Endometrial hyperplasia is an abnormal build-up of the endometrium—the inside lining of the uterus. It progresses slowly through the early, simple, cystic, and then on up the ladder to complex adenomatous hyperplasia with atypia, before becoming a frank endometrial cancer. The two most common factors that can speed up that timeline are hormones and weight. Excess estrogens are stored in fatty tissue, and excess androgens are converted to estrogens in the fatty tissue and stored, which accelerates the hyperplasia’s growth.
The first step in determining if hyperplasia is present is a pelvic and transvaginal ulrasound, to evaluate the thickness of the endometrium. The endometrium is thickest before menstruation and thinnest after, so ultrasound should be performed within a day or two of when menstruation stops…when the thickness of the endometrium should be between 4mm and 6mm. It’s common for low-level hyperplasia to develop in perimenopausal women (when women experience the hormone changes associated with the beginning of menopause), but it usually spontaneously reverts to normal after menopause.
Most doctors want to first perform an endometrial biopsy (the removal of a small sample of endometrial tissue), which is an extremely painful procedure that is inadequate to diagnose hyperplasia. It only tells you what’s going on in the sample that’s removed, whether it’s normal or abnormal. In other words, it only tells you what’s going on in that tiny spot.
If an ultrasound reveals that the endometrium is abnormally thickened, it should be confirmed the following month with a repeat ultrasound to make sure that the first one was accurate. If the endometrium remains thickened after menstruation for two months in a row, then a DNC (dilation of the cervix and scraping of the lining of the uterus) is both diagnostic (to determine if it exists, and if so what level) and treatment (because the build up is removed). Whether or not further treatment is needed will be determined by the level of hyperplasia.

was done for me D n c. result is sample cysic hyperplasia without atypia yuor treatmnt please thanks