Overview

According to estimates, the frequency of endometrial hyperplasia is three times higher than that of endometrial cancer cases. Endometrial hyperplasia may be a sign of endometrial cancer, and if detected early, enough treatment can stop the cancer from progressing. Diagnosing and treating endometrial hyperplasia correctly is necessary to reduce the number of incidences of endometrial cancer. Women in the 50–54 age group are usually diagnosed with hyperplasia without atypia. The age range of 60-64 years is the most common, and under 30 years old is the less common age for the condition. 

Endometrial hyperplasia is classified into the following types: 

• Simple or complex endometrial hyperplasia (without atypia): This kind of hyperplasia has cells that appear normal and aren't likely to develop into cancer ("without atypia" indicates less likely to develop into cancer). Your doctor might advise hormone treatment, or the condition might get better on its own.

• Atypical endometrial hyperplasia is either simple or complex (with atypia): Endometrial hyperplasia that is “atypical” or “with atypia” is more likely to progress to cancer. Your risk of developing uterine or endometrial cancer rises if you don't get treatment.

Causes

Chronic exposure to estrogen combined with a relative progesterone shortage leads to endometrial hypertrophy. Exogenous or endogenous factors may be the source of high estrogen. 

The following are risk factors linked to endometrial hyperplasia: 

• Genetics: Age, Nulliparity, Obesity, Diabetes mellitus

• Cycles of anovulation: PCOS, perimenopause, Granulosa cell tumors, which are ovarian cancers, hormone replacement therapy Estrogen-only treatment is not recommended for women who have uteruses since it can cause endometrial hyperplasia at even low doses. 

• Herbal or over-the-counter remedies could contain a lot of estrogen. 

• Endometrial hyperplasia may also result from infection or immunosuppression (renal graft recipients). 

• Women who have Lynch syndrome or hereditary nonpolyposis colorectal cancer are significantly more likely to have endometrial hyperplasia.

Symptoms

• Abnormal bleeding during the menstrual cycle or in between periods. 

• Menstrual periods that are less than 21 days. 

• Excessive menstrual flow. 

• Bleeding after menopause.  

• Amenorrhea or not getting a period at all. 

Many of these symptoms are typical of those going through the menopause. Unpredictable bleeding irregular periods or missing periods are common symptoms of entering menopause.

Ayurvedic View

Asrugdara- here asrug means menstrual blood and dara means flow, in this disease the patient has excessive menstual bleeding, this is endometrial hyperplasia. Due to causes that aggarvate pitta dosha , along with anubandha (mix) of all the three dosha , results in heavy bleed , apana vayu (responsible for downward flow) is also involved more. Ayurveda way of approach is to correct the imbalance by assessing dosha and its anubandha dosha by ayurvedic internal and external panchakarma treatment and further prevent related co morbidities in this condition.

Ayurvedic Treatments

Prakshalanam   Dhoopanam   Lepanam   Uttravasti   Kati vasti   Virechanam   Nabhi vasti    Avagaham Churna pinda swedanam   Kashya dhara

Naturopathy Treatments

Hip bath   Arm & foot bath   Enema   Steam bath   Mud therapy   Packs   Reflexology   Acupuncture Manipulative therapy   Diet therapy   Clinical yoga   Cyclic meditation   Pranayama   Kriyas