29) Endometrial Hyperplasia: Treatment with the LNG IUD (@dr_dervaitis)

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  • Опубликовано: 14 июл 2024
  • IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for up to 8 YEARS use for contraception. Progesterone levels decline after year 5 and thus extended use for other indications (heavy menstrual bleeding, simple endometrial hyperplasia) may vary.
    ******
    Dr. Kristina Dervaitis, a gynecologist in Newmarket, Ontario (Canada) answers your questions about IUC.
    ❓WHAT IS ENDOMETRIAL HYPERPLASIA?
    ❓What are the risk factors?
    ❓How is it diagnosed?
    ❓What is the difference between endometrial
    hyperplasia with or without atypia?
    ❓What are the treatment options?
    ❓What are the advantages of the levonorgestrel
    (hormonal) IUD as first line treatment?
    ❓What is the long term management?
    Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western Univers ityn

Комментарии • 503

  • @mistytaylor8166
    @mistytaylor8166 3 месяца назад +4

    After experiencing what I have with endometrial hyperplasia I was offered the iud option and I said Nope. I was prescribed medproxyprogesterone 2 times daily and thankfully it is working miracles.
    Cheers from a fellow Ontarion.

  • @aishahussain5045
    @aishahussain5045 Год назад +25

    Thank you very much very clear information. I'm having alot of these issues found on scan quite scary but I'm staying positive any females going through this I send healing and prayers 🙏 ❤

  • @veraemarion6697
    @veraemarion6697 6 месяцев назад +4

    Thank you so very much. I’m 62 was treated with Premarin 6 years ago. Now I’m being told I should get a complete hysterectomy Endometrial hyperplasia without atypia. I’m going to consult with my doctor about the iud now that I’ve seen your video. As I am a lot more informed as to my diagnosis. Thank you so very much .

  • @Djoanng
    @Djoanng 3 года назад +8

    Thank you for explaining this all so clearly.

  • @deebelle4318
    @deebelle4318 2 года назад +3

    Perfect and comprehensive description of this condition. Thank you so much Dr.
    ...

  • @mohamedhosny5847
    @mohamedhosny5847 4 года назад +4

    Thank you very very much it was an amazing lecture.

  • @emilybeeman3090
    @emilybeeman3090 3 года назад +28

    I just wanted to thank you for putting this together. I have been reading a lot about this and this was by far the most thorough discussion of endometrial hyperplasia. I especially appreciated the explanation of the two different types, with atypia and without. Best regards!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      You are most welcome! So glad you found it helpful. Thanks for watching and for your kind comment.
      All the best,
      Dr. Dervaitis

    • @mariamkassim9455
      @mariamkassim9455 Год назад

      Hii Quies beneficial.. May God bless you. I apreciate your vivid explanation

  • @SilviaSanchez-ff3we
    @SilviaSanchez-ff3we 4 месяца назад

    Thank you doctor. I had a biopsy done today, and I was unclear about the next steps. Very clear, and thank you for sharing your knowledge.

  • @cathietonkin5577
    @cathietonkin5577 8 месяцев назад +1

    Thank you Dr. Very helpful, I’m due within the month for this surgery!

  • @Jules_Jules
    @Jules_Jules 2 года назад +3

    Last year this time, I had extremely painful periods ( happened 6 months after I stopped oral contraception pill ), pain killers couldnt ease the pain. I felt like giving up on life! It was really really painful periods for the whole 7 days every month. Out of desperation, I went to a private gynecologist. She suggested mirena which I agreed to. Just over 1 months after, I experienced no more pain on my periods and not so heavy anymore. Its a life changing for me. And this video helped to be convinced to have mirena which I was sceptical before. Thank you for very helpful info, Doc🙏🙏

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад +1

      So glad to hear that your situation has improved and that you found the video helpful!
      All the best,
      Dr. Dervaitis

  • @chingu1425
    @chingu1425 4 года назад +3

    Thank you for this valuable info 🙏🦋🦋

  • @JaneSmith-dr4do
    @JaneSmith-dr4do 3 года назад +1

    Excellent video. I appreciate your knowledge on the subject of IUD's. 52 y/o dx with endometrial hyperplasia without atypia. Was recommended the Mirena IUD, now I know why. Wish my MD could have taken 15 minutes to explain. Thank you

  • @sheelaabhinaya
    @sheelaabhinaya 3 года назад

    Well explained....thank you

  • @firduasmiyanji8930
    @firduasmiyanji8930 Год назад

    Thank you so much.I really appreciate you explaining everything so well, it helps knowing the best way to go for treatment

  • @rmac2489
    @rmac2489 Год назад +1

    Oh how I wish I had seen your video 2 months ago. I have the endometrial hyperplasia but I am being treated with Medroxyprogesterone Acetate 10mg. The first month (taking pills on days 1-14 of the month) and what followed was the absolute worst bleeding I have ever had. It was so bad I called the Dr after 4 days of this really heavy bleeding because I was so alarmed by the unbelievable volume. The second month has been better but I so wish I knew about this IUD!!! That would have made things so much easier!!! Thank you for your video - so much important information.

  • @kavithagarimella4413
    @kavithagarimella4413 Год назад +3

    A very informative and clear cut explanation on a very complex and confusing symptom of the illness this is the best advice so far I got thank you 🙏

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  Год назад

      You are so very welcome! Glad you found the video helpful! -Dr. D

    • @MX1.1.
      @MX1.1. Год назад

      Same here. Thank you Dr.

  • @SylviaKakai-bm1hc
    @SylviaKakai-bm1hc Год назад

    Wow, I'm grateful for the clarity in the message.

  • @cynthiashesobless7155
    @cynthiashesobless7155 3 года назад

    Thank you for sharing

  • @annr2900
    @annr2900 3 года назад +5

    Thanks for the great videos! At my consultation appt I was told that the IUD may also be helpful for my endometriosis. Would love to see a video with more information about that too.

    • @LisaJazz
      @LisaJazz 2 года назад

      im new to your content, however really appreciate them (I am also in Canada). Im about to get an IUD due to high suspicion of endometreosis. Its getting put in next week and watching your videos have helped me prepare. Thank you.

