Final answer:
The treatment options for endometrial hyperplasia with atypia include hysterectomy, progestin therapy, GnRH agonists, and close monitoring with repeat biopsy.
Step-by-step explanation:
The treatment options for endometrial hyperplasia with atypia include:
- Hysterectomy: This is a surgical procedure to remove the uterus. It is usually recommended for women who have completed their childbearing and have significant atypia or who have not responded well to other treatments.
- Progestin therapy: Progestins are synthetic hormones that can help regulate the growth of the endometrial tissue. They can be taken orally, as an injection, or as an intrauterine device.
- GnRH agonists: GnRH agonists are medications that suppress the production of estrogen, which can help reduce the growth of the endometrial tissue.
- Close monitoring and repeat biopsy: This involves regular check-ups with a healthcare provider and repeat biopsies to monitor the progression of the hyperplasia and evaluate the effectiveness of treatment.