ARCHIVEOBSTETRICS AND GYNECOLOGY
International Medical Journal, Vol. 23., Iss. 4, 2017, P. 47−52.
PRACTICAL ISSUES OF DIAGNOSIS AND TREATMENT OF ENDOMETRIUM HYPERPLASTIC PROCESSES
Kharkiv Regional Clinical Perinatal Center, Ukraine
Endometrial hyperplastic processes are pathological thickening of the glandular and stromal component of the uterine mucosa (focal or diffuse) with a predominant lesion of the glandular structures. Three main types of endometrial hyperplastic processes have been distinguished: endometrial hyperplasia, endometrial polyps and atypical hyperplasia (adenomatosis). The main diagnostic methods for endometrial hyperplastic processes are transvaginal ultrasonography, hydrosonography, cytological examination of aspirates from the uterine cavity, hysteroscopy. The definitive method of the diagnosis is histological examination of the uterine mucosa scraping. Typically, therapy in women of different ages consists of the bleeding control, restoring menstrual function (at reproductive age) or, conversely, achieving menopause (at an older age). Anyway, basic treatment is reduced to the prevention of relapse of endometrial hyperplastic processes. The traditional method of treatment is hormonal therapy. The choice of the hormonal medicine, the scheme and duration of its administration depend on the morphological structure of the endometrium, woman's age. The hysteroscopic ablation (resection) of the endometrium, hysterectomy are conducted according to the indications. Hysteroscopic ablation (resection) of the endometrium, hysterectomy are performed if indicated. All patients with endometrial hyperplastic processes should be followed up.
Key words: endometrial hyperplasia, endometrial polyp, hormonal therapy, hysteroscopy, endometrium ablation, hysterectomy.