  • @zarzilla392
    @zarzilla392 3 года назад +5

    Had a biopsy done last year (and was diagnosed with hyperplasia).
    I had heard a lot of people complain about how painful this procedure was. I made me SO ANXIOUS. I cried the night before because I was terrified.
    It literally takes only a few seconds. Once my OBGYN was done, I let out an extremely long sigh and started laughing. She asked me if I was ok. I replied "Sorry, it's just that... I had heard this hurt a lot, but quite frankly, I wish my period cramps hurt this little" She looked at me as if I was crazy.
    Moral of the story: "pain" is a very biased scale. It all depends on what type of pain you are used to deal with.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      Thank you for sharing your experience with the other viewers! I’m glad it wasn’t as uncomfortable as you had anticipated.
      All the best,
      Dr. Dervaitis

    • @marthasandoval8845
      @marthasandoval8845 Год назад

      My daughter has this condition , his doctor place an IUD and did a biopsy, she was doing okay, there was no more cancer cells but they insert another one for 11 years.why?

  • @alison3776
    @alison3776 4 года назад +5

    Dr Dervaitis, thank you very much for this informative video. I am going for Mirena IUD insertion today as EH treatment. I hope it works for me!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      So glad you found the video helpful Alison!
      All the best,
      -Dr. Dervaitis

    • @alison3776
      @alison3776 4 года назад +1

      Dr Dervaitis, may I know what is the purpose to do the biopsy periodically after Mirena is inserted and no more heavy bleeding? Many thanks!

  • @Apple-ml3rz
    @Apple-ml3rz 2 года назад +18

    Thank you for explaining this all so clearly & making it easy to understand!
    I had an endometrial biopsy a week ago as my wall is 15mm & I have bleeding in between periods. I’m still waiting on the results.
    People need to speak up about symptoms! I had the ultrasound only because I said I have irregular bleeding between periods. Then they found fibroids & a thick endometrial wall. Then they did the biopsy. It’s better to be safe than sorry. Speak up ladies.
    Hopefully I don’t have cancer. Ugh

    • @Apple-ml3rz
      @Apple-ml3rz 2 года назад +1

      My gynecologist tried putting in an IUD during my biopsy. She couldn’t get it in, she said I have scarring because of the 3 C-sections I’ve had. The biopsy was painful especially because she was trying to put the IUD in. Ouch.

    • @courtney4886
      @courtney4886 2 года назад +1

      Hope you are well. What was your outcome?

  • @maggiewalshkahlout6364
    @maggiewalshkahlout6364 Месяц назад

    Thank you so much for explaining this, makes it so easy to follow.

  • @rubiejones1897
    @rubiejones1897 2 года назад +2

    Thank you for this thorough and succinct video on endometrial hyperplasia. As a sufferer it is horrible. I really just want a hysterectomy. We have done an ablation and now an iud. I still have painful cysts and am tired. I’m hoping the mirena will stop the cyst formation too.

  • @a.s.r.3661
    @a.s.r.3661 2 года назад +3

    Great explanation, Dr! Thank you.

  • @barbarameehan113
    @barbarameehan113 10 месяцев назад

    Thank you Doctor. Wonderful explanation.

  • @sugeyalvarado6755
    @sugeyalvarado6755 5 месяцев назад +1

    Great video! So informative! Keep up the good work ❤

  • @janelee4961
    @janelee4961 Год назад

    Thank you so much for the clear explanation❤❤❤❤

  • @Caress1972
    @Caress1972 8 месяцев назад +3

    Thank you for the informative video. I wish we were more educated on what perimenopause means so when our body warns us with irregular bleeding, etc., we know it's time to get an exam and ultrasound STAT.

  • @dawnnc27
    @dawnnc27 Год назад +7

    Thank you for explaining this so clearly. Loved the fertilizer/mower reference. Now I understand.

  • @CLMG714
    @CLMG714 3 года назад +26

    Hi everybody. I hope this information helps. I have endometrosis atypia. Currently, I have the IUD Mirena for almost one year. Thankfully, my uterus lining went back to normal. My doctor is going to do surgery to check everything in December. My goal is to get pregnant.
    I hope the treatment works. My doctor has me taking Prenatal vitamins. Much love 💕 💫 good luck to all the ladies. Don’t loose hope.

    • @Baby2890
      @Baby2890 3 года назад +1

      Hi Cindy, how did it go with your doctor in December? Everything ok?

    • @CLMG714
      @CLMG714 3 года назад +4

      Yes, everything well well. My Mirena IUD was removed. I am still taking prenatal vitamins. Also, I am taking progesterone pills. My doctor prescribe me Letrozole.

    • @Kakers1288
      @Kakers1288 3 года назад +1

      🙏🙏🙏🙏

    • @meryanndanan3610
      @meryanndanan3610 3 года назад +2

      Hi Cindy.how old are u would u mind asking. Coz me iam 44 years old still I want to have Baby but same problem they want to put minera coil how can I get pregnant if I got.coil how long is the treatment takes place.

    • @CLMG714
      @CLMG714 3 года назад

      Hi Mery Ann. I am 35 years old. Update: when they took out the IUD, my body reacted bad. My hip and thigh got uneven. I was in severe pain but now I am fine. And with the IUD you can’t get pregnant.

  • @dorothywalter7951
    @dorothywalter7951 13 дней назад

    Thank you, Doctor!!! Excellent explanation!!!

  • @starseed462
    @starseed462 3 года назад

    Thank you 😊

  • @tyolahughes2279
    @tyolahughes2279 2 года назад +6

    Thank you for this in depth explanation. I have hyperplasia without atypia and just had an IUD(Mirena) procedure done as treatment.

    • @user-vk1ro2mw8g
      @user-vk1ro2mw8g 2 года назад

      Hello! How are you doing? I hope it’s working out well for you! Did you still get your period or experience any bleeding while in the IUD? Sending healthy vibes your way!

  • @JohannaRyerson-fg6xp
    @JohannaRyerson-fg6xp 5 месяцев назад

    Thank you for this video. It so informative. I appreciate your time.

  • @KreativeKontrolz
    @KreativeKontrolz 3 года назад +2

    You explained this perfectly

  • @Carebearr
    @Carebearr 2 года назад

    Thank you so much for making this educational video.

  • @KatJ3st
    @KatJ3st 4 года назад +4

    LOVE your glasses!!!

