29) Endometrial Hyperplasia: Treatment with the LNG IUD (@dr_dervaitis) 

Thank you very much very clear information. I'm having alot of these issues found on scan quite scary but I'm staying positive any females going through this I send healing and prayers 🙏 ❤

After experiencing what I have with endometrial hyperplasia I was offered the iud option and I said Nope. I was prescribed medproxyprogesterone 2 times daily and thankfully it is working miracles. Cheers from a fellow Ontarion.

Thank you for explaining this all so clearly.

Thank you so very much. I’m 62 was treated with Premarin 6 years ago. Now I’m being told I should get a complete hysterectomy Endometrial hyperplasia without atypia. I’m going to consult with my doctor about the iud now that I’ve seen your video. As I am a lot more informed as to my diagnosis. Thank you so very much .

Thank you very very much it was an amazing lecture.

Well explained....thank you

Thank you doctor. I had a biopsy done today, and I was unclear about the next steps. Very clear, and thank you for sharing your knowledge.

Thank you Dr. Very helpful, I’m due within the month for this surgery!

Perfect and comprehensive description of this condition. Thank you so much Dr. ...

Wow, I'm grateful for the clarity in the message.

Thank you for this valuable info 🙏🦋🦋

Thank you so much for explaining this, makes it so easy to follow.

Thank you for sharing

Thank you so much.I really appreciate you explaining everything so well, it helps knowing the best way to go for treatment

Thank you, Doctor!!! Excellent explanation!!!

Thank you so much for the clear explanation❤❤❤❤

Thank you Doctor. Wonderful explanation.

Thank you 😊

Great explanation, Dr! Thank you.

Great video! So informative! Keep up the good work ❤

Thank you for this video. It so informative. I appreciate your time.

Oh how I wish I had seen your video 2 months ago. I have the endometrial hyperplasia but I am being treated with Medroxyprogesterone Acetate 10mg. The first month (taking pills on days 1-14 of the month) and what followed was the absolute worst bleeding I have ever had. It was so bad I called the Dr after 4 days of this really heavy bleeding because I was so alarmed by the unbelievable volume. The second month has been better but I so wish I knew about this IUD!!! That would have made things so much easier!!! Thank you for your video - so much important information.

Thank you for the informative video. I wish we were more educated on what perimenopause means so when our body warns us with irregular bleeding, etc., we know it's time to get an exam and ultrasound STAT.

You explained this perfectly

Thank you for this thorough and succinct video on endometrial hyperplasia. As a sufferer it is horrible. I really just want a hysterectomy. We have done an ablation and now an iud. I still have painful cysts and am tired. I’m hoping the mirena will stop the cyst formation too.

Dr Dervaitis, thank you very much for this informative video. I am going for Mirena IUD insertion today as EH treatment. I hope it works for me!

Thanks for the great videos! At my consultation appt I was told that the IUD may also be helpful for my endometriosis. Would love to see a video with more information about that too.

Excellent video. I appreciate your knowledge on the subject of IUD's. 52 y/o dx with endometrial hyperplasia without atypia. Was recommended the Mirena IUD, now I know why. Wish my MD could have taken 15 minutes to explain. Thank you

Thank you for explaining this so clearly. Loved the fertilizer/mower reference. Now I understand.

I just wanted to thank you for putting this together. I have been reading a lot about this and this was by far the most thorough discussion of endometrial hyperplasia. I especially appreciated the explanation of the two different types, with atypia and without. Best regards!

LOVE your glasses!!!

Thank you so much for making this educational video.

Thank you for this in depth explanation. I have hyperplasia without atypia and just had an IUD(Mirena) procedure done as treatment.

