How effective is hysterectomy for endometrial hyperplasia?

Endometrial hyperplasia means the lining of the womb has become unusually thick. A biopsy distinguishes hyperplasia without atypia from atypical hyperplasia, which has a greater chance of being associated with or developing into cancer. The result, bleeding pattern, age, health, and plans for pregnancy all influence treatment.

A hysterectomy removes the womb and usually ends the abnormal lining and related bleeding. It also ends the ability to carry a pregnancy. In many cases, hormone treatment can be considered first, especially when preserving fertility matters or surgery carries added concern.

Ask which type of hyperplasia was found and whether the biopsy adequately sampled the lining. Discuss the benefits and drawbacks of hormone treatment, monitoring, and hysterectomy. If surgery is chosen, ask whether the cervix, ovaries, or fallopian tubes will also be removed and how that could affect menopause.

Keep follow-up appointments and report ongoing or recurrent bleeding. Persistent bleeding may require another examination or biopsy, even when an earlier result was reassuring. See [Endometrial Hyperplasia] and [Hysterectomy] for more information.

Seek prompt medical advice for bleeding after menopause, bleeding that is becoming heavier, dizziness, or symptoms of anaemia such as unusual breathlessness and marked tiredness. After surgery, urgent assessment is needed for heavy bleeding, fever, severe pain, wound changes, chest pain, or sudden breathlessness.

Does my biopsy show atypia? Is there any sign of cancer? Could hormone treatment control the condition? How would monitoring work? What would surgery involve, and what would it mean for fertility and menopause?