  • @MissRandom077
    @MissRandom077 Год назад

    Very informative. I had my 1st biopsy last week, waiting on my results. I’ve been experiencing bleeding for the last month after not having a period for a year. It came on for a full week, disappeared and now I’m experiencing spotting. Before my biopsy I had a vagina l ultrasound. Staying in prayer 🙏🏾.

    • @mohanarajesh4035
      @mohanarajesh4035 9 месяцев назад

      Biopsy result?

    • @MissRandom077
      @MissRandom077 9 месяцев назад

      Greetings. Well, I had to get an IUD because there was growth growing on my uterus, my Dr. stated that the IUD would stop the growth from growing and turning into cancer, such an ugly word when sitting with your Doctor. Nonetheless, other than bleeding everyday for the last three weeks, all is well. Thanks for asking. @@mohanarajesh4035

  • @arfa8091
    @arfa8091 3 года назад +1

    Thank you Dr for the great explanation. Can i know the available medications for second line treatment, examples of the the oral progestogens used with dosages

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      This info is beyond the scope of this channel. Talk to your doctor.
      -Dr. Dervaitis

  • @briderk
    @briderk 3 года назад +1

    I appreciated the explanation. Thank you very much

  • @ang7156
    @ang7156 2 года назад +1

    Thanks Dr.D for this informative video… it is clear and easy to understand 😊… I was diagnosed with endometrial hyperplasia without atypia and had my mirena insertion and it has been successfully treated.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад +1

      Glad you found the video helpful, and glad to hear you’ve been treated successfully!
      All the best,
      Dr. Dervaitis

    • @rudet79
      @rudet79 Год назад

      Hi @Ang, how long was your treatment before you saw results in treatment?

    • @ur_43vaqueen29
      @ur_43vaqueen29 Год назад

      This is great news! How long were u on the mirena before it work? Are u still on mirena?

    • @ang7156
      @ang7156 Год назад

      @@rudet79 hi Ruiz sorry for my late reply. I had my mirena insertion back in Dec 2021. It had an immediate good effect after the insertion, the bleeding has been reduced tremendously, completely agreed with with Dr D that this is an extremely effective treatment for endometrium hyperplasia. After 6 months the cell test result returned good.

    • @ang7156
      @ang7156 Год назад

      @@ur_43vaqueen29 hi… the abnormal bleeding stopped right after the mirena IUD insertion and the endo thickness was back to normal after 2-3 months if not mistaken (can’t recall the exact timeline). Though the cell test result returned good but I didn’t remove my mirena, just leave there since it can last for up to five years, just continue to receive the benefit of it and also to prevent future development of endometrial hyperplasia.

  • @mariecrisginez8427
    @mariecrisginez8427 4 года назад

    Thank you so much, it helps a lot were I have Endometrial Hyperplasia vs Endometrial Polyp now.

    • @mariecrisginez8427
      @mariecrisginez8427 4 года назад

      Hi Dr. I learned a lot from your video but I am very much worried for my health.. I have a prolonged menstruation at the moment for 3 months from May, June and July monthly period for more than 2 weeks of bleeding. My question is, Is it a sign of minaupausal at my age (47 yrs old)? Thank you.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      Hello-
      Menopause usually presents with irregular or less frequent periods (not prolonged bleeding).
      Unfortunately I can’t give personalized medical advice over the internet. I’d recommend that you see your doctor for further evaluation.
      -Dr. Dervaitis

  • @rdhami7639
    @rdhami7639 2 месяца назад

    Thanks so much. You explained so well. I am watching from uk. 🙏

  • @cmr6469
    @cmr6469 Год назад +2

    Very helpful information. More than my GYN doctor told me. I'm on the Mirena IUD (after having some post menopausal bleeding due to enlarged endomedtrium lining) but on Mirena IUD i've been spotting now for 3 weeks, i was going to ask my GYN to take it out but after this video i may keep it in for a little longer.

  • @snow8385
    @snow8385 Год назад

    I got mirena inserted two days back only, I took oral progesterone for about 2 months but still my endrometrial lining was 26.4 and this looked too scary and disturbing but finally I consulted another doctor and she said that mirena is the best option for this. Therefore, I got it done. However, it’s so rightly decided and done that IUD should be the first line of treatment. I must have not faced a lot of trouble if that couldn’t be in my case the first line treatment. But I thanks my doctor and god that I am able to get the treatment. And I am fine after it.

  • @SarahMerritt15
    @SarahMerritt15 Год назад +3

    I bled for 392 days straight, suffered a hemorrhage and lost half of my blood (didn’t have insurance so couldn’t get checked earlier)… I had 5oz of endometrium removed and an IUD placed and I’ve been doing great since! I was leery about getting the IUD at first, but it was an emergency situation and I had no choice, but I’m glad I got it!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  Год назад

      So sorry to hear about your experience, but glad to know that things are better with your hormonal IUD! Thanks for sharing your story other viewers.
      -Dr. Dervaitis

    • @JohannaRyerson-fg6xp
      @JohannaRyerson-fg6xp 5 месяцев назад

      I'm kind of going through the same thing. I'm so happy that you're feeling better

    • @charisse2152
      @charisse2152 5 месяцев назад +1

      Im. Bleeding continues. For4. Months now...veey heavy bleeding. 2 days ago the obgyne put in in depo shot.... Soooi hope it will. Stop. Im. Sooo. Tired. Of bleeding..

  • @dominic77999
    @dominic77999 3 года назад +1

    Great talk, many thanks, from UK :)

  • @Franciscosincorporated
    @Franciscosincorporated 3 года назад +1

    Hi Dr I am here in Kentucky and I have been going to the OBGYN for a quite a while now but haven't been since 2014 but just now had went back couple months ago for a pap and was prescribed medicine to take like normally as always😀..there for just went back on Sept 2nd and they did a ultrasound on my uterus and ovaries and everything on my results came back normal and my ovaries looked good and I'm not going through no pre-meanapause except for my uterus they said I had endometriosis hysplasia all because of a polyp on my uterus and but the main thing is that I have a very thick lining on my uterus as well ..so I go back on September 28th to see another DR from out of Louisville KY and get to know the Dr and see what there gonna say wether and what there gonna do , but I'm praying no hysterectomy unless otherwise .But the main reason why I have been going and having all these test done is because we're I haven't had a regular period since I was 13 but my last period was when in 2018 so there for I have irregular periods ,so what is your suggestion should I have a hysterectomy 😁 just want to get a second opinion before I see her on September 28th

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      This channel is not intended to provide personalized medical advice. Please discuss your treatment plan with your doctor.
      -Dr. Dervaitis

  • @KATHLEEN2304
    @KATHLEEN2304 2 года назад +1

    Thank you very much for this detailed and clear information Dr. I am 65 post menopause and a pelvic ultrasound revealed that I have EH too with a polyp. My OBGYN has recommended a D&C. Have no symptoms whatsoever so no pain, no bleeding nothing. I was living my life as normal until I asked for a routine check to be done as I have never been on any hormone replacement. Never! No one educated me about this. Generally, what would you recommend Doctor for postmenopausal women like me? Thank you.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      This channel is not intended to provide personalized medical advice. Talk to your doctor.

