Simple hyperplasia with atypia and IVF

[andromedae9]

Hi everyone,

I was wondering if there is any info on how hyperplasia is managed if you want preserve your fertility and not have a hysterectomy? I have been reading a lot online but various articles contradict eachother.

I am currently in the middle of IVF treatment and had a pre-treatment hysteroscopy a couple of weeks ago. The histology report showed that I have simple atypical hyperplasia - no sign of malignancy.

My fertility consultant has put me on Provera for a month and I think I will need to hav another hysteroscopy after that. I have also been reading about women that need to have a mirena coil put in for 6 months and then regular hysteroscopies to make sure the hyperplasia has not returned.

Any info regarding this would be appreciated.

Thanks for reading!

x

[DrTracieMiles]

Hello there.

We are so pleased to hear that your fertility consultant is keen to manage your simple atypical hyperplasia to protect your womb health during your IVF treatment.

Put simply the idea of using provera or the mirena coil, both providing the body with the hormone progesterone. The first systemically (supplying the whole body), the other locally , bathing the womb lining. Progesterone will "oppose " the hormone oestrogen which is likely to be causing the unwanted hyperplasia.

Hyperplasia comes in different grades , hence the regular hysteroscopies to make sure yours doesn't advance to something more worrying.

If you'd like to talk to our Nurse Specialist, Tracie on the phone, please email [e-mail] with your phone number and when are good/bad times to call.

Best Wishes,

The Ask Eve Team

[andromedae9 in reply to DrTracieMiles]

Hi,

Thank you for your reply and for clarifying things. I will pop Tracie an e-mail shortly.

Kind regards

[AnzC]

Hi I had atypical hyperplasia, but had a hysterectomy. I didn't want to go for the 3 monthly biopsies (it would feel like a waiting game and they are quite painful) as well as was told I was high risk. It is really difficult because if you go through IVF then not just physically but emotionally hysterectomy would probably not be such a good option. (I do struggle now emotionally as I was 41 when I had the operation.)

It is best to get the medical advise from the doctors and hospital. I trust that they would support you and provide you with the best assistance.

There are some good outcomes, I noticed these posts:

soulcysters.net/showthread....

Hope it all works out for you.