Endometrial Hyperplasia Treatment in Gurgaon, India
What is Endometrial Hyperplasia?
Endometrial hyperplasia is a condition in which the lining of the uterus, known as the endometrium, becomes unusually thick. This thickening occurs due to an imbalance of estrogen and progesterone hormones, typically when estrogen levels are high and not balanced by progesterone.
Although it is not cancer, endometrial hyperplasia can increase the risk of developing endometrial cancer, especially in more severe forms. The condition is fairly common, particularly among women experiencing irregular menstrual cycles, those in perimenopause, or women with certain underlying health conditions.
What are the Different Types of Endometrial Hyperplasia?
Endometrial hyperplasia can be categorised into different types based on the presence of abnormal cells and structural changes in the tissue. Categorising the types can help doctors determine the best endometrial hyperplasia treatment:
Simple Endometrial Hyperplasia (Without Atypia)
This type involves a slight increase in the number of normal-appearing endometrial cells. The structure of the endometrium remains mostly unchanged. It is the least likely to progress to cancer and often resolves with hormonal treatment.
Complex Endometrial Hyperplasia (Without Atypia)
In this type, there is a significant increase in the number and crowding of glands, but the cells still appear normal under a microscope. The risk of developing cancer is slightly higher than the simple form.
Simple Hyperplasia (With Atypia)
Here, the glandular cells show abnormal changes (atypia), although the structure is less complex. This form has a higher risk of progressing to endometrial cancer if not properly managed.
Complex Hyperplasia (With Atypia)
This is the most severe form. Both the structure of the glands and the cells themselves are abnormal. There is a substantial risk (up to 30%) of progression to cancer, making timely and aggressive endometrial hyperplasia treatment crucial.
What are the Symptoms of Endometrial Hyperplasia?
Endometrial hyperplasia symptoms are often related to menstrual irregularities and may vary in intensity. Early detection is key to effective management.
Abnormal Uterine Bleeding
One of the most common endometrial hyperplasia symptoms is bleeding between periods, especially in women who are nearing menopause.
Heavy or Prolonged Menstrual Bleeding
Periods that last longer than usual or are unusually heavy may signal a thickened endometrial lining.
Any bleeding after menopause is abnormal and should be evaluated promptly, as it could indicate endometrial hyperplasia or even cancer.
Pelvic Pain or Discomfort
Some patients may experience mild pelvic cramping or a feeling of fullness, particularly if the uterus is enlarged.
Endometrium may silently grow thick, with symptoms such as regular cycles/delayed cycles.
What Causes Endometrial Hyperplasia?
The primary cause of endometrial hyperplasia is prolonged estrogen stimulation without the balancing effect of progesterone. Multiple factors contribute to this hormonal imbalance.
Conditions like polycystic ovary syndrome (PCOS) or perimenopause can lead to irregular ovulation, causing prolonged exposure to estrogen.
Fat tissue can convert other hormones into estrogen, increasing total estrogen levels and raising the risk of endometrial hyperplasia.
Women with Type 2 diabetes are at higher risk due to insulin resistance, which affects hormone regulation.
Estrogen Therapy Without Progesterone
Taking estrogen-only hormone replacement therapy (HRT) after menopause can elevate the risk of endometrial hyperplasia.
Family History and Genetic Factors
A family history of endometrial or colon cancer can indicate genetic syndromes like Lynch Syndrome, which increase risk.
When Should I Consult the Doctor for Endometrial Hyperplasia Treatment?
You should consult a gynecologist if you notice any of the following:
Early consultation ensures accurate diagnosis and timely initiation of endometrial hyperplasia treatment, reducing the risk of complications.
How is Endometrial Hyperplasia Diagnosed?
Diagnosis involves a combination of imaging, lab tests, and tissue sampling to confirm the presence and type of hyperplasia.
Measures the thickness of the endometrium. A thickened lining may warrant further investigation.
A small tissue sample is collected from the uterus lining to check for abnormal cells.
A thin tube with a camera is inserted into the uterus to visually inspect the endometrial cavity and take targeted biopsies.
Dilation and Curettage (D&C)
A more extensive sampling method performed under anesthesia to both diagnose and treat some forms of hyperplasia.
What are the Different Methods for Endometrial Hyperplasia Treatment?