  • @teacherabegailgorospe4718
    @teacherabegailgorospe4718 4 года назад +2

    I am diagnosed with endometrial hyperplasia with atypia. I still don't have a child. But my Doctor really recommended me to have a hysterectomy. It's really depressing, but I need to accept .

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад +1

      Hello-
      Sorry to hear this.
      This channel is not intended to provide personalized medical advice. Complex hyperplasia with atypia is beyond the scope of this video and so I won’t comment further about fertility sparing options in this situation. I’d recommend that you discuss your future fertility concerns/ desires directly with your doctor.
      -Dr. Dervaitis

    • @brendame
      @brendame Год назад +1

      Teacher Abegail Gorospe Thank you for sharing !!! May I please know how you are doing ?

  • @mdtrk370
    @mdtrk370 2 года назад

    Great work. Love from India.

  • @casperfarva4824
    @casperfarva4824 Год назад +7

    About a month I found out I have 1 mm of complex hyperplasia with atypia. Due to me being younger I’m getting a D&C and they are putting a hormonal IUD in me. Thankfully I went in to check to see why I had heavy irregular bleeding and bleeding in between. The biopsy I was given wasn’t even that bad!

    • @Kinsken
      @Kinsken Год назад

      Hi, is the iud working out

    • @casperfarva4824
      @casperfarva4824 Год назад +2

      @@Kinsken for the most part it is. It’s a slow process though. In the mean time I’ve been following the doctors orders like eating healthy and trying to lose weight.

  • @sheetal5thakur
    @sheetal5thakur 10 месяцев назад

    I am in my mid 30s and I was diagnosed with Endometrial hyperplasia with Atypia last year in November 2022 , initially I was advised oral progesterone for 3 months ( megace -160mg) , my condition started reversing , one of the doctors suggested mirena coil as first line of treatment and today just after 3 months of mirena insertion my reports came back negative. Mirena definitely works better, there are some side effects like spotting and cramps and some people can develop candida but as my doctor said to me that benefits outweighs the risk and she was right. I have to wait for another 3 months in order to get second negative results.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  10 месяцев назад

      Glad to hear this! Just as a point of clarification, there has not been any study evidence to prove a link to IUD use and candida (yeast). Good luck with the rest of your treatment!
      -Dr. Dervaitis

  • @sitikhatijahejalawieya5652
    @sitikhatijahejalawieya5652 2 года назад +1

    Thank you so much for explanation , its a great video ❤️

  • @MK-Hogan
    @MK-Hogan 2 года назад +6

    Thank you for this thorough video. Since I’m 43 and have simple EH without atypia, I don’t understand why my doctor seems to be eager for me to resign myself to hysterectomy without further treatment options. My only other risk factor is that my maternal grandma had some kind of uterine cancer in her 40’s. I’m trying the 3 months of Progesterone with 14 days on, 14 days off. However, on the days I’m not taking it, my bleeding is extremely heavy. Instead of offering any kind of constant progesterone treatment instead though, so I won’t bleed, my doc is advising I basically just give up on treatment and have the surgery. It seems like I’d be a good candidate for an IUD as method of treatment now, or at least some kind of consistent progesterone to prevent the bleeding, then biopsy again in a few months. She told me I can’t have an IUD until I complete this 3 month course of oral progesterone and have another biopsy because we can’t biopsy with an IUD already in place. However, in speaking to other women with EH, I’ve learned that many of them were given an IUD right away and then biopsied with it in place later to determine the status of hyperplasia. I feel pressured or like my doc just doesn’t want to bother with me because it seems like there are other options available. She basically said the 3 month oral progesterone cycles are the only treatment for me to try and if it works, then I get can get an IUD. But if I can’t tolerate the 14 day bleeding in between progesterone cycles, why not at least try something else before hysterectomy? 🤦🏻‍♀️

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад +2

      It’s good that you’ve done your research! Trust your instincts. Keep in mind that the information I provide in this video is not simply my “opinion”- it is based on national guidelines for EH management. The levonorgestrel IUD is considered a first line management option for EH without atypia, and often has the advantage of diminished bleeding. And yes, it is indeed possible to do an endometrial biopsy with an IUD already in place.
      -Dr. Dervaitis

    • @Laura-sn7mh
      @Laura-sn7mh Год назад

      I was just diagnosed with same as you. I am 50. My dr recommend checking my thyroid. Well low and behold it’s super high. So she recommended getting that back to normal ans see if it helps with my periods. Sorry your dr is going to surgery right away. I also got put on same med as you. I’m only on day 2 so we shall next week when I’m get my period if it helps.

    • @wildorchidxxx2644
      @wildorchidxxx2644 Год назад +1

      The same here that is why I went to another obgyne to get another opinion.

    • @lynnpoag8173
      @lynnpoag8173 9 месяцев назад +1

      @@Laura-sn7mh Any updates? I’m going in for the biopsy soon and I had heard that it could be caused by thyroid issues, but Dr never mentioned that to me.

    • @Laura-sn7mh
      @Laura-sn7mh 9 месяцев назад

      @@lynnpoag8173 no clue if my thyroid issues were related or not. But dr put me on a med that now I have NO periods. It’s been amazing

  • @kesaraclark8468
    @kesaraclark8468 3 года назад

    Thank you very much, doctor!

  • @MATech-yu8gd
    @MATech-yu8gd Год назад

    Oh
    An amazing lecture
    By an amazing doctor
    I really enjoyed it dr

  • @laughsbeauty7152
    @laughsbeauty7152 3 года назад

    This video is amazing! Easy to understand! So if you have this with atypia, beginning stages, no children but would like children, what are treatment options?

