What are the first signs of endometrial hyperplasia?

Endometrial hyperplasia means the womb lining has become thicker than expected because the lining cells are growing more than usual. Bleeding may be heavier, last longer, happen between periods, or occur after menopause. Some people have no symptoms. The pattern does not show whether hyperplasia is present or what type it may be; testing is needed.

Arrange an appointment for a new or changing bleeding pattern. Describe cycle timing, flow, clots, bleeding after sex, and any medicines or hormonal treatment. An endometrial biopsy can examine lining tissue. Depending on the findings and personal circumstances, treatment may include a hormonal coil or other hormone therapy; surgery is considered in selected situations.

Seek urgent help if bleeding is heavy enough to cause dizziness, fainting, breathlessness, or severe weakness. Contact a clinician promptly for any bleeding after menopause or bleeding that repeatedly disrupts daily life. Do not assume a familiar pattern is harmless if it has changed.

Ask whether your bleeding needs a biopsy, what the tissue result means, and whether a hormonal coil is suitable. Ask how follow-up will check the womb lining and when hysterectomy might be discussed.