Can a D&C cure endometrial hyperplasia with complex atypia?
A D&C (dilation and curettage) alone typically cannot cure endometrial hyperplasia with complex atypia. While a D&C can remove the thickened endometrial lining, it's usually just one part of the treatment approach.
For complex atypical hyperplasia, the treatment Show Full Answer
Can a D&C cure endometrial hyperplasia with complex atypia?
A D&C (dilation and curettage) alone typically cannot cure endometrial hyperplasia with complex atypia. While a D&C can remove the thickened endometrial lining, it's usually just one part of the treatment approach.
For complex atypical hyperplasia, the treatment depends on several factors:
If you've completed childbearing or are over 40:
- A hysterectomy (removing the uterus) is often the preferred treatment
- This is considered the safest option because 25 to 40 percent of people with severely atypical hyperplasia are later found to already have cancer when the uterus is removed
If you want to preserve fertility or haven't gone through menopause:
- A D&C may be performed to remove the thickened lining
- This is typically followed by progestin hormone therapy to help shrink the lining and reduce cancer risk
- You'll need follow-up appointments every three months with ultrasounds and possibly repeat biopsies or D&Cs to monitor the condition
The D&C is an important diagnostic and initial treatment step, but ongoing hormone therapy and close monitoring are usually necessary to manage complex atypical hyperplasia effectively.
February 14
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