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      Glad you found the video helpful.
      This channel is not intended to provide personalized medical advice, and management of hyperplasia with atypia is beyond the scope of this video. Talk to your doctor.
      All the best,
      -Dr. Dervaitis

  • @lifeinmyemptynest
    @lifeinmyemptynest 2 года назад

    I have been having post menopausal spotting and cramping for 5 years. It started at 51 yrs old. I’ve had two biopsies and two Hysteroscopies. I Was put on progesterone, did not work. I’m now 56, I still have thickening of my lining and had a polyp removed with my last Hysteroscopy. My new doctor is removing my uterus and cervix in March, thank goodness! I’m so tired of the pain. Thank you for this video.

    • @amritha825
      @amritha825 2 года назад

      I also had same condition i took ayurved herbal medicines from India. Now im okk. If u want i wil share that dr details okk

    • @brendame
      @brendame Год назад +1

      Life in My Empty Nest Thank you for sharing !!! May I please know how you are doing ?

    • @lifeinmyemptynest
      @lifeinmyemptynest Год назад +1

      @Brenda me, I’m doing great! I had a total hysterectomy, I’m very glad that I did. The recovery was painful!! I was in bed for 9 days, thank goodness for my family taking care of me. I had laparoscopic surgery, but it was still a painful recovery. No regrets 😊

    • @brendame
      @brendame Год назад +1

      @@lifeinmyemptynest So glad ot worked out for you !!! Sorry ot was so painful !!!
      Did you have the laroprscopy hysterectomy...where they made just a few small incisions ?
      Do you think you could have able to do this alone? I don't currently have anyone and after my scheduled surgery, I am afraid that I won't be able to do this all alone

    • @lifeinmyemptynest
      @lifeinmyemptynest Год назад +2

      @@brendame I did have it Laparoscopic. Everyone is different, my friend was up making dinner the next day. My insurance ok'd me to have an 'extended stay', (spent the night in hospital) thank goodness, I needed help walking to the bathroom. Once home, I needed help. Although if I had to, I could have managed, but it would not have been easy. Make meals for yourself ahead of time, easy things to just reheat. Make sure to take stool softeners, start a few days before surgery and bring some with you, the hospital will not give them to you, I was miserable!! You'll need so rest/sleep in an upright position, have lots of pillows ready. I had one on my belly also, the weight felt good. Even when you start to feel better, take it easy! I did not and then the pain came back. Feel free to message me anytime with questions. Do you have FB messenger? Best wishes. :)

  • @LobstahLovah523
    @LobstahLovah523 3 года назад

    Very helpful, thank you

  • @helenkalognomos
    @helenkalognomos 4 года назад

    Thank you for this video Dr. Do you by any chance know what the 1st line of treatment guidelines are in the US? I had a polyp removed last year that was without atypia and in one year it grew back and now has atypia, but my doctor only recommended an IUD recently and not a year ago. A year ago he said we just have to keep an eye on it. i feel like i missed out on a year of treatment that could have prevented the atypia.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      Hello-
      This channel is not intended to provide personalized medical advice.
      The management of focal hyperplasia contained within a polyp is a unique and very specific situation. I suggest you pose your questions to your doctor (who has the ability to review all the details of your case, pathology reports, etc).
      All the best,
      Dr. Dervaitis

  • @shunwilliams6180
    @shunwilliams6180 2 года назад

    Thank you so much for sharing 🥰🥰🥰

  • @MrNewjk
    @MrNewjk 2 года назад +1

    First of all, thank you so much for this perfect video!!
    Just some general questions..
    (1) does iud (mirena) likely to not reduce but just maintain the thickness one has? and
    (2) performing d&c before inserting an iud is a common practice?
    I'd really appreciate any comments you could provide.
    Thank you again!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      Hello-
      Glad you found the video helpful! This channel is not intended to provide personalized medical advice, I don’t have the details of your case and so can’t comment on the D&C issue (speaking generally, it is not always done if the hyperplasia diagnosis is well established and the gynecologist is confident that they have adequately sampled the uterine lining). Mirena is likely to THIN the lining (in most patients).
      -Dr. Dervaitis

  • @tinkerbell3594
    @tinkerbell3594 4 года назад

    Hello Dr. It is amazing to listen this video.. drs i am visiting are not as informative as you. I live in Ontario how can i come see you... I would like to discuss my special case. Please advise

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад +1

      Hello-
      I’m so glad that you found the video helpful!
      Although I am always accepting new patients (via family doctor referral) my practice is mostly focused on contraception, with also (non-surgical) Gynecology. I am not an endometrial hyperplasia or cancer “specialist”. Your family doctor will help you decide which specialist in your area to best refer you to.
      All the best,
      Dr. Dervaitis

    • @tinkerbell3594
      @tinkerbell3594 4 года назад

      Dr. Kristina Dervaitis thanks for replying honestly

  • @sharonkowlessar1029
    @sharonkowlessar1029 Год назад

    Exactly what the doctor told me,

  • @cherylhobbie7252
    @cherylhobbie7252 2 года назад +5

    To those of you who have hyperplasia with atipia and without cancer, the first thing the doctor seems to say is hysterectomy. I found a new doctor, an oncological gynecologist, at a major well known medical/research hospital. I have an appointment set to have an IUD with progesterone placed. I am placing this comment for informational purposes to let you know you should get a second opinion or more if you wish to pursue an alternative treatment. All of the videos I have found do not mention this, so I am advocating for you.

    • @brendame
      @brendame Год назад

      Cheryl Hobie Thank you for sharing !!! May I please know, how are you doing ?

    • @cherylhobbie3595
      @cherylhobbie3595 Год назад

      @@brendame Thank-you for asking! I am glad I touched someone and they are interested, possibly for yourself? If just one person does what I did that was my hope in posting. I am 66 so instead of treatment, the only recommendation from the first doctor was hysterectomy. I did not even have cancer. I had the IUD placed Jan. 3, 2022. March biopsy was hyperplasia no atypia. June biopsy was no hyperplasia, no atypia. Sept. biopsy not quite so good, detection of hyperplasia with atypia. Recommendation is to add progesterone oral pill. Not so excited at this as I have lost 30 pounds, one of the recommendations is to lose weight. The Megace is prescribed to increase progesterone to treat hyperplasia. It is also prescribed to HIV patients to INCREASE appetite, promoting weight gain. It was just prescribed and the pharmacy had to order it in, so I have not started it yet. We will see how that goes. My current doctor did say hysterectomy is an option. I replied it IS NOT an option. I hope this helps you! If you care to share your story with me, I am interested.

