In simple words: Endometrial hyperplasia is a condition where the lining of the uterus becomes too thick.It’s not cancer, but in some cases, it can increase the risk of developing uterine cancer later on.

A benign proliferation of the endometrium in the uterus.Endometrial hyperplasia is classified by its cytology and glandular tissue. It involves an overgrowth of the endometrial glands and can be categorized into simple or complex, with or without atypia, based on the cell structure and risk of progression to cancer.

Example 1: A 50-year-old woman experiencing irregular and heavy menstrual bleeding is diagnosed with simple endometrial hyperplasia based on an endometrial biopsy., A 65-year-old postmenopausal woman presents with vaginal bleeding.An ultrasound and biopsy confirm complex atypical endometrial hyperplasia, requiring a hysterectomy to prevent cancer development., A 42-year-old woman with polycystic ovary syndrome (PCOS) undergoes an endometrial biopsy showing benign endometrial hyperplasia, managed with progestin therapy.

Documentation should include details of the patient's presenting symptoms (e.g., abnormal bleeding, pelvic pain), findings from physical examinations, results of diagnostic tests (e.g., ultrasound, endometrial biopsy), and the specific type of endometrial hyperplasia diagnosed.

** Endometrial hyperplasia is often associated with hormonal imbalances, particularly an excess of estrogen relative to progesterone. Treatment options range from medication to surgical procedures depending on the severity and type of hyperplasia.