If your period has become unusually heavy, irregular, or you’ve noticed spotting between cycles, you might be dealing with endometrial overgrowth. In plain terms, it means the lining of the uterus (the endometrium) is thicker than normal. This condition is also called endometrial hyperplasia. It isn’t cancer, but left untreated it can raise that risk. Knowing the signs and steps to take can keep you ahead of any problems.
Most people first notice a change in their bleeding. Look for:
If any of these show up, especially after menopause, it’s time to see a doctor. Early detection makes treatment easier and more effective.
Doctors usually start with a simple exam, an ultrasound, and sometimes a tiny tissue sample (biopsy) to see how thick the lining is. Treatment depends on how severe the overgrowth is and whether you want to have kids.
For mild cases, a low‑dose birth control pill or a progestin‑only method can shrink the lining. An intrauterine device (IUD) that releases progestin works well for many women because it delivers the hormone right where it’s needed.
If the lining is more advanced, a doctor may suggest a short course of higher‑dose progestin pills or a D&C procedure to remove excess tissue. In rare cases, surgery to remove part or all of the uterus (hysterectomy) might be recommended, especially if there’s a high cancer risk.
Lifestyle tweaks also play a big role. Keeping a healthy weight, exercising regularly, and limiting alcohol can balance estrogen levels. If you take estrogen‑only hormone therapy, talk to your doctor about adding progestin to protect your uterus.
Bottom line: endometrial overgrowth is manageable. Spot the warning signs, get checked, and follow a treatment plan that fits your life. With the right steps, you can keep your uterus healthy and avoid future complications.
This article delves into how overgrowth in the lining of the uterus, also known as endometrial hyperplasia, can affect fertility. It covers basic information about the condition, symptoms to watch out for, underlying causes, common treatments, and tips for managing fertility challenges. Ideal for readers looking to understand the link between uterine health and fertility.