A very informative and clear cut explanation on a very complex and confusing symptom of the illness this is the best advice so far I got thank you 🙏

Last year this time, I had extremely painful periods ( happened 6 months after I stopped oral contraception pill ), pain killers couldnt ease the pain. I felt like giving up on life! It was really really painful periods for the whole 7 days every month. Out of desperation, I went to a private gynecologist. She suggested mirena which I agreed to. Just over 1 months after, I experienced no more pain on my periods and not so heavy anymore. Its a life changing for me. And this video helped to be convinced to have mirena which I was sceptical before. Thank you for very helpful info, Doc🙏🙏

Thanks so much. You explained so well. I am watching from uk. 🙏

Thank you for explaining this all so clearly & making it easy to understand! I had an endometrial biopsy a week ago as my wall is 15mm & I have bleeding in between periods. I’m still waiting on the results. People need to speak up about symptoms! I had the ultrasound only because I said I have irregular bleeding between periods. Then they found fibroids & a thick endometrial wall. Then they did the biopsy. It’s better to be safe than sorry. Speak up ladies. Hopefully I don’t have cancer. Ugh

Thank you so much, it helps a lot were I have Endometrial Hyperplasia vs Endometrial Polyp now.

I appreciated the explanation. Thank you very much

Great work. Love from India.

Very helpful information. More than my GYN doctor told me. I'm on the Mirena IUD (after having some post menopausal bleeding due to enlarged endomedtrium lining) but on Mirena IUD i've been spotting now for 3 weeks, i was going to ask my GYN to take it out but after this video i may keep it in for a little longer.

Great talk, many thanks, from UK :)

Hi everybody. I hope this information helps. I have endometrosis atypia. Currently, I have the IUD Mirena for almost one year. Thankfully, my uterus lining went back to normal. My doctor is going to do surgery to check everything in December. My goal is to get pregnant. I hope the treatment works. My doctor has me taking Prenatal vitamins. Much love 💕 💫 good luck to all the ladies. Don’t loose hope.

Thank you Dr for the great explanation. Can i know the available medications for second line treatment, examples of the the oral progestogens used with dosages

Thank you very much, doctor!

Had a biopsy done last year (and was diagnosed with hyperplasia). I had heard a lot of people complain about how painful this procedure was. I made me SO ANXIOUS. I cried the night before because I was terrified. It literally takes only a few seconds. Once my OBGYN was done, I let out an extremely long sigh and started laughing. She asked me if I was ok. I replied "Sorry, it's just that... I had heard this hurt a lot, but quite frankly, I wish my period cramps hurt this little" She looked at me as if I was crazy. Moral of the story: "pain" is a very biased scale. It all depends on what type of pain you are used to deal with.

Oh An amazing lecture By an amazing doctor I really enjoyed it dr

Thanks Dr.D for this informative video… it is clear and easy to understand 😊… I was diagnosed with endometrial hyperplasia without atypia and had my mirena insertion and it has been successfully treated.

Very informative. I had my 1st biopsy last week, waiting on my results. I’ve been experiencing bleeding for the last month after not having a period for a year. It came on for a full week, disappeared and now I’m experiencing spotting. Before my biopsy I had a vagina l ultrasound. Staying in prayer 🙏🏾.

Thank you so much for explanation , its a great video ❤️

Very helpful, thank you

I got mirena inserted two days back only, I took oral progesterone for about 2 months but still my endrometrial lining was 26.4 and this looked too scary and disturbing but finally I consulted another doctor and she said that mirena is the best option for this. Therefore, I got it done. However, it’s so rightly decided and done that IUD should be the first line of treatment. I must have not faced a lot of trouble if that couldn’t be in my case the first line treatment. But I thanks my doctor and god that I am able to get the treatment. And I am fine after it.

