Simple endometrial hyperplasia + polyps

HI,

I have just been diagnosed with Polyps and endometrial Simple Hyperplasia. They did a endometrial Biopsy and a Sonohistogram which revealed the polyps. I haven't met my Doctor yet but the Nurse said that she was suggesting a Thermal Ablation and removal of Polyps.I'm fine with the Polyps removal but wary about having the Thermal ablation done for Hyperplasia.

A little background abt myself/.I'm 34 and I've had a myomectomy to remove grape fruit sized fibroid and 2 C-sections after that.The last time I had the c-section I had a few complications because the Doctor says my body has a lot of scar tissue and I should not be going in for another abdomical surgery.

I read about Thermal Ablation and they talk about scaring .I was on the South BEach diet eating a lot of meat more than my usual amout about 6 months back. Could this have caused my estrogen levels to increase and cause Hyperplasia.

My Question is does this Hyperplasia have to be treated or can it be left alone and hope that it will reverse if I change my diet to a more fiber rich diet to reduce the HArmone levels.How does D & C help Hyperplasia.

Thanks for taking the time to read my post and answer my questions.

I'm sorry you are having these problems. You have good questions lined up for your doctor. Write them down so you don't forget to ask about each concern.

Your GYN will be able to go over your treatment options and risks with each treatment and how to monitor your lining to ensure your safety/ lessen your risks for progression toward cancer. Some women opt for hormonal therapy (with progestrone) to keep the lining thin, mirena might also be something to ask your doctor about.

A D&C should thin down your lining (how to maintain a healthy lining will be the question.) A D&C will also provide more cells for pathology exam than what the endometrial biopsy did, to be sure there is no atypia, etc.

I don't have any dietary suggestions (sorry) other than if you are overweight, losing the excess pounds is recommended because our fat cells are a repository for estrogen. Again, good questions for your doctor. I'm not sure if your polyps and hyperplasia also caused you heavy bleeding, but if so, your GYN should have suggestions for keeping your iron stores healthy too.

A second opinion is always a good idea when we are making major medical decisions. When cancer risks are a concern, it's a good idea to obtain the opinion of a GYN-Oncologist since that's their area of expertise.

Good luck at your appt. Hope all goes well and you come up with a game plan you are comfortable with.

Sending gentle
Beth