एंडोमेट्रियल हाइपरप्लासिया बिना एटिपिया के इलाज के विकल्प क्या हैं? - #50929

Best Treatment (Jo Aap Already Kar Rahe Hain) 🟢 1. Mirena IUD (Levonorgestrel IUS) – Gold Standard Mirena se: Uterus lining patli hoti hai Bleeding control hoti hai 90–95% cases me 6–12 months me hyperplasia reverse ho jati hai 📌 Usually 6 months baad repeat biopsy ya ultrasound ki jati hai improvement check karne ke liye. 📋 Aage Kya Karna Zaroori Hai? 1️⃣ Regular Follow-up 6 months baad endometrial biopsy Agar normal ho jaye → Mirena continue 3–5 saal tak 2️⃣ Weight Control (Bahut Important ⚠️) Aapne bataya unka weight issue hai. Obesity se estrogen zyada banta hai → lining fir se moti ho sakti hai. ✔ 5–10% weight loss se bhi improvement milta hai ✔ Daily 30 min walk ✔ Sugar, maida kam karein ✔ High fiber diet 💊 Agar Mirena Se Bleeding Continue Rahe To? Doctor kabhi kabhi: Short course oral progesterone dete hain Ya hysteroscopy karke polyp check karte hain Agar 12 months me improvement na ho → fir further management consider kiya jata hai. ❗ Kab Tension LenI Chahiye? Agar: Heavy continuous bleeding Severe pelvic pain Post-menopausal bleeding To turant gynecologist ko dikhayein.