Hi Dr I am here in Kentucky and I have been going to the OBGYN for a quite a while now but haven't been since 2014 but just now had went back couple months ago for a pap and was prescribed medicine to take like normally as always😀..there for just went back on Sept 2nd and they did a ultrasound on my uterus and ovaries and everything on my results came back normal and my ovaries looked good and I'm not going through no pre-meanapause except for my uterus they said I had endometriosis hysplasia all because of a polyp on my uterus and but the main thing is that I have a very thick lining on my uterus as well ..so I go back on September 28th to see another DR from out of Louisville KY and get to know the Dr and see what there gonna say wether and what there gonna do , but I'm praying no hysterectomy unless otherwise .But the main reason why I have been going and having all these test done is because we're I haven't had a regular period since I was 13 but my last period was when in 2018 so there for I have irregular periods ,so what is your suggestion should I have a hysterectomy 😁 just want to get a second opinion before I see her on September 28th

Thank you very much for this detailed and clear information Dr. I am 65 post menopause and a pelvic ultrasound revealed that I have EH too with a polyp. My OBGYN has recommended a D&C. Have no symptoms whatsoever so no pain, no bleeding nothing. I was living my life as normal until I asked for a routine check to be done as I have never been on any hormone replacement. Never! No one educated me about this. Generally, what would you recommend Doctor for postmenopausal women like me? Thank you.

Exactly what the doctor told me,

This video is amazing! Easy to understand! So if you have this with atypia, beginning stages, no children but would like children, what are treatment options?

Very informative!!

Thank you so much for sharing 🥰🥰🥰

Thanks for the very informative video. I really enjoyed your videos.. From tjebPhilippines

I am in my mid 30s and I was diagnosed with Endometrial hyperplasia with Atypia last year in November 2022 , initially I was advised oral progesterone for 3 months ( megace -160mg) , my condition started reversing , one of the doctors suggested mirena coil as first line of treatment and today just after 3 months of mirena insertion my reports came back negative. Mirena definitely works better, there are some side effects like spotting and cramps and some people can develop candida but as my doctor said to me that benefits outweighs the risk and she was right. I have to wait for another 3 months in order to get second negative results.

There’s a new paper on using he4 as a bio marker for success on Mirena for aeh. a 2016 paper as well. Will be very interesting if it becomes part of the protocol because some of us will have a better chance to keep our ovaries and their benefits into our later years if the data hold up. Also, Remission rates are high though aren’t they for cessation of iud treatment in aeh.

Thank you for this video Dr. Do you by any chance know what the 1st line of treatment guidelines are in the US? I had a polyp removed last year that was without atypia and in one year it grew back and now has atypia, but my doctor only recommended an IUD recently and not a year ago. A year ago he said we just have to keep an eye on it. i feel like i missed out on a year of treatment that could have prevented the atypia.

Hello Dr. It is amazing to listen this video.. drs i am visiting are not as informative as you. I live in Ontario how can i come see you... I would like to discuss my special case. Please advise

I bled for 392 days straight, suffered a hemorrhage and lost half of my blood (didn’t have insurance so couldn’t get checked earlier)… I had 5oz of endometrium removed and an IUD placed and I’ve been doing great since! I was leery about getting the IUD at first, but it was an emergency situation and I had no choice, but I’m glad I got it!

Thank you for this thorough video. Since I’m 43 and have simple EH without atypia, I don’t understand why my doctor seems to be eager for me to resign myself to hysterectomy without further treatment options. My only other risk factor is that my maternal grandma had some kind of uterine cancer in her 40’s. I’m trying the 3 months of Progesterone with 14 days on, 14 days off. However, on the days I’m not taking it, my bleeding is extremely heavy. Instead of offering any kind of constant progesterone treatment instead though, so I won’t bleed, my doc is advising I basically just give up on treatment and have the surgery. It seems like I’d be a good candidate for an IUD as method of treatment now, or at least some kind of consistent progesterone to prevent the bleeding, then biopsy again in a few months. She told me I can’t have an IUD until I complete this 3 month course of oral progesterone and have another biopsy because we can’t biopsy with an IUD already in place. However, in speaking to other women with EH, I’ve learned that many of them were given an IUD right away and then biopsied with it in place later to determine the status of hyperplasia. I feel pressured or like my doc just doesn’t want to bother with me because it seems like there are other options available. She basically said the 3 month oral progesterone cycles are the only treatment for me to try and if it works, then I get can get an IUD. But if I can’t tolerate the 14 day bleeding in between progesterone cycles, why not at least try something else before hysterectomy? 🤦🏻‍♀️

I am diagnosed with endometrial hyperplasia with atypia. I still don't have a child. But my Doctor really recommended me to have a hysterectomy. It's really depressing, but I need to accept .

