- These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.
Endometrial Hyperplasia [posted 7/24/98]Question: I had a recent pelvic ultrasound and my presenting
complaint was painful heavy periods. I have a history of
Stein-Leventhal (Polycystic ovaries) and have had one, full-
term successful pregnancy. I had my left ovary removed in
my 20’s due to an abscess. I’m 44 and obese. The results
of the ultrasound were: 1. “Endometrial hyperplasia”, and 2.
“There is a peculiar sonolucency of the entire right ovary
that may represent that of multiple tiny cysts which would be
consistent with the known history of Stein-Leventhal Syndrome”.
Can you tell me what Endometrial hyperplasia is, and what
are the usual resolutions/approaches? Also, is the description of my right ovary any cause for concern?
Answer: Endometrial hyperplasia is a build up of the endometrial lining. This lining is usually sloughed during a period and incomplete sloughing will lead to heavy periods. A large dosage of progesterone in the last two weeks of your cycle (sometimes for 2-3 periods) will usually fix the problem, but occasionally needs a D&C (to physically remove the excessive buildup). The cysts are probably of no concern, but I’d repeat the US in a few months to be conservative.