30 year female ptnt.family plannig operation done before 3 years ago.c/o pain in abdomen,wght gain .plz sugesst rx

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Endometrial hyperplasia is overgrowth of endometrium. EH is caused by excess estrogen without progesterone. TYPES OF EH : *simple without atypia :1%risk of uterine cancer. *complex without atypia :3%risk of uterine cancer. *simple with atypia :8%risk of uterine cancer. *complex with atypia :29%progress to cancer. Endometrial thickness in a reproductive age woman: *during menstruation 2-4mm. *initial proliferative 5-7mm. *late proliferative 11 mm. *secretory period 8-16mm. Here in this patient 30 year old , sterilised, obese, secondary amenorrhoea ,no pcod give progesterone. patient will have withdrawal bleeding. start low dose ocp's for 6 months.

thnks a lot mam for ur valuable advice
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WHEN THERE IS A EH BETTER AVOID OC PILLS.CAN GIVE P IN SEQUENTIAL MANNER FROM 16 TH ONWARDS FOR IO DAYS. THE BEST IS CONFIRMATION OF EH BY ENDO BIOPSY THROUGH HYSTEROSCOPE.IF CONFIRMED FOLLOWUP IS IMPORTANT EVERY 6MONTHS USG &IF NEEDS BIOPSY.

get her thyroid and sugar profile endometrial biopsy to rule out ca or hormonal disturbances. if biopsy report normal can be put on progesterone fr some time

PID with endometriosis Oflaxacin + Tinidazole BD Aceclofenac Paracetamol saeropeptidase BD. pantaprazole OD. multivitamins OD. colposcopy pap smear test. TFT. Regular exercise. D& C if required.

Does she have menorrhagia or prolonged cycles,if not then scan her on day 5 of menses for endometrial thickness ,if less then5 mm ,no active treatment required,if more ,rule out polyp.Pain and weight gain has nothing to do with TL,rule out nongyn causes of pain

medical curettage with progesterone ..and 30 years ..18 mm is normal . .what's her wt as on now .whats Her BMI .do thyroid profile . any colitis or cystitis also can cause ..where is the exact location of pain ?is it vague or localised or radiated ..

Rule out hypothyroidism.

D&C n biopsy, antispasmodic.tsh,Prl,FSH,LH.,AMH,sr estradiol assay

there seems no relation with tubal ligation and current symptoms usg shows endometrial hyperplasia, but if no menstrual complaints then observation, as she is 30. may get a tsh for weight gain and sympyomatic treatment for pain

EH mostly due to excessive oestrogen level Go for D&C hormonal profile also And put patient on low dose of hormones fr regulation of periods and hormonal imbalance obesity is another factor to be checked As obesity cause insulin resistance nd pcod both again cause iregular periods nd hormonal imbalance nd this cycle keeps on going

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