Treatment options for monitoring and remedying endometrial hyperplasia may include:
- Regular exams: Your doctor can monitor your health with regular pelvic exams.
- Transvaginal ultrasound: This test can help your doctor determine how thick your endometrium is.
- Hormone therapy: Your doctor may prescribe a medication that mimics the effects of progesterone, which can help reduce endometrial thickness.
- Dilation & curettage (D&C): During a D&C, the doctor scrapes away the endometrium.
- Hysteroscopy: The doctor places a small, telescope-like device into the uterus through the cervix, allowing him or her to look at the lining and remove cells from abnormal-looking areas. These cells are then sent to a lab.
- Hysterectomy: The uterus is removed. For women with atypical hyperplasia—which is linked to an increased risk of cancer—this may be the best option, particularly if they do not wish to have any more children.