Does a hormonal coil treat endometrial hyperplasia?

Endometrial hyperplasia means the womb lining has become thicker than expected because the lining is responding to hormonal signals. A hormonal coil, also called an intrauterine system, releases progestogen inside the womb. This can oppose oestrogen’s effect, make the lining thinner, and reduce abnormal bleeding.

Suitability depends on the biopsy result, whether abnormal cells are present, bleeding pattern, future pregnancy plans, and other health factors. A hormonal coil is not the right choice for every form of hyperplasia, and insertion does not replace follow-up checks. Your clinician will explain how the treatment relates to your [Endometrial Hyperplasia](/conditions/endometrial-hyperplasia/).

Discuss the biopsy findings and whether a [Hormonal Coil](/treatments/contraception-and-family-planning/hormonal-coil/) fits your goals. Ask how insertion is performed, what bleeding changes may occur at first, and when the lining will be reassessed. Keep scheduled reviews even if bleeding improves. Report bleeding that returns after improvement, becomes heavy, or occurs after menopause.

Seek urgent help for very heavy bleeding with dizziness or faintness, severe pelvic pain, fever, or feeling acutely unwell after insertion. Promptly contact the clinic for persistent pain, unusual discharge, suspected pregnancy, or a coil that may have moved. New or ongoing abnormal bleeding also deserves review because it can have causes other than hyperplasia.

What type of hyperplasia did my biopsy show? Is a hormonal coil suitable for me? How will treatment affect pregnancy planning? When will my womb lining be checked again? Which bleeding or pain changes should I report? What alternatives are available if insertion is not suitable?