Endometrial hyperplasia is a thickening of the inner lining of the womb uterus. It usually causes abnormal vaginal bleeding. It may return to normal without any treatment in some cases. In others, hormone treatment or an operation may be needed.
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Bleeding after menopause: Is it normal? - Mayo Clinic
Postmenopausal bleeding is vaginal bleeding that occurs after menopause; when periods have stopped for more than a year in women who are generally over 45 years, or in younger women whose ovaries have failed early. The first signs of menopause may be flushing, mood changes and palpitations, and hormonal testing may diagnose menopause if you have high follicle-stimulating hormone FSH and low oestrogen levels. Women who are taking hormone replacement therapy HRT for more than six months and have irregular vaginal bleeding are considered also to have a postmenopausal bleed because this is unusual. There are many causes of postmenopausal bleeding and normally it is benign not due to cancer. Some common benign causes of postmenopausal bleeding include the following conditions detailed below.
Endometrial hyperplasia is a condition in which the endometrium lining of the uterus is abnormally thick. There are four types of endometrial hyperplasia. The types vary by the amount of abnormal cells and the presence of cell changes. These types are: simple endometrial hyperplasia, complex endometrial hyperplasia, simple atypical endometrial hyperplasia, and complex atypical endometrial hyperplasia.
Endometrial hyperplasia is the abnormal thickening of the lining of the uterus due to an increase in the number of endometrial glands. This disorder most often affects young women who are just beginning to menstruate and older women approaching menopause. In most cases endometrial hyperplasia is not a serious health risk. In some women, microscopic examination of endometrial tissue may reveal abnormalities in cellular nuclei, a precancerous disorder sometimes referred to as atypical adenomatous hyperplasia, which may lead to endometrial uterine cancer. However, most cases of endometrial hyperplasia are benign and respond well to treatment with hormones or minor surgery.