Ob-Gyn questions? Ask a gynecologist online.
Hi, It's Dr. C. Board certified Ob-gyne with 30+ years of experience. I do have extensive experience in menopausal management.
I'm very sorry to hear about this worry. With the doses of estrogen versus progesterone, it doesn't surprise me that the is a hyperplasia developed. Because the doses don't seem well balanced, hopefully the condition can be reversed. An alternative would be to slightly decrease the estrogen dose to maintain symptoms relief while boosting the progesterone level as you doctor has suggested. I can understand why he or she is most comfortable with stopping the estrogen altogether. Another alternative is to place a progesterone intrauterine device (Mirena IUD) to delivery the progesterone directly to the hyperplasia for more effective treatment. Normally in this situation we'd monitor every 3 months to see the impact of the treatment. The risk if as you already know, that a uterine cancer could develop. Stopping the estrogen right now decreases the risk that would happen but if you felt strongly about continuing the estrogen, a Mirena IUD with repeat evaluation of the lining in 3 months would be an ok alternative.
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