Thank you Doc

I am 27 years old with no kid’s . I have uterine hyperplasia and Doctor said he will be putting a iud for a year ..

Thank you, thank you, thank you!💐

First of all, thank you so much for this perfect video!! Just some general questions.. (1) does iud (mirena) likely to not reduce but just maintain the thickness one has? and (2) performing d&c before inserting an iud is a common practice? I'd really appreciate any comments you could provide. Thank you again!

Can my doctor put the IUD if I’m heavily bleeding?

About a month I found out I have 1 mm of complex hyperplasia with atypia. Due to me being younger I’m getting a D&C and they are putting a hormonal IUD in me. Thankfully I went in to check to see why I had heavy irregular bleeding and bleeding in between. The biopsy I was given wasn’t even that bad!

Thank you.very informative. Question dr Person had this endometrium hyperplasia is it possible to conceive a baby

Thank you for this informative video! Just wanna know if endometrial hyperplasia is the same with hyperplastic endometrial polyp? We just got my mother-in-law's biopsy result and it doesn't indicate whether it's with or without atypia.

I have been having post menopausal spotting and cramping for 5 years. It started at 51 yrs old. I’ve had two biopsies and two Hysteroscopies. I Was put on progesterone, did not work. I’m now 56, I still have thickening of my lining and had a polyp removed with my last Hysteroscopy. My new doctor is removing my uterus and cervix in March, thank goodness! I’m so tired of the pain. Thank you for this video.

I’m glad I found your page. Thanks for explaining this. So .. lol to save me emailing my oncologist again, when I go in for my 3 month biopsy- does that mean the IUD has to come out, then biopsy and then new iud back in? I was knocked out when they put the one in I have now but it’s been 3 weeks and I’m still cramping and bleeding like crazy and hoping it’ll stop soon - ha probably just in time to have the biopsy and start bleeding all over again.

hi, dr what kind of exams do we need to find out our endometrial issues? blood test or camera insert to see? how to see or find out about the endometrial issues? I have heavy bleeding non stop prolonged bleeding.... not sure why...

That's my problem now and I need treatment

Thank you for your detailed information. My question concerns balancing hormones in the case of postmenopausal GSM. Is there a product or multiple products that could be considered to treat GSM locally using a balance of low dose estrogen and progesterone (e.g. Estring & Mirena)?

Is it harder for a patient with a thickened endometrium to get pregnant? Great video I got a scan and haven’t spoken to my Dr yet but my results show 13.2mm endometrium thickness 🥺

If precancerous endometrial hyperplasia with atypia (EIN) is successfully treated with progesterone treatment in a women of child bearing years, what is the percentage rate of it coming back once treatment is stopped? Do you feel hysterectomy is inevitable? And if obesity is the root cause of this problem and patient loses the weight could that factor into it returning or not, again providing it was successfully treated with progesterone treatment? Sorry I hope those questions made sense!

Thank you soooo much

Hi! I’ve just been told i need to have a hysteroscopy and a biopsy done looking for endometrial hyperplasia. Thanks for this video, its a clear explanation and helped me massively. I’m terrified what this means in terms of pregnancy? I’m 27 and never been pregnant but this is something i want in the future.

I got Mirena inserted a week ago due to Hyperplasia. Thanks Dr!