    • @user-ye6kh4tt3t
      @user-ye6kh4tt3t 17 дней назад

  • @DrKazAstro
    @DrKazAstro 4 года назад

    There’s a new paper on using he4 as a bio marker for success on Mirena for aeh. a 2016 paper as well. Will be very interesting if it becomes part of the protocol because some of us will have a better chance to keep our ovaries and their benefits into our later years if the data hold up.
    Also, Remission rates are high though aren’t they for cessation of iud treatment in aeh.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      Hello Karen-
      I wasn’t aware of that research- it sounds very interesting and I will definitely look into it further. Currently I am only treating EH patients WITHOUT atypia with the levonorgestrel IUD- if there is any decision to use the LNG IUD (or any other hormonal treatment rather than surgery...) for patients with atypia, it would need to be at the discretion and close supervision of a gyne oncologist (subspecialist).
      Thanks for watching and for your comments!
      -Dr. Dervaitis

  • @venuscabasis912
    @venuscabasis912 4 года назад +1

    Thank you for this informative video! Just wanna know if endometrial hyperplasia is the same with hyperplastic endometrial polyp? We just got my mother-in-law's biopsy result and it doesn't indicate whether it's with or without atypia.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад +2

      Hello-
      Generally this information would also apply to hyperplasia contained within a polyp, but each case is individualized (please consult your mother-in-law’s doctor for further guidance). Not having read the reports or reviewed the biopsy myself, I cannot comment on the issue of whether atypia is present or not in her case (which is a key issue in determining appropriate treatment, as I discussed in the video).
      -Dr. Dervaitis

  • @reesycasi
    @reesycasi Год назад

    Very informative!!

  • @thegreysgul8949
    @thegreysgul8949 4 года назад

    I am 27 years old with no kid’s . I have uterine hyperplasia and Doctor said he will be putting a iud for a year ..

  • @BlushingUnseen
    @BlushingUnseen 4 года назад +4

    If precancerous endometrial hyperplasia with atypia (EIN) is successfully treated with progesterone treatment in a women of child bearing years, what is the percentage rate of it coming back once treatment is stopped? Do you feel hysterectomy is inevitable? And if obesity is the root cause of this problem and patient loses the weight could that factor into it returning or not, again providing it was successfully treated with progesterone treatment? Sorry I hope those questions made sense!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      Hello-
      The answers to your questions depend on the individual situation, and aren’t really generalizable. Unfortunately I can’t give personal/individual medical advice over the internet. I’d recommend that you discuss these questions with your doctor.
      All the best,
      -Dr. Dervaitis

  • @melaniepanimdim3744
    @melaniepanimdim3744 4 года назад +1

    Thank you.very informative. Question dr Person had this endometrium hyperplasia is it possible to conceive a baby

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад +3

      Hi Melanie-
      Yes, after successful medical treatment of endometrial hyperplasia, there is no impact on fertility (ie pregnancy is still possible).
      -Dr. Dervaitis

  • @kimesch9698
    @kimesch9698 Год назад

    Thank you, thank you, thank you!💐

  • @Gangapriya0815
    @Gangapriya0815 3 года назад +1

    hi, dr what kind of exams do we need to find out our endometrial issues? blood test or camera insert to see? how to see or find out about the endometrial issues?
    I have heavy bleeding non stop prolonged bleeding.... not sure why...

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      This question is beyond the scope of this channel about IUC. This channel is not intended to provide personalized medical advice. Talk to your doctor.
      -Dr. Dervaitis

  • @cherylepp780
    @cherylepp780 3 года назад

    Hi I have been post menopausal for over 10 years and started spotting/bleeding about 2 years ago. I have had 3 endometrial Biopsies, 2 pelvic ultrasounds ( First ~7, second 8-9) and finally a hysteroscopy/ D &C in August of this year
    This procedure showed 1 0.8 x 0.6 x 0.3 cm polyp negative for atypia. It also showed a cystic atrophic endometrium.
    Gynocologist decided best course of action was insertion of Mirena IUD. Very light spotting for first couple of days, getting heavier and heavier daily. Am now soaking 2 pads a day and have some cramping all the time. Not foul smelling. Bright red blood.
    It has now been 6 weeks and do not have a follow up appointment for another month.
    Is this normal to have this kind of bleeding if post menopausal?
    Thanks

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      Hello-
      This channel is not intended to provide personalized medical advice. If you are concerned about your bleeding, talk to your doctor. For general information about bleeding after IUD insertion, see video #7:
      ruclips.net/video/KNI0uJSgLvs/видео.html
      -Dr. Dervaitis

  • @cherylhobbie7252
    @cherylhobbie7252 2 года назад +4

    I appreciated your like on my comment. It is impossible to find information on endometrial hyperplasia on the internet that does not offer treatment, only hysterectomy. I am 65 years old and want other women to know they can seek other options that are way less invasive if they are persistent and find they right doctor. Your like on my comment really was a moral booster for me!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад +2

      Thanks so much for your comments Cheryl! Glad you found the video helpful. Although treatment for endometrial hyperplasia depends on the individual situation, for cases of simple hyperplasia WITHOUT atypia, there are definitely options to consider other than surgery.
      Wishing you all the best!
      -Dr. Dervaitis

    • @lovelylipsticklady
      @lovelylipsticklady 3 месяца назад

      I have had an endometrial biopsy that determined I have non-atypical endometrial hyperplasia and no malignancy. I am 55 and post menopausal. Is it okay for me to get the Mirena IUD? Do I need a hysteroscopy first? Please help. ❤️

  • @naomirobertson4887
    @naomirobertson4887 Год назад

    My daughter had an 87 day period last year (2021) when she was 14 years old. The doctors said it was all due to stress and nothing more, they pressured giving her birth control pills and finally I caved when I felt like there was nothing else that would work to get the bleeding to stop. They never recommended any other solutions. All of her bloodwork and ultrasound at the time we’re “normal”. Today is December 21, 2022. She’s 15 years old and although her periods have become a bit more regular they have never gone back to what they used to be. She just had an ultrasound done and more blood work because she has been spotting heavily in between periods and even had a weeklong period Right after her regular cycle. The first day of her last period was December 7, 2022. The results for her endometrium: 8.2mm
    I see the test results online and haven’t heard back from the doctor yet. I was so nervous that I started here RUclips and that’s how I found your video. If you have any recommendations or advice on what to speak to her doctor with, I would gladly appreciate it.

