Which specialist treats endometrial hyperplasia?

Endometrial hyperplasia means the womb lining has become thicker than expected. A gynaecologist reviews bleeding patterns, medicines and hormonal factors, and may arrange sampling of the lining. A pathologist examines the sample for cell changes. If atypical cells are found, or the result is difficult to interpret, a gynaecological oncologist may advise on surveillance or surgery. Treatment can include progestogen-based hormone therapy, a hormonal coil or hysterectomy, depending on the findings and plans for pregnancy.

Book a gynaecology appointment for heavy periods or bleeding after menopause, even if the bleeding settles. Take a record of cycle changes, previous scans, biopsy reports and medicines. Ask whether a biopsy is needed, when the result will be available, and how treatment affects fertility. Do not stop prescribed hormones without advice.

Contact a clinician promptly for bleeding after menopause, bleeding between periods or heavy bleeding that causes weakness. Seek urgent help if bleeding is soaking through protection rapidly, or if you feel faint, breathless or severely unwell. These symptoms have causes other than hyperplasia, but they still need timely assessment.

Ask whether the biopsy shows atypical cells, whether a hormonal coil or another hormone treatment is suitable, how follow-up samples will be scheduled, and when an oncologist or surgeon should review the case. Ask what symptoms should prompt earlier contact.