Does hysterectomy treat endometrial hyperplasia?

Endometrial hyperplasia is an overgrowth of the womb lining. A hysterectomy removes the womb, so the abnormal lining cannot continue to build up or cause womb bleeding. It may be discussed when cells have precancerous changes, when bleeding remains difficult to control, or when medication is unsuitable or has not worked. A biopsy helps classify the lining and guides the recommendation. Removing the womb means pregnancy is no longer possible; removal of the ovaries is a separate decision and is not automatically part of every hysterectomy.

Ask your gynaecology team which type of hyperplasia was found and whether a progestogen treatment with follow-up sampling is reasonable. Discuss how surgery would affect fertility, bleeding, menopause symptoms and recovery. Read about [Endometrial Hyperplasia](/conditions/endometrial-hyperplasia/) and [Hysterectomy](/treatments/gynaecological-surgery/hysterectomy/) to prepare for that conversation.

Arrange medical review for bleeding between periods, bleeding after sex, or bleeding after menopause. Seek urgent help if bleeding is heavy enough to make you dizzy or faint, or if severe pelvic pain, fever or worsening weakness develops.

What did the biopsy show? Can medication control the lining? Would my ovaries remain? What symptoms should prompt urgent help after treatment?