    • @charisse2152
      @charisse2152 7 месяцев назад

      I had 93 days straight bleedingn and diagnose of endometrial hyperlasia..endometriossi and adenomyeos

    • @charisse2152
      @charisse2152 7 месяцев назад

      Im am.now on depo shot to stop the bleeding...althoigh i have a spotting while on depo but better than heavy bleed before

  • @salma_techie
    @salma_techie 2 года назад

    Thank you Doc

  • @mercilynalosbanos949
    @mercilynalosbanos949 4 года назад

    Thanks for the very informative video. I really enjoyed your videos.. From tjebPhilippines

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      So glad you found the videos helpful Mercilyn! Thanks for watching!
      😊Dr. Dervaitis

  • @emmarie7352
    @emmarie7352 3 года назад +1

    Is it harder for a patient with a thickened endometrium to get pregnant? Great video I got a scan and haven’t spoken to my Dr yet but my results show 13.2mm endometrium thickness 🥺

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад +2

      Hello-
      The “normal” values for endometrial thickness apply ONLY to patients who are menopausal (ie, there is no “normal” or “abnormal” value or range for women who are still menstruating). The thickness of the lining varies throughout the menstrual cycle. Reported ultrasound endometrial thickness would have no bearing on evaluating fertility potential.
      -Dr. Dervaitis

  • @daniellegreen1386
    @daniellegreen1386 2 года назад

    Hi! I’ve just been told i need to have a hysteroscopy and a biopsy done looking for endometrial hyperplasia. Thanks for this video, its a clear explanation and helped me massively. I’m terrified what this means in terms of pregnancy? I’m 27 and never been pregnant but this is something i want in the future.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      Endometrial hyperplasia is only diagnosed at biopsy. Usually the biopsy is done in the office (rather than at hysteroscopy). It is rare in young women (in their twenties) unless there are risk factors (eg. morbid obesity, or a genetic predisposition such as Lynch syndrome). There is not an established “normal” measurement of the endometrial lining in pre-menopausal women (it cannot be diagnosed by ultrasound). Treatment of hyperplasia (without atypia) with progesterone does not preclude future pregnancy.
      -Dr. Dervaitis

    • @janniebasil8391
      @janniebasil8391 Год назад

      What of with Atypia ? Can I still get pregnant after progestin therapy ?

  • @joeypayson8837
    @joeypayson8837 2 года назад

    I’m glad I found your page. Thanks for explaining this. So .. lol to save me emailing my oncologist again, when I go in for my 3 month biopsy- does that mean the IUD has to come out, then biopsy and then new iud back in? I was knocked out when they put the one in I have now but it’s been 3 weeks and I’m still cramping and bleeding like crazy and hoping it’ll stop soon - ha probably just in time to have the biopsy and start bleeding all over again.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      The IUD stays in place while the biopsy is done (it does not need to be removed).

    • @joeypayson8837
      @joeypayson8837 2 года назад

      @@dr.kristinadervaitis789 Thank you again for making this video. You have been the most informative and your voice is calming!

  • @MX1.1.
    @MX1.1. Год назад

    I got Mirena inserted a week ago due to Hyperplasia. Thanks Dr!

    • @jasethjackson1002
      @jasethjackson1002 9 месяцев назад

      Was having the same problem but the mirena iud works magic

    • @eimee8015
      @eimee8015 5 месяцев назад

      ​@@jasethjackson1002any update? Do you still have menstruation or heavy bleeding?

  • @rodacabigting8282
    @rodacabigting8282 4 года назад

    Hello I just want to ask I I was diagnosed with EIN recently started to take megace,why do I have chronic pelvic pain ever since I start taking the medicine

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад +1

      Hello-
      Unfortunately I can’t give personalized medical advice over the internet. If you are having problems with pain I’d recommend that you see your doctor.
      -Dr. Dervaitis

  • @charlietzizar4568
    @charlietzizar4568 3 года назад

    thank you so much for this video. Doc, is endometrium thickness ( 1.0 CM ) in secretory phase pre cancerous? I have suffered heavy bleeding for 3 months. I had 2 D&C and one hysteroscopy. If I have Mirena IUD inserted, can I also possibly take oral progesterone at same time? Thank you so much

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      Hello-
      There is no “normal” value for endometrial thickness on ultrasound in women who are still menstruating (the 5mm cutoff applies only to post menopausal women). It’s possible to take oral progesterone simultaneously with a levonorgestrel IUD in place (but wound be considered “off label” use, we do sometimes use both in specific situations- talk to your doctor for advice on this issue).
      Dr. Dervaitis

  • @kanenayugap6281
    @kanenayugap6281 2 года назад +1

    Hello just wanna ask how much milligram needed of progesterone intake in a day if diagnose of hyperplasia with atypia?

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      The dosage varies depending on what type of progesterone is prescribed. Talk to your doctor.

  • @cwcw2471
    @cwcw2471 4 года назад +4

    Thank you very much for the video, very timely for me. My question though is, if progesterone treatment stopped my period, is it still effective as a “mower” for Endometrial Hyperplasia without atypia?

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад +2

      Hello-
      Glad to hear the video was helpful!
      The answer is “yes”- no bleeding is a best case scenario and means the progesterone is working to thin out the lining of the uterus (ie, the opposite of over-growth).
      -Dr. Dervaitis

    • @cwcw2471
      @cwcw2471 4 года назад +1

      Dr. Kristina Dervaitis oh I see, my reasoning was wrong then, I thought thining out the uterus lining equates to shedding or bleeding,.........thank you for your response

    • @dustus..5684
      @dustus..5684 2 года назад

      @@cwcw2471 I started progesterone and had heavy bleeding for 30 days. I had a TVS to check if polyps and my lining had regressed 6mm but still I bled. Now on new pills and bleeding stopped. So now I worry no bleeding will create more estrogen.
      Also worried why I was bleeding too, has something been missed? urgh. xxx

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад +2

      No bleeding means the lining is being thinner by the medication, it does NOT mean “more estrogen”!
      -Dr. Dervaitis

    • @dustus..5684
      @dustus..5684 2 года назад

      @@dr.kristinadervaitis789 Thank you!

