceptives help regulate hormonal balance and menstrual cycles, while D&C may be used for treatment and diagnosis. Hysterectomy is a last resort for cases where other treatments have been ineffective or in high-risk situations.
Step-by-step explanation:
Endometrial hyperplasia is the abnormal thickening of the endometrium, which may occur when the balance of estrogen and progesterone hormones is disrupted. This condition can be classified as endometrial hyperplasia with or without atypia, with the latter having a lower risk of progressing to endometrial cancer. The primary aim of treating endometrial hyperplasia without atypia is to control the abnormal endometrial growth and reduce the risk of progression to cancer.
Treatments for endometrial hyperplasia without atypia include:
- Progestin therapy: Using progestin can help to counteract the effects of estrogen and induce a normal menstrual cycle, helping to shed the hyperplastic endometrial tissue.
- Oral contraceptives: Combination oral contraceptives contain both estrogen and progestin, which help to regulate the menstrual cycle and prevent the overgrowth of the endometrium.
- Dilation and curettage (D&C): This procedure involves dilating the cervix and scraping away the lining of the uterus. It is sometimes used to treat endometrial hyperplasia and as a diagnostic measure to obtain tissue for further examination.
- Hysterectomy: In severe cases or when other treatments are ineffective, the removal of the uterus may be considered.
This is only recommended when the patient is at high risk or has finished childbearing.
The appropriate treatment depends on a variety of factors including the patient's age, desire for pregnancy, the presence of symptoms, and other health considerations.