Hi I have been post menopausal for over 10 years and started spotting/bleeding about 2 years ago. I have had 3 endometrial Biopsies, 2 pelvic ultrasounds ( First ~7, second 8-9) and finally a hysteroscopy/ D &C in August of this year This procedure showed 1 0.8 x 0.6 x 0.3 cm polyp negative for atypia. It also showed a cystic atrophic endometrium. Gynocologist decided best course of action was insertion of Mirena IUD. Very light spotting for first couple of days, getting heavier and heavier daily. Am now soaking 2 pads a day and have some cramping all the time. Not foul smelling. Bright red blood. It has now been 6 weeks and do not have a follow up appointment for another month. Is this normal to have this kind of bleeding if post menopausal? Thanks

Hello just wanna ask how much milligram needed of progesterone intake in a day if diagnose of hyperplasia with atypia?

What about age-related hormone imbalances?

Hello I just want to ask I I was diagnosed with EIN recently started to take megace,why do I have chronic pelvic pain ever since I start taking the medicine

Some of the pathology lectures/videos I’ve seen talk about endometrial hyperplasia without atypia and disordered proliferative endometrium being kind of like the same thing, or on the same spectrum, and that pre-menopausal or peri-menopausal women would be more likely to be diagnosed with disordered proliferative endometrium. Should disordered proliferative endometrium be treated, and should it be treated the same as endometrial hyperplasia without atypia?

Thank u. I have a question. How much thickened endometrium is considered to be endometrium cancer. I have 29mm endometrium thickness

I was diagnosed with complex hyperplasia without atypia with hyperplaslic cells. They removed a lot of overgrowth and polyps. My 3 month biopsy was clear and I have my 6mo at the end of this month. If it comes back clear, I hope I can get pregnant fast. I’m having trouble finding success stories of pregnancy after treatment. I lost 131lbs and am a normal BMI. Lost all the weight before being diagnosed.

I'm currently experiencing heavy bleeding with occasional blood clots and have been taking medroxyprogesterone for 4 days. I had an endometrial biopsy and everything checked out okay. So I'm considering getting the Mirena IUD placed. How quickly can Mirena reduce the blood flow and can it safely be placed while I'm actively bleeding?

Hi Thank you so much for such a informative video! I had hysteroscopy last wk and result was not great. I have endometrial polyps with complex atypical hypertropy. When I had hysteroscopy with D/C, doctor inserted mirena IUD as well. I feel much better after procedure, but my specialist saying that hystrectomy is the answer. What shall I do? I am so worried. (I am 47 years old) I am seeking your professional advice. Thank you so much!!! Lee

I was prescribed megestrol acetate 80 mg. I will look into it. What are side effects after removal?

Thank you Dr. Dervaitis for the informative video sharing. I recently diagnosed with complex atypical endometrial hyperplasia with a few small foci showing features which are highly suspicious for focal well differentiated endometroid adenocarcinoma. I'm looking for 2nd opinion aside my current gynecologist. What is the difference between Gynaecological Oncology and Urogynaecology? Do you refer your patience for the MRI if she diagnosed with complex hyperplasia with atypia? Thanks.

I have a thickened endometrium of 1.1 cm currently and it was previously in April 2020, 5.0mm I have had two ablations. Would I be a candidate for this IUD

Hi Dr! I had been diagnosed of endo w/o atypia last year. I had been constantly seeing my doctor until before the pandemic. But now I am scared to go to hospital bec of the increase of covid cases. As of now I am on my 7th month of taking YAZ pills thou my doc advised to take the pills for 6months. I would just like to ask if the pills im taking is still safe to continue for a year. Thank you for your helpful video😊

wondering if you have a video talking about the zinc deficiency when we insert a copper IUD and the dangers when there is too much copper and what we can do about it. Thank you =)

Hi please advise if someone's report have atypical endometrial hypothesis should they do laparoscopic hysterectomy or they can wait finding out ather treatment please respond need advice

is the overgrowth lining of uterus same as endometriosis?