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29) Endometrial Hyperplasia: Treatment with the LNG IUD (@dr_dervaitis)
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- Опубліковано 14 сер 2024
- IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for up to 8 YEARS use for contraception. Progesterone levels decline after year 5 and thus extended use for other indications (heavy menstrual bleeding, simple endometrial hyperplasia) may vary.
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Dr. Kristina Dervaitis, a gynecologist in Newmarket, Ontario (Canada) answers your questions about IUC.
❓WHAT IS ENDOMETRIAL HYPERPLASIA?
❓What are the risk factors?
❓How is it diagnosed?
❓What is the difference between endometrial
hyperplasia with or without atypia?
❓What are the treatment options?
❓What are the advantages of the levonorgestrel
(hormonal) IUD as first line treatment?
❓What is the long term management?
Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western Univers ityn
Thank you very much very clear information. I'm having alot of these issues found on scan quite scary but I'm staying positive any females going through this I send healing and prayers 🙏 ❤
After experiencing what I have with endometrial hyperplasia I was offered the iud option and I said Nope. I was prescribed medproxyprogesterone 2 times daily and thankfully it is working miracles.
Cheers from a fellow Ontarion.
Thank you so very much. I’m 62 was treated with Premarin 6 years ago. Now I’m being told I should get a complete hysterectomy Endometrial hyperplasia without atypia. I’m going to consult with my doctor about the iud now that I’ve seen your video. As I am a lot more informed as to my diagnosis. Thank you so very much .
I just wanted to thank you for putting this together. I have been reading a lot about this and this was by far the most thorough discussion of endometrial hyperplasia. I especially appreciated the explanation of the two different types, with atypia and without. Best regards!
You are most welcome! So glad you found it helpful. Thanks for watching and for your kind comment.
All the best,
Dr. Dervaitis
Hii Quies beneficial.. May God bless you. I apreciate your vivid explanation
Thank you doctor. I had a biopsy done today, and I was unclear about the next steps. Very clear, and thank you for sharing your knowledge.
Thank you for the informative video. I wish we were more educated on what perimenopause means so when our body warns us with irregular bleeding, etc., we know it's time to get an exam and ultrasound STAT.
Thank you for explaining this all so clearly & making it easy to understand!
I had an endometrial biopsy a week ago as my wall is 15mm & I have bleeding in between periods. I’m still waiting on the results.
People need to speak up about symptoms! I had the ultrasound only because I said I have irregular bleeding between periods. Then they found fibroids & a thick endometrial wall. Then they did the biopsy. It’s better to be safe than sorry. Speak up ladies.
Hopefully I don’t have cancer. Ugh
My gynecologist tried putting in an IUD during my biopsy. She couldn’t get it in, she said I have scarring because of the 3 C-sections I’ve had. The biopsy was painful especially because she was trying to put the IUD in. Ouch.
Hope you are well. What was your outcome?
Had a biopsy done last year (and was diagnosed with hyperplasia).
I had heard a lot of people complain about how painful this procedure was. I made me SO ANXIOUS. I cried the night before because I was terrified.
It literally takes only a few seconds. Once my OBGYN was done, I let out an extremely long sigh and started laughing. She asked me if I was ok. I replied "Sorry, it's just that... I had heard this hurt a lot, but quite frankly, I wish my period cramps hurt this little" She looked at me as if I was crazy.
Moral of the story: "pain" is a very biased scale. It all depends on what type of pain you are used to deal with.
Thank you for sharing your experience with the other viewers! I’m glad it wasn’t as uncomfortable as you had anticipated.
All the best,
Dr. Dervaitis
My daughter has this condition , his doctor place an IUD and did a biopsy, she was doing okay, there was no more cancer cells but they insert another one for 11 years.why?
Hi everybody. I hope this information helps. I have endometrosis atypia. Currently, I have the IUD Mirena for almost one year. Thankfully, my uterus lining went back to normal. My doctor is going to do surgery to check everything in December. My goal is to get pregnant.
I hope the treatment works. My doctor has me taking Prenatal vitamins. Much love 💕 💫 good luck to all the ladies. Don’t loose hope.
Hi Cindy, how did it go with your doctor in December? Everything ok?
Yes, everything well well. My Mirena IUD was removed. I am still taking prenatal vitamins. Also, I am taking progesterone pills. My doctor prescribe me Letrozole.
🙏🙏🙏🙏
Hi Cindy.how old are u would u mind asking. Coz me iam 44 years old still I want to have Baby but same problem they want to put minera coil how can I get pregnant if I got.coil how long is the treatment takes place.
