Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
196 Doctors are Online

Diagnosed with complex endometrial hyperplasia. Atypia and endometrial polyp removed. Suggested hysterectomy. Help?

Mar 2016
User rating for this question
Very Good
Answered by

Practicing since : 2011
Answered : 4045 Questions
I am a 54 year old white woman who had a d&c 3 weeks ago. I have been diagnosed with complex endometrial hyperplasia with atypia and an endometrial polyp was removed. My doctor is recommending a hysterectomy involving the removal of my cervix, uterus, 2 ovaries and fallopian tubes. It would be an abdominal procedure because I am 120 pounds overweight and I had a slow recovery from the d&c. I also have had 7 polyps removed during a colonoscopy in 2012. And a benign adenoma was found. In addition I also have a adenoma above my adrenal gland that has remained the same size for the past year. It was an incidental finding but is now monitored with a yearly cat scan. I feel that with my history and the fact that my 83 year old Dad has survived 3 types of cancer, colon cancer in the sigmoid, bladder cancer and prostrate cancer and my younger brother has survived stage 1 stomach cancer that my most prudent decision would be to have the hysterectomy at the end of August which is 6 weeks from my d&c. I also had a d&c 4 years ago and was diagnosed with endometrial hyperplasia and no cancer was found. What would you recommend if I were your patient?
Posted Fri, 23 Aug 2013 in Vaginal and Uterus Health
Answered by Dr. S Patra 57 minutes later

Thanks for writing to us on Healthcare Magic. Following is my comment regarding your query:

With positive family history for different types of cancer among first degree blood relations, you have always risk for development of endometrial carcinoma in future from current uterine pathology. Presence of complex endometrial hyperplasia with atypia has higher chance for that.

In this circumstance, best and definite treatment option is total abdominal hysterectomy with removal of both sided ovaries and fallopian tubes (TAH + BSO). It is the gold standard choice in your age (54 years). This will eliminate certain risks of future cancer. Here, I would also give you the same recommendation.

Kindly, consult with your gynecologist to proceed the necessary investigations to complete the operation at scheduled time.

After that, you can opt for hormone replacement therapy (HRT) for few years to eliminate post menopausal symptoms. Other supportive treatment may be needed.

Hope, it helps for your information. If you have any other query, you can freely ask me.

Wish your good health and take care yourself.

Dr Soumen
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor