Endometrial hyperplasia is often diagnosed by examining a woman for infertility. With such a pathology, it is not only very difficult to get pregnant, but absolutely it is impossible to do this.
However, do not be upset. Endometrial hyperplasia and pregnancy combine well, but after a course of treatment. To date, treatment schemes have been developed that allow you to successfully conceive and bear a baby.
Endometrial hyperplasia is its overgrowth. The cause may be chronic inflammation, but most often this condition occurs with an absolute or relatively high level of estrogen.
These female sex hormones contribute to the growth of the endometrium in the first phase of the cycle. They are produced in the ovaries, ripening follicles. However, after ovulation, progesterone becomes the main thing, which protects the endometrium from hyperplasia.
Therefore, this disease occurs with prolonged exposure to the uterus of estrogen, when there is no protective effect of progesterone. This is possible both with inadequate hormone therapy with estrogens, and with various diseases, for example, ovarian dysfunction, obesity, PCOS.
Endometrial hyperplasia is the result of a prolonged absence of ovulation and progesterone in the body. In addition, adipose tissue produces estrogens, especially when there is a lot of it. In the presence of ovarian tumors that produce hormones, their number also increases, causing hyperplasia.
With such hormonal disorders, ovulation, as a rule, does not occur. And even if it happens, in the altered endometrium, implantation of the embryo and its development become almost impossible.
And even if pregnancy has occurred, then it is very likely that it will develop with pathologies. In addition, bearing a baby in the presence of benign formations is contraindicated, since it accelerates the onset of a malignant process. Therefore, endometrial hyperplasia and pregnancy can trigger the development of uterine cancer.
For the prognosis and development of treatment tactics for this disease, its form is very important. It can be determined by histological examination of the endometrium. Get it with curettage. It is better to perform this procedure under the control of hysteroscopy. This increases the efficiency of the operation.
This manipulation is the first step in the treatment regimen. Then hormone therapy is performed. When choosing drugs, the age, weight, and concomitant diseases of the patient are taken into account.
The goal of treatment is to prevent the development of cancer and infertility. If the patient wants to become pregnant, prepare her for this.
Glandular endometrial hyperplasia and pregnancy are best combined, as it is the least likely to lead to cancer and is easier to treat. If complex atypical hyperplasia is diagnosed, then the treatment will be longer and more complicated. After performing the reproductive function, the patient may be offered removal of the endometrium or uterus, especially with relapses of the disease.
If the examination is diagnosed with endometrial hyperplasia, and IVF, ICSI is planned as a couple in the future, then the disease must first be treated, otherwise the attempts will be unsuccessful. After successful therapy, conception sets in.
However, endometrial hyperplasia and pregnancy can only be combined with a successful outcome of treatment. But how well the disease responds to therapy depends on neglect and individual characteristics. Relapses, the need to change the drug, increase the dose are possible. The constant monitoring of the doctor is important.
Thus, endometrial hyperplasia and pregnancy are compatible, however, only after successful treatment of the disease. Conception with such a diagnosis is not only problematic, but also extremely undesirable, since the likelihood of pregnancy complications and cancer development increases.