Hi Mery Ann. I am 35 years old. Update: when they took out the IUD, my body reacted bad. My hip and thigh got uneven. I was in severe pain but now I am fine. And with the IUD you can’t get pregnant.
Last year this time, I had extremely painful periods ( happened 6 months after I stopped oral contraception pill ), pain killers couldnt ease the pain. I felt like giving up on life! It was really really painful periods for the whole 7 days every month. Out of desperation, I went to a private gynecologist. She suggested mirena which I agreed to. Just over 1 months after, I experienced no more pain on my periods and not so heavy anymore. Its a life changing for me. And this video helped to be convinced to have mirena which I was sceptical before. Thank you for very helpful info, Doc🙏🙏
So glad to hear that your situation has improved and that you found the video helpful!
All the best,
Dr. Dervaitis
A very informative and clear cut explanation on a very complex and confusing symptom of the illness this is the best advice so far I got thank you 🙏
You are so very welcome! Glad you found the video helpful! -Dr. D
Same here. Thank you Dr.
Thank you for explaining this all so clearly.
Thank you for explaining this so clearly. Loved the fertilizer/mower reference. Now I understand.
Glad you found the video helpful!
-Dr. D
Perfect and comprehensive description of this condition. Thank you so much Dr.
...
You are very welcome! Glad you found it helpful!
-Dr. D
I bled for 392 days straight, suffered a hemorrhage and lost half of my blood (didn’t have insurance so couldn’t get checked earlier)… I had 5oz of endometrium removed and an IUD placed and I’ve been doing great since! I was leery about getting the IUD at first, but it was an emergency situation and I had no choice, but I’m glad I got it!
So sorry to hear about your experience, but glad to know that things are better with your hormonal IUD! Thanks for sharing your story other viewers.
-Dr. Dervaitis
I'm kind of going through the same thing. I'm so happy that you're feeling better
Im. Bleeding continues. For4. Months now...veey heavy bleeding. 2 days ago the obgyne put in in depo shot.... Soooi hope it will. Stop. Im. Sooo. Tired. Of bleeding..
Very helpful information. More than my GYN doctor told me. I'm on the Mirena IUD (after having some post menopausal bleeding due to enlarged endomedtrium lining) but on Mirena IUD i've been spotting now for 3 weeks, i was going to ask my GYN to take it out but after this video i may keep it in for a little longer.
About a month I found out I have 1 mm of complex hyperplasia with atypia. Due to me being younger I’m getting a D&C and they are putting a hormonal IUD in me. Thankfully I went in to check to see why I had heavy irregular bleeding and bleeding in between. The biopsy I was given wasn’t even that bad!
Hi, is the iud working out
@@Kinsken for the most part it is. It’s a slow process though. In the mean time I’ve been following the doctors orders like eating healthy and trying to lose weight.
Dr Dervaitis, thank you very much for this informative video. I am going for Mirena IUD insertion today as EH treatment. I hope it works for me!
So glad you found the video helpful Alison!
All the best,
-Dr. Dervaitis
Dr Dervaitis, may I know what is the purpose to do the biopsy periodically after Mirena is inserted and no more heavy bleeding? Many thanks!
Oh how I wish I had seen your video 2 months ago. I have the endometrial hyperplasia but I am being treated with Medroxyprogesterone Acetate 10mg. The first month (taking pills on days 1-14 of the month) and what followed was the absolute worst bleeding I have ever had. It was so bad I called the Dr after 4 days of this really heavy bleeding because I was so alarmed by the unbelievable volume. The second month has been better but I so wish I knew about this IUD!!! That would have made things so much easier!!! Thank you for your video - so much important information.
Thank you Dr. Very helpful, I’m due within the month for this surgery!
Thank you for this thorough and succinct video on endometrial hyperplasia. As a sufferer it is horrible. I really just want a hysterectomy. We have done an ablation and now an iud. I still have painful cysts and am tired. I’m hoping the mirena will stop the cyst formation too.
Thanks for the great videos! At my consultation appt I was told that the IUD may also be helpful for my endometriosis. Would love to see a video with more information about that too.
im new to your content, however really appreciate them (I am also in Canada). Im about to get an IUD due to high suspicion of endometreosis. Its getting put in next week and watching your videos have helped me prepare. Thank you.
I am diagnosed with endometrial hyperplasia with atypia. I still don't have a child. But my Doctor really recommended me to have a hysterectomy. It's really depressing, but I need to accept .
Hello-
Sorry to hear this.
This channel is not intended to provide personalized medical advice. Complex hyperplasia with atypia is beyond the scope of this video and so I won’t comment further about fertility sparing options in this situation. I’d recommend that you discuss your future fertility concerns/ desires directly with your doctor.
