What Do My Biopsy Reports Indicate?
Yes, D&C is necessary.
Thanks for trusting us with your healthcare.
I have gone through your history and understand your concerns.
Endometrial hyperplasia is simple thickening of the endometrial lining of the uterus and it occurs due to unopposed action of estrogen without progesterone (due to anovulation in perimenopausal or postmenopausal women).
In your case, as you are already taking progesterone still your thickness change from simple to complex, you need the D&C to see the effect of progesterone and we get a good amount of tissue for examination to rule out cancer before going for any surgical procedures.
Your chance of uterine cancer with complex hyperplasia (not atypia) is almost 3% which is very low.
Hope you found this useful, feel free to ask more information.