Endometrial hyperplasia treatment is generally personalized depending on the patient’s age and medical condition, type and severity of the hyperplasia (with or without atypia), and fertility goals. Broadly, endometrial hyperplasia treatment methods involve non-surgical and surgical categories.
Non-surgical treatments are typically recommended for milder cases or when the patient wants to preserve fertility, whereas surgical treatments are considered for more severe symptoms, particularly when atypia is present or when non-surgical methods are ineffective. The aim of the treatment is to normalize the endometrial lining, relieve symptoms, and prevent progression of endometrial cancer. Endometrial Hyperplasia treatment involves:
Non-Surgical Treatment Options
Non-surgical management is often the first line of approach, especially for simple and complex hyperplasia without atypia, and recommended for women desiring future pregnancies. Non-surgical treatment methods include:
Progestin is a synthetic form of the hormone progesterone, used to counteract excess estrogen and thin the endometrial lining. It is the cornerstone treatment for most types of endometrial hyperplasia. Progestin therapy is especially effective for women with hyperplasia without atypia, and is often continued for 3–6 months before reevaluation through biopsy. Progestins can be administered in different forms:
Combined Oral Contraceptives
Birth control pills containing both estrogen and progestin help regulate irregular menstrual cycles and reduce unopposed estrogen exposure. They are frequently used in younger women, particularly those with polycystic ovary syndrome (PCOS) or chronic anovulation.
Gonadotropin-Releasing Hormone (GnRH) Agonists
These medications induce a temporary menopausal state by suppressing the pituitary gland’s hormone production, thereby reducing estrogen levels. GnRH agonists are used in resistant cases or when progestin therapy is not effective or not tolerated.
Although not a primary treatment, lifestyle changes are critical for managing and preventing recurrence. These include:
Weight loss: Reduces estrogen production from fat tissue.
Balanced diet and exercise: Helps regulate insulin and hormone levels.
Managing underlying conditions: Controlling diabetes, thyroid disorders, or PCOS can improve hormonal balance and treatment success.
Surgical Treatment Options
Doctors generally recommend surgery in case of atypical hyperplasia (higher risk of cancer) or when the non-surgical methods have failed. Surgical methods are recommended for patients with severe symptoms or those who no longer desire fertility. Surgical procedures include:
Dilation and Curettage (D&C)
D&C involves dilating the cervix and using a surgical instrument to scrape away the thickened endometrial tissue. It is both a diagnostic and therapeutic procedure and is often followed by hormonal therapy to prevent recurrence. This procedure can provide immediate relief from symptoms like heavy bleeding.
In this minimally invasive procedure, the endometrial lining is destroyed using techniques such as thermal energy, radiofrequency, or cryotherapy. It is suitable for women with abnormal uterine bleeding who do not wish to become pregnant in the future. Endometrial ablation is not recommended for women with atypical hyperplasia or those at high risk of cancer.
A hysterectomy is the complete removal of the uterus and is the most definitive treatment for complex atypical hyperplasia or for women who are not responding to other treatments. There are several approaches:
Total Abdominal Hysterectomy (TAH)
In Total Abdominal Hysterectomy (TAH) the uterus is removed through a horizontal or vertical incision in the lower abdomen. It is generally chosen when the uterus is enlarged, when cancer is suspected, or when a thorough examination of surrounding organs like the ovaries and fallopian tubes is necessary. While this approach provides maximum visibility for the surgeon, it is more invasive and typically requires a longer recovery period of about 6 to 8 weeks.
Laparoscopic Hysterectomy
A more modern and minimally invasive option is the Laparoscopic Hysterectomy. This technique uses small incisions in the abdomen through which a tiny camera and surgical instruments are inserted to remove the uterus.
In some cases, it may be combined with a vaginal approach (called Laparoscopic-Assisted Vaginal Hysterectomy or LAVH), or it may be performed entirely through laparoscopy (Total Laparoscopic Hysterectomy or TLH).
Laparoscopic methods offer faster recovery, minimal scarring, and shorter hospital stays, often allowing patients to return to normal activities within 2 to 4 weeks. However, this technique may not be ideal for very complex cases or when extensive disease is present.
The Vaginal Hysterectomy involves removing the uterus through the vaginal canal without any external incisions. It is less invasive than an abdominal hysterectomy and is associated with a quicker recovery, less postoperative pain, and a shorter hospital stay. However, this method is generally suitable only for women who have a uterus of normal size and no significant pelvic scarring or adhesions.