-Dr. Dervaitis
Teacher Abegail Gorospe Thank you for sharing !!! May I please know how you are doing ?
Thank you for this in depth explanation. I have hyperplasia without atypia and just had an IUD(Mirena) procedure done as treatment.
Hello! How are you doing? I hope it’s working out well for you! Did you still get your period or experience any bleeding while in the IUD? Sending healthy vibes your way!
Great video! So informative! Keep up the good work ❤
Glad it was helpful!
Thank you so much for explaining this, makes it so easy to follow.
Thank you very very much it was an amazing lecture.
Excellent video. I appreciate your knowledge on the subject of IUD's. 52 y/o dx with endometrial hyperplasia without atypia. Was recommended the Mirena IUD, now I know why. Wish my MD could have taken 15 minutes to explain. Thank you
You are most welcome Jane! Glad you found the video helpful.
-Dr. Dervaitis
Thank you, Doctor!!! Excellent explanation!!!
Thank you for this thorough video. Since I’m 43 and have simple EH without atypia, I don’t understand why my doctor seems to be eager for me to resign myself to hysterectomy without further treatment options. My only other risk factor is that my maternal grandma had some kind of uterine cancer in her 40’s. I’m trying the 3 months of Progesterone with 14 days on, 14 days off. However, on the days I’m not taking it, my bleeding is extremely heavy. Instead of offering any kind of constant progesterone treatment instead though, so I won’t bleed, my doc is advising I basically just give up on treatment and have the surgery. It seems like I’d be a good candidate for an IUD as method of treatment now, or at least some kind of consistent progesterone to prevent the bleeding, then biopsy again in a few months. She told me I can’t have an IUD until I complete this 3 month course of oral progesterone and have another biopsy because we can’t biopsy with an IUD already in place. However, in speaking to other women with EH, I’ve learned that many of them were given an IUD right away and then biopsied with it in place later to determine the status of hyperplasia. I feel pressured or like my doc just doesn’t want to bother with me because it seems like there are other options available. She basically said the 3 month oral progesterone cycles are the only treatment for me to try and if it works, then I get can get an IUD. But if I can’t tolerate the 14 day bleeding in between progesterone cycles, why not at least try something else before hysterectomy? 🤦🏻♀️
It’s good that you’ve done your research! Trust your instincts. Keep in mind that the information I provide in this video is not simply my “opinion”- it is based on national guidelines for EH management. The levonorgestrel IUD is considered a first line management option for EH without atypia, and often has the advantage of diminished bleeding. And yes, it is indeed possible to do an endometrial biopsy with an IUD already in place.
-Dr. Dervaitis
I was just diagnosed with same as you. I am 50. My dr recommend checking my thyroid. Well low and behold it’s super high. So she recommended getting that back to normal ans see if it helps with my periods. Sorry your dr is going to surgery right away. I also got put on same med as you. I’m only on day 2 so we shall next week when I’m get my period if it helps.
The same here that is why I went to another obgyne to get another opinion.
@@Laura-sn7mh Any updates? I’m going in for the biopsy soon and I had heard that it could be caused by thyroid issues, but Dr never mentioned that to me.
@@lynnpoag8173 no clue if my thyroid issues were related or not. But dr put me on a med that now I have NO periods. It’s been amazing
To those of you who have hyperplasia with atipia and without cancer, the first thing the doctor seems to say is hysterectomy. I found a new doctor, an oncological gynecologist, at a major well known medical/research hospital. I have an appointment set to have an IUD with progesterone placed. I am placing this comment for informational purposes to let you know you should get a second opinion or more if you wish to pursue an alternative treatment. All of the videos I have found do not mention this, so I am advocating for you.
Cheryl Hobie Thank you for sharing !!! May I please know, how are you doing ?
@@brendame Thank-you for asking! I am glad I touched someone and they are interested, possibly for yourself? If just one person does what I did that was my hope in posting. I am 66 so instead of treatment, the only recommendation from the first doctor was hysterectomy. I did not even have cancer. I had the IUD placed Jan. 3, 2022. March biopsy was hyperplasia no atypia. June biopsy was no hyperplasia, no atypia. Sept. biopsy not quite so good, detection of hyperplasia with atypia. Recommendation is to add progesterone oral pill. Not so excited at this as I have lost 30 pounds, one of the recommendations is to lose weight. The Megace is prescribed to increase progesterone to treat hyperplasia. It is also prescribed to HIV patients to INCREASE appetite, promoting weight gain. It was just prescribed and the pharmacy had to order it in, so I have not started it yet. We will see how that goes. My current doctor did say hysterectomy is an option. I replied it IS NOT an option. I hope this helps you! If you care to share your story with me, I am interested.
❤
Wow, I'm grateful for the clarity in the message.
Very informative. I had my 1st biopsy last week, waiting on my results. I’ve been experiencing bleeding for the last month after not having a period for a year. It came on for a full week, disappeared and now I’m experiencing spotting. Before my biopsy I had a vagina l ultrasound. Staying in prayer 🙏🏾.
Biopsy result?
Greetings. Well, I had to get an IUD because there was growth growing on my uterus, my Dr. stated that the IUD would stop the growth from growing and turning into cancer, such an ugly word when sitting with your Doctor. Nonetheless, other than bleeding everyday for the last three weeks, all is well. Thanks for asking. @@mohanarajesh4035
Thank you for this valuable info 🙏🦋🦋
I got mirena inserted two days back only, I took oral progesterone for about 2 months but still my endrometrial lining was 26.4 and this looked too scary and disturbing but finally I consulted another doctor and she said that mirena is the best option for this. Therefore, I got it done. However, it’s so rightly decided and done that IUD should be the first line of treatment. I must have not faced a lot of trouble if that couldn’t be in my case the first line treatment. But I thanks my doctor and god that I am able to get the treatment. And I am fine after it.
LOVE your glasses!!!
💗
Thank you so much.I really appreciate you explaining everything so well, it helps knowing the best way to go for treatment
Thanks Dr.D for this informative video… it is clear and easy to understand 😊… I was diagnosed with endometrial hyperplasia without atypia and had my mirena insertion and it has been successfully treated.
Glad you found the video helpful, and glad to hear you’ve been treated successfully!
All the best,
Dr. Dervaitis
Hi @Ang, how long was your treatment before you saw results in treatment?
This is great news! How long were u on the mirena before it work? Are u still on mirena?
@@rudet79 hi Ruiz sorry for my late reply. I had my mirena insertion back in Dec 2021. It had an immediate good effect after the insertion, the bleeding has been reduced tremendously, completely agreed with with Dr D that this is an extremely effective treatment for endometrium hyperplasia. After 6 months the cell test result returned good.
@@ur_43vaqueen29 hi… the abnormal bleeding stopped right after the mirena IUD insertion and the endo thickness was back to normal after 2-3 months if not mistaken (can’t recall the exact timeline). Though the cell test result returned good but I didn’t remove my mirena, just leave there since it can last for up to five years, just continue to receive the benefit of it and also to prevent future development of endometrial hyperplasia.
Thank you for this video. It so informative. I appreciate your time.
You are very welcome! Glad it was helpful!
Thank you Doctor. Wonderful explanation.
Glad it was helpful!
I appreciated your like on my comment. It is impossible to find information on endometrial hyperplasia on the internet that does not offer treatment, only hysterectomy. I am 65 years old and want other women to know they can seek other options that are way less invasive if they are persistent and find they right doctor. Your like on my comment really was a moral booster for me!
Thanks so much for your comments Cheryl! Glad you found the video helpful. Although treatment for endometrial hyperplasia depends on the individual situation, for cases of simple hyperplasia WITHOUT atypia, there are definitely options to consider other than surgery.
Wishing you all the best!
-Dr. Dervaitis
I have had an endometrial biopsy that determined I have non-atypical endometrial hyperplasia and no malignancy. I am 55 and post menopausal. Is it okay for me to get the Mirena IUD? Do I need a hysteroscopy first? Please help. ❤️
Thank you very much for this detailed and clear information Dr. I am 65 post menopause and a pelvic ultrasound revealed that I have EH too with a polyp. My OBGYN has recommended a D&C. Have no symptoms whatsoever so no pain, no bleeding nothing. I was living my life as normal until I asked for a routine check to be done as I have never been on any hormone replacement. Never! No one educated me about this. Generally, what would you recommend Doctor for postmenopausal women like me? Thank you.
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Great explanation, Dr! Thank you.
Thank you so much for the clear explanation❤❤❤❤
Is it possible to have endometrial hyperplasia with normal hormone levels?
Yes.
The line of my endometrium is 3cm
No symptoms
It's that bad?
I am scheduled for biopsy
This channel is not intended to provide personalized medical advice. Talk to your doctor.
If precancerous endometrial hyperplasia with atypia (EIN) is successfully treated with progesterone treatment in a women of child bearing years, what is the percentage rate of it coming back once treatment is stopped? Do you feel hysterectomy is inevitable? And if obesity is the root cause of this problem and patient loses the weight could that factor into it returning or not, again providing it was successfully treated with progesterone treatment? Sorry I hope those questions made sense!
Hello-
The answers to your questions depend on the individual situation, and aren’t really generalizable. Unfortunately I can’t give personal/individual medical advice over the internet. I’d recommend that you discuss these questions with your doctor.
All the best,
-Dr. Dervaitis
Thanks so much. You explained so well. I am watching from uk. 🙏
Glad it was helpful! -Dr. D
Well explained....thank you
Thank u. I have a question. How much thickened endometrium is considered to be endometrium cancer. I have 29mm endometrium thickness
Thank you Dr for the great explanation. Can i know the available medications for second line treatment, examples of the the oral progestogens used with dosages
This info is beyond the scope of this channel. Talk to your doctor.
-Dr. Dervaitis
I have been having post menopausal spotting and cramping for 5 years. It started at 51 yrs old. I’ve had two biopsies and two Hysteroscopies. I Was put on progesterone, did not work. I’m now 56, I still have thickening of my lining and had a polyp removed with my last Hysteroscopy. My new doctor is removing my uterus and cervix in March, thank goodness! I’m so tired of the pain. Thank you for this video.
I also had same condition i took ayurved herbal medicines from India. Now im okk. If u want i wil share that dr details okk
Life in My Empty Nest Thank you for sharing !!! May I please know how you are doing ?
@Brenda me, I’m doing great! I had a total hysterectomy, I’m very glad that I did. The recovery was painful!! I was in bed for 9 days, thank goodness for my family taking care of me. I had laparoscopic surgery, but it was still a painful recovery. No regrets 😊
@@lifeinmyemptynest So glad ot worked out for you !!! Sorry ot was so painful !!!
Did you have the laroprscopy hysterectomy...where they made just a few small incisions ?
Do you think you could have able to do this alone? I don't currently have anyone and after my scheduled surgery, I am afraid that I won't be able to do this all alone
@@brendame I did have it Laparoscopic. Everyone is different, my friend was up making dinner the next day. My insurance ok'd me to have an 'extended stay', (spent the night in hospital) thank goodness, I needed help walking to the bathroom. Once home, I needed help. Although if I had to, I could have managed, but it would not have been easy. Make meals for yourself ahead of time, easy things to just reheat. Make sure to take stool softeners, start a few days before surgery and bring some with you, the hospital will not give them to you, I was miserable!! You'll need so rest/sleep in an upright position, have lots of pillows ready. I had one on my belly also, the weight felt good. Even when you start to feel better, take it easy! I did not and then the pain came back. Feel free to message me anytime with questions. Do you have FB messenger? Best wishes. :)
Age 70 woman with 8mm endometrial thickness / no bleeding / biopsy no cancer / doctor recommending curretage DNC / why is she not recommend the iud with progesterone
This channel is not intended to provide personalized medical advice, and I can’t comment on cases without full knowledge of all details. Pose this question to your doctor.
Thank you for all the information.
One Dr.Gilbert who runs the Dovee Project research here in Quebec Canada told me to get a curretage and one gyno told me to do nothing …..
You explained this perfectly
Thank you for sharing
Thank you 😊
First of all, thank you so much for this perfect video!!
Just some general questions..
(1) does iud (mirena) likely to not reduce but just maintain the thickness one has? and
(2) performing d&c before inserting an iud is a common practice?
I'd really appreciate any comments you could provide.
Thank you again!
Hello-
Glad you found the video helpful! This channel is not intended to provide personalized medical advice, I don’t have the details of your case and so can’t comment on the D&C issue (speaking generally, it is not always done if the hyperplasia diagnosis is well established and the gynecologist is confident that they have adequately sampled the uterine lining). Mirena is likely to THIN the lining (in most patients).
-Dr. Dervaitis
I had 2 surgery for my endomtrial hyperlasia. After a year.. Im. Back of bleeding.. Im. On my 4months bleed now... 2dayysa.go.my obgy put me in birth control shot.. Ihope my bleed stop😢😢😢😢
That's my problem now and I need treatment
Hi Dr I am here in Kentucky and I have been going to the OBGYN for a quite a while now but haven't been since 2014 but just now had went back couple months ago for a pap and was prescribed medicine to take like normally as always😀..there for just went back on Sept 2nd and they did a ultrasound on my uterus and ovaries and everything on my results came back normal and my ovaries looked good and I'm not going through no pre-meanapause except for my uterus they said I had endometriosis hysplasia all because of a polyp on my uterus and but the main thing is that I have a very thick lining on my uterus as well ..so I go back on September 28th to see another DR from out of Louisville KY and get to know the Dr and see what there gonna say wether and what there gonna do , but I'm praying no hysterectomy unless otherwise .But the main reason why I have been going and having all these test done is because we're I haven't had a regular period since I was 13 but my last period was when in 2018 so there for I have irregular periods ,so what is your suggestion should I have a hysterectomy 😁 just want to get a second opinion before I see her on September 28th
This channel is not intended to provide personalized medical advice. Please discuss your treatment plan with your doctor.