A hysterectomy eliminates the risk of endometrial cancer but also ends fertility. It is typically recommended for women who have completed childbearing or in whom endometrial cancer is suspected or confirmed.
How Can I Prevent Endometrial Hyperplasia?
While endometrial hyperplasia cannot always be completely prevented, especially when it results from age-related hormonal changes, there are several effective strategies that can significantly reduce your risk. Prevention focuses on maintaining hormonal balance, managing underlying health conditions, and adopting healthy lifestyle habits. These approaches are especially important for women with known risk factors such as obesity, PCOS, diabetes, or a family history like:
Maintain a Healthy Weight
Excess body fat can convert other hormones into estrogen, leading to higher estrogen levels without enough progesterone to balance it. This unopposed estrogen stimulation thickens the endometrial lining and increases your risk of developing hyperplasia. Losing even a modest amount of weight can positively influence your hormone levels and lower your risk.
Monitor and Manage Hormonal Disorders
Conditions like polycystic ovary syndrome (PCOS) or thyroid imbalances can disrupt ovulation and cause prolonged estrogen exposure. Treating these conditions with the help of your doctor—through medications, lifestyle changes, or hormone therapy—can help maintain hormonal equilibrium and prevent abnormal thickening of the uterus lining.
Control Blood Sugar and Insulin Levels
Women with Type 2 diabetes or insulin resistance are at greater risk of endometrial hyperplasia due to hormonal imbalances linked to these conditions. Regular monitoring of blood sugar levels, following a low-glycemic diet, exercising, and taking prescribed medications can improve insulin sensitivity and hormone regulation.
Use Hormone Therapy Wisely
If you're undergoing hormone replacement therapy (HRT) during or after menopause, make sure it includes both estrogen and progesterone, unless you’ve had a hysterectomy. Taking estrogen alone (unopposed estrogen) significantly increases the risk of hyperplasia and even endometrial cancer. Always discuss the safest HRT options with your doctor.
Use Birth Control Pills If Advised
Combined oral contraceptives (which contain both estrogen and progesterone) can help regulate your menstrual cycle and reduce the risk of excessive endometrial growth. They are often recommended for women with irregular periods or chronic anovulation.
Get Regular Gynecological Check-Ups
Annual pelvic exams, ultrasounds when needed, and early evaluation of any abnormal bleeding symptoms are essential. Early detection through routine monitoring allows for timely endometrial hyperplasia treatment, often before it progresses to a more serious condition.
Live an Active and Balanced Lifestyle
Regular physical activity, a diet rich in fiber, fruits, vegetables, and omega-3 fatty acids, and reducing processed foods and sugars all contribute to hormonal balance and overall reproductive health. Avoiding smoking and managing stress also support endocrine function.
Are There Any Complications of Prolonging Endometrial Hyperplasia Treatment?
Delaying or avoiding endometrial hyperplasia treatment can lead to serious and potentially irreversible complications. While some types of hyperplasia, especially those without atypia, may seem manageable or mild at first, neglecting treatment can allow the condition to worsen, increase the risk of cancer, and severely impact your quality of life. Possible complications of untreated endometrial hyperplasia include:
Progression to Endometrial Cancer
The most serious risk of untreated endometrial hyperplasia, especially the atypical forms, is progression to endometrial (uterine) cancer. Studies show that up to 30% of women with complex hyperplasia with atypia may develop cancer if left untreated. Once cancer develops, treatment becomes more intensive, often requiring major surgery, radiation, or chemotherapy.
Persistent Abnormal Uterine Bleeding
Ongoing irregular bleeding—between periods, after sex, or postmenopausal—can significantly affect daily life. It can lead to physical discomfort, anxiety, and social withdrawal. Persistent bleeding may also mask more serious underlying issues, delaying the detection of cancer or other gynecological conditions.
Heavy or prolonged menstrual bleeding can lead to iron-deficiency anemia, a condition where the blood lacks enough healthy red blood cells. This results in fatigue, shortness of breath, pale skin, and poor concentration. In severe cases, it may require iron therapy or blood transfusions.
Chronic Pelvic Pain and Discomfort
As the endometrial lining continues to thicken abnormally, some women may experience ongoing pelvic pressure or cramping. This discomfort can interfere with work, sleep, physical activity, and sexual health.
For women of reproductive age, untreated endometrial hyperplasia can interfere with normal ovulation and implantation, leading to difficulty conceiving. Additionally, prolonged hyperplasia may damage the uterine lining and reduce the chances of carrying a pregnancy to term.
Need for More Aggressive Treatment
Early-stage hyperplasia can often be managed with medication or minimally invasive procedures. However, untreated or prolonged cases may require more invasive surgical options like a hysterectomy, especially if atypia or cancer is present. This eliminates fertility and comes with longer recovery and higher healthcare costs.
Choose Artemis Hospital for Effective Endometrial Hyperplasia Treatment in Gurgaon
Artemis Hospitals offer the highest quality of care and most advanced treatments for every mother, every baby and woman of every age. Every day, we are dedicated to improving and advancing the well being of our patients. For women, we offer obstetric services, including high- risk maternal-fetal medicine, in addition to a full range of gynecologic services.
For our young patients, we provide consultation and care in more than 10 specialties including adolescent medicine, allergy and immunology, cardiology, critical care, endocrinology, hematology/oncology, infectious disease, neonatal-perinatal medicine, neurology, pulmonary medicine and surgery to name some. We take pride in our level IV nursery care for complex and critically ill newborns.
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Specialized medical and surgical management of gynecological problems.
Laparoscopic and Hysteroscopic Surgeries for treating various gynaecological diseases like ovarian cysts, endometriosis, chronic pelvic pain, ectopic pregnancy, fibroids and other diseases.
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Providing a world class and comprehensive care for the fetus in the mother's womb and mother's experiencing complex congenital abnormalities or complicated pregnancy.
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To book an appointment with some of the best gynaecologists in Gurgaon call our customer care at +91-124-451-1111 or WhatsApp us at +91 9599285476. You can also schedule an appointment through our online patient portal or download and register on the Artemis Personal Health Record mobile app, available for both iOS and Android devices.
Article By Dr. Nidhi Rajotia (Goel)
Unit Head - Obstetrics & Gynaecology
Artemis Hospitals
Frequently Asked Questions
Can endometrial hyperplasia go away on its own?
In mild cases without atypia, endometrial hyperplasia may resolve with hormonal regulation or lifestyle changes.
Can endometrial hyperplasia always cause cancer?
No, endometrial hyperplasia may not always cause cancer especially if there’s no atypia. Only atypical types pose a significant cancer risk.
Is pregnancy possible after endometrial hyperplasia?
Yes, particularly in younger women with early diagnosis and proper treatment.
Can birth control pills help treat endometrial hyperplasia?
Yes, they regulate hormones and are often used in treatment.
How long does it take to treat endometrial hyperplasia?
Treatment duration varies; simple types may resolve in a few months, while complex cases need longer monitoring.
Are there natural remedies for endometrial hyperplasia?
While no natural cure exists, diet and weight management can support recovery.
Does menopause reduce the risk of endometrial hyperplasia?
There are certain risks that may be present due to hormone therapy or lingering imbalances.
Who is the best gynaecologist near me for endometrial hyperplasia treatment?
Artemis Hospitals has some of the best gynaecologists in Gurgaon who offer advanced endometrial hyperplasia treatment with a high success rate. To know more, get in touch with us.
Which is the best hospital for endometrial hyperplasia treatment in Gurgaon?
Artemis Hospitals offer advanced endometrial hyperplasia treatment in Gurgaon for patients suffering from respiratory issues. To know more, contact us to book an appointment with some of the best gynaecologists in Gurgaon.
What factors affect the endometrial hyperplasia treatment cost in Gurgaon?
Endometrial hyperplasia treatment cost is influenced by factors like the type of surgery, hospital fees, surgeon's expertise, hospital bed, and diagnostic tests. To get a cost estimate, contact us to book an appointment with some of the best gynaecologists in Gurgaon.
Whom should I consult for endometrial hyperplasia treatment in Gurgaon?
Consult a gynaecologist specialising in diagnosing and treating gynaecological conditions with an excellent track record and a high success rate.
What foods help balance estrogen and progesterone?
Doctors usually recommend cruciferous vegetables, flaxseeds, and whole grains may help regulate hormones and help balance estrogen and progesterone.
Can endometrial hyperplasia recur?
Yes, endometrial hyperplasia can recur, especially without managing underlying risk factors or if atypia is present.