-Dr. Dervaitis
Oh
An amazing lecture
By an amazing doctor
I really enjoyed it dr
Glad you found the video useful! 🙂
I am in my mid 30s and I was diagnosed with Endometrial hyperplasia with Atypia last year in November 2022 , initially I was advised oral progesterone for 3 months ( megace -160mg) , my condition started reversing , one of the doctors suggested mirena coil as first line of treatment and today just after 3 months of mirena insertion my reports came back negative. Mirena definitely works better, there are some side effects like spotting and cramps and some people can develop candida but as my doctor said to me that benefits outweighs the risk and she was right. I have to wait for another 3 months in order to get second negative results.
Glad to hear this! Just as a point of clarification, there has not been any study evidence to prove a link to IUD use and candida (yeast). Good luck with the rest of your treatment!
-Dr. Dervaitis
Plz dea help me out I am same case
I am 27 years old with no kid’s . I have uterine hyperplasia and Doctor said he will be putting a iud for a year ..
Can my doctor put the IUD if I’m heavily bleeding?
Yes- although there is a greater chance for expulsion in this situation, it’s still possible to insert.
-Dr. Dervaitis
My daughter had an 87 day period last year (2021) when she was 14 years old. The doctors said it was all due to stress and nothing more, they pressured giving her birth control pills and finally I caved when I felt like there was nothing else that would work to get the bleeding to stop. They never recommended any other solutions. All of her bloodwork and ultrasound at the time we’re “normal”. Today is December 21, 2022. She’s 15 years old and although her periods have become a bit more regular they have never gone back to what they used to be. She just had an ultrasound done and more blood work because she has been spotting heavily in between periods and even had a weeklong period Right after her regular cycle. The first day of her last period was December 7, 2022. The results for her endometrium: 8.2mm
I see the test results online and haven’t heard back from the doctor yet. I was so nervous that I started here UA-cam and that’s how I found your video. If you have any recommendations or advice on what to speak to her doctor with, I would gladly appreciate it.
I had 93 days straight bleedingn and diagnose of endometrial hyperlasia..endometriossi and adenomyeos
Im am.now on depo shot to stop the bleeding...althoigh i have a spotting while on depo but better than heavy bleed before
Hello just wanna ask how much milligram needed of progesterone intake in a day if diagnose of hyperplasia with atypia?
The dosage varies depending on what type of progesterone is prescribed. Talk to your doctor.
Thank you so much for making this educational video.
I appreciated the explanation. Thank you very much
Thank you so much, it helps a lot were I have Endometrial Hyperplasia vs Endometrial Polyp now.
Hi Dr. I learned a lot from your video but I am very much worried for my health.. I have a prolonged menstruation at the moment for 3 months from May, June and July monthly period for more than 2 weeks of bleeding. My question is, Is it a sign of minaupausal at my age (47 yrs old)? Thank you.
Hello-
Menopause usually presents with irregular or less frequent periods (not prolonged bleeding).
Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you see your doctor for further evaluation.
-Dr. Dervaitis
I am 72 year.have a thick lining...did BIOSPY 8 and no cancer ..but wants me to have it removed..i said no.
She then gave me hormone shot that was so terrible.. i will be 73 and was heavy now have lost weight..cant do surgery have high reactions that is every time to any drugs.
Whats your opinion.
No symptoms..🙏🏻
This channel is not intended to provide personalized medical advice. Talk to your doctor.
This video is amazing! Easy to understand! So if you have this with atypia, beginning stages, no children but would like children, what are treatment options?
Glad you found the video helpful.
This channel is not intended to provide personalized medical advice, and management of hyperplasia with atypia is beyond the scope of this video. Talk to your doctor.
All the best,
-Dr. Dervaitis
I wrote that wrong, it should read it is impossible to find information that DOES offer treatment. The only thing they offer is hysterectomy. Even if you are over 55 years, you can hope for less invasive options.
Hi Doctor, im happy i was able to see this video ans thank you for doing this informative video. My partner was just diagnosed with Endometrial hyperplasia with Atypia, she is only 39. Do we really need to remove her uterus, assuming she doesnt have any bleeding? Can we just continue with ultrasound every 6months? Thank you
This question is beyond the scope of this channel, which is not intended to provide personalized medical advice. Your partner should speak with her doctor.
Thank you.very informative. Question dr Person had this endometrium hyperplasia is it possible to conceive a baby
Hi Melanie-
Yes, after successful medical treatment of endometrial hyperplasia, there is no impact on fertility (ie pregnancy is still possible).
-Dr. Dervaitis
Great talk, many thanks, from UK :)
I have endometrial cancer stage 1. I’m on megestrol and I have an IUD placed. I’m only 30 with no children and my doctors want to save my uterus. I have to get a biopsy in 3 months. Do you think it will work? I’m so scared I don’t want a hysterectomy
I’m sorry to hear this, I understand that this must be such a stressful situation. Unfortunately, I can’t provide personalized medical advice over the internet. Trust in your doctors to lead you through this, and don’t be afraid to ask them your questions!
-Dr. Dervaitis
How are you doing now? Did it help out did you decide on hysterectomy?
hi, dr what kind of exams do we need to find out our endometrial issues? blood test or camera insert to see? how to see or find out about the endometrial issues?
I have heavy bleeding non stop prolonged bleeding.... not sure why...
This question is beyond the scope of this channel about IUC. This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
Thank you very much for the video, very timely for me. My question though is, if progesterone treatment stopped my period, is it still effective as a “mower” for Endometrial Hyperplasia without atypia?
Hello-
Glad to hear the video was helpful!
The answer is “yes”- no bleeding is a best case scenario and means the progesterone is working to thin out the lining of the uterus (ie, the opposite of over-growth).
-Dr. Dervaitis
Dr. Kristina Dervaitis oh I see, my reasoning was wrong then, I thought thining out the uterus lining equates to shedding or bleeding,.........thank you for your response
@@cwcw2471 I started progesterone and had heavy bleeding for 30 days. I had a TVS to check if polyps and my lining had regressed 6mm but still I bled. Now on new pills and bleeding stopped. So now I worry no bleeding will create more estrogen.
Also worried why I was bleeding too, has something been missed? urgh. xxx
No bleeding means the lining is being thinner by the medication, it does NOT mean “more estrogen”!
-Dr. Dervaitis
@@dr.kristinadervaitis789 Thank you!
Maam, can we get pregnant with ivf if we have endometric hyperplasia. Plz reply
This question is beyond the scope of this channel. Talk to your doctor.
So my endometrial lining during ultrasound was 19.5 mm, I had a biopsy but it showed normal lining. Any idea what it could be if?
I can’t give personalized medical advice over the internet, and your question is beyond the scope of this channel. If you have questions, see your doctor.
-Dr. Dervaitis
Mine was 20 so yours wasent cancer or pre cancer ?did ur biopsy come out normal??@mommyguru
I have hyperlasia without atypia and they put IUD but my menses on off on off and im going to menopose😢 after remove my polyps rhey found out in biopsy that i have hyperlasi without a typia.it is a risky bcoz im still bleeding little bit not much😢
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Thank you for this informative video! Just wanna know if endometrial hyperplasia is the same with hyperplastic endometrial polyp? We just got my mother-in-law's biopsy result and it doesn't indicate whether it's with or without atypia.
Hello-
Generally this information would also apply to hyperplasia contained within a polyp, but each case is individualized (please consult your mother-in-law’s doctor for further guidance). Not having read the reports or reviewed the biopsy myself, I cannot comment on the issue of whether atypia is present or not in her case (which is a key issue in determining appropriate treatment, as I discussed in the video).
-Dr. Dervaitis
Thank you for your detailed information. My question concerns balancing hormones in the case of postmenopausal GSM. Is there a product or multiple products that could be considered to treat GSM locally using a balance of low dose estrogen and progesterone (e.g. Estring & Mirena)?
Generally, low dose LOCALIZED treatment of GSM does not require concurrent progesterone therapy. For SYSTEMIC (higher dose) HRT, Mirena can be used to provide endometrial progesterone protection (concurrent with an oral or transdermal estrogen). Talk to your doctor.
-Dr. Dervaitis
Is it harder for a patient with a thickened endometrium to get pregnant? Great video I got a scan and haven’t spoken to my Dr yet but my results show 13.2mm endometrium thickness 🥺
Hello-
The “normal” values for endometrial thickness apply ONLY to patients who are menopausal (ie, there is no “normal” or “abnormal” value or range for women who are still menstruating). The thickness of the lining varies throughout the menstrual cycle. Reported ultrasound endometrial thickness would have no bearing on evaluating fertility potential.
-Dr. Dervaitis
Some of the pathology lectures/videos I’ve seen talk about endometrial hyperplasia without atypia and disordered proliferative endometrium being kind of like the same thing, or on the same spectrum, and that pre-menopausal or peri-menopausal women would be more likely to be diagnosed with disordered proliferative endometrium. Should disordered proliferative endometrium be treated, and should it be treated the same as endometrial hyperplasia without atypia?
There is some debate around this topic, which is beyond the scope of this channel. Talk to your doctor.
Thank you so much for explanation , its a great video ❤️
Madam, I have simple hyperlasia and 3 months I take tablets, after that I take one more biopsy but the results shows mild simple hyperlasia.is this cureable? I am 28 yrs old.Any chance to get pregnant?
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Had mirena put in since 2019. My bleeding is normal, not painful any more..But didn't stop my uterus growing. It's 5 times a normal uterus now. Went hospital, they just want to book me hysterectomy. But they didn't offer anything else, no biopsy.
Great work. Love from India.
Hi I know this is an older video so I'm hoping you can still help. Im in the UK and today was diagnosed as having non-atypical endometrial hyperplasia. Is this considered pre-cancerous? My mother died of ovarian cancer at the age of 52 and I'm terrified 😨
Please refer back to the video for a full explanation of endometrial hyperplasia without atypia.
-Dr. Dervaitis
I have use iud one month but abnormal blooding and spotting normal discharge plz say ?
Please see video #7 “Is This Bleeding Normal?” for more information about bleeding after IUD insertion.
-Dr. Dervaitis
Hello thank you soooo much for this video. Very informative, clear and helpful. I really can’t say thank you enough.
Quick question: You mentioned that endometrial hyperplasia can be treated with an IUD or oral progesterone. What would one experience while going through treatment? Would any bleeding you experience signify the “excess lining” is leaving the body? Or would this be a period?
Thank you so much for you time :)
A period is the shedding of the uterine lining that occurs in a cyclic fashion due hormone changes related to ovulation. Other bleeding (that is not cyclic, or when a period is expected) may also represent shedding of excess endometrial tissue. For more information about bleeding after IUD insertion, please see video #7.
Glad you found the video helpful!
-Dr. Dervaitis
@@dr.kristinadervaitis789 Thank you for taking the time to reply. I will definitely check out the recommended video.
Hello Dr. It is amazing to listen this video.. drs i am visiting are not as informative as you. I live in Ontario how can i come see you... I would like to discuss my special case. Please advise
Hello-
I’m so glad that you found the video helpful!
Although I am always accepting new patients (via family doctor referral) my practice is mostly focused on contraception, with also (non-surgical) Gynecology. I am not an endometrial hyperplasia or cancer “specialist”. Your family doctor will help you decide which specialist in your area to best refer you to.
All the best,
Dr. Dervaitis
Dr. Kristina Dervaitis thanks for replying honestly
Exactly what the doctor told me,
What about age-related hormone imbalances?
Not sure what you mean by that... but regardless of the patient’s age, endometrial hyperplasia is generally caused by an imbalance of too much estrogen and not progesterone.
-Dr. Dervaitis
I was prescribed megestrol acetate 80 mg. I will look into it. What are side effects after removal?
thank you for this great video, I got diagnosed with endo. hyperplasia without atopys, I had Mirena for 8 months but because instead of loosing my periods or have normal bleedings, I started to have in between bleeding, 2x bleeding per month, very bad cramps on daily basis, after mirena removal she gave me Dabroston progesterone, oral , to take very 15day of a new menstrual cycle but every time I vomited the oral pills they caused me to have very bad nausea so she suggested me removal of my uterus, im 35years old, gave birth to 2 kids, vaginal,
and im affraid of any after surgery complications with the bladder or descent of other organs, but I have to say I lost 80kg of weight in the last year and im basically at normal BMI now, if my menstrual cycles will be now regular and I take great care of my diet and exercise, can I reverse the hyperplasia???
An elevated BMI increases risk for hyperplasia, and certainly weight loss is recommended for patients with hyperplasia. Usually treatment with progestins is necessary for reversal of hyperplasia. It would be considered standard of care to do a repeat endometrial biopsy (to see whether the hyperplasia without atypia is still present) prior to recommending any surgical intervention.
Keep in mind that this channel is not intended to provide personalized medical advice. Bring your questions to your doctor.
-Dr. Dervaitis
I have a thickened endometrium of 1.1 cm currently and it was previously in April 2020, 5.0mm I have had two ablations. Would I be a candidate for this IUD
This channel is not intended to provide personalized medical advice. If you have questions about your candidacy for an IUD, see your doctor.
-Dr. Dervaitis
If treated heavy period by Tranexamic acid, bleeding can be reduced by promoting blood to clot; just wondering in this case blood cot can be stick with the endomaterial lining or probably not a full shedding is not happening during the period and which can subsequently increase the endomaterial thickness ?
No, it would not subsequently increase endometrial thickness.
Am 40 years old and i have done a ultrasound and that was found on my uterus can i get pain from it