  • @emily8680
    @emily8680 4 года назад

    I was diagnosed with complex hyperplasia without atypia with hyperplaslic cells. They removed a lot of overgrowth and polyps. My 3 month biopsy was clear and I have my 6mo at the end of this month. If it comes back clear, I hope I can get pregnant fast. I’m having trouble finding success stories of pregnancy after treatment. I lost 131lbs and am a normal BMI. Lost all the weight before being diagnosed.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад +2

      Hi Emily-
      Glad to hear about your treatment success! And congratulations on your weight loss, which will have a dramatic impact on so many aspects of your health (including a decrease in your hyperplasia recurrence risk, a positive impact on your fertility potential, and a decrease in your overall pregnancy risk).
      Wishing you all the best!
      -Dr. Dervaitis

  • @fashionfanatic6507
    @fashionfanatic6507 3 года назад

    I have a thickened endometrium of 1.1 cm currently and it was previously in April 2020, 5.0mm I have had two ablations. Would I be a candidate for this IUD

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад

      This channel is not intended to provide personalized medical advice. If you have questions about your candidacy for an IUD, see your doctor.
      -Dr. Dervaitis

  • @mistyblue135
    @mistyblue135 4 года назад +1

    I'm currently experiencing heavy bleeding with occasional blood clots and have been taking medroxyprogesterone for 4 days. I had an endometrial biopsy and everything checked out okay. So I'm considering getting the Mirena IUD placed. How quickly can Mirena reduce the blood flow and can it safely be placed while I'm actively bleeding?

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      Please watch videos #19 and #20 for more info on the use of Mirena in treating heavy periods. (And yes, it can be safely placed while actively bleeding).
      All the best,
      -Dr. Dervaitis

    • @AscendedAtmosphereMinistries
      @AscendedAtmosphereMinistries 2 года назад

      I'm experiencing this as well.. any word on how it worked for you? Thank you.

  • @cml1179
    @cml1179 2 года назад

    Hi
    Thank you so much for such a informative video!
    I had hysteroscopy last wk and result was not great. I have endometrial polyps with complex atypical hypertropy.
    When I had hysteroscopy with D/C, doctor inserted mirena IUD as well.
    I feel much better after procedure, but my specialist saying that hystrectomy is the answer.
    What shall I do?
    I am so worried. (I am 47 years old)
    I am seeking your professional advice.
    Thank you so much!!!
    Lee

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      This channel is not intended to provide personalized medical advice. Talk to your doctor.

  • @AbeerSharaf
    @AbeerSharaf 2 года назад

    Can my doctor put the IUD if I’m heavily bleeding?

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      Yes- although there is a greater chance for expulsion in this situation, it’s still possible to insert.
      -Dr. Dervaitis

  • @luisepalma3189
    @luisepalma3189 4 года назад

    Hi Dr! I had been diagnosed of endo w/o atypia last year. I had been constantly seeing my doctor until before the pandemic. But now I am scared to go to hospital bec of the increase of covid cases. As of now I am on my 7th month of taking YAZ pills thou my doc advised to take the pills for 6months. I would just like to ask if the pills im taking is still safe to continue for a year. Thank you for your helpful video😊

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  4 года назад

      Hello-
      Unfortunately I can’t give personalized medical advice over the internet.
      Generally speaking, the standard of care for treatment of hyperplasia without atypia is PROGESTERONE. There is not a specific time frame or limit with respect to safe duration of use. It has not been my practice to prescribe a pill with both estrogen and progesterone for someone with this diagnosis, and so I cannot comment on your current treatment regimen.
      -Dr. Dervaitis

  • @bienaimeedwine
    @bienaimeedwine 3 года назад

    I was prescribed megestrol acetate 80 mg. I will look into it. What are side effects after removal?

  • @rachellie8175
    @rachellie8175 2 года назад

    Thank you Dr. Dervaitis for the informative video sharing. I recently diagnosed with complex atypical endometrial hyperplasia with a few small foci showing features which are highly suspicious for focal well differentiated endometroid adenocarcinoma. I'm looking for 2nd opinion aside my current gynecologist. What is the difference between Gynaecological Oncology and Urogynaecology? Do you refer your patience for the MRI if she diagnosed with complex hyperplasia with atypia? Thanks.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      A Gynecological Oncologist has a focus on cancer, a Urogynecologist has a focus on the bladder and pelvic floor issues. Both are skilled surgeons who can perform a hysterectomy.
      The use of MRI pre-operatively in cases of endometrial hyperplasia or cancer is beyond the scope of this channel. This channel is not intended to provide personalized medical advice. Talk to your doctor.
      -Dr. Dervaitis

    • @brendame
      @brendame Год назад

      Rachael Lie Thanks for sharing !!! May I please know how you are doing?

    • @rachellie8175
      @rachellie8175 Год назад

      @@brendame I’m doing fine now thanks how abt u?

    • @brendame
      @brendame Год назад

      @@rachellie8175 Doing well, Thanks !!!
      Did younget your second opinion ? Did you have a hysterectomy ? I have been diagnosed with Complex Hyperplasia with Atypia and ...a hysterectomy has been recommended

  • @cindykrueger9456
    @cindykrueger9456 2 года назад

    I had Mirena iud put in a month ago. Since then, I’ve read that a higher than expected number of reports with Mirena. There is risk of pseudo tumor cerebri which means “false brain tumor. Is there a better option? Thank you!

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  2 года назад

      As per the Bayer product monograph, there is not consistent or clear evidence to substantiate a causal link between Mirena and pseudotumour cerebri. Isolated case and anecdotal reports do not equate with evidence, and do not control for confounding variables. Some of this issue has been exaggerated in the media and online due to medico-legal opportunism.
      -Dr. Dervaitis

  • @StephanieSharp2
    @StephanieSharp2 3 года назад +1

    Thanks for the very informative video. I have recently been diagnosed with endometrial hyperplasia without atypia (much to my relief, as I had been under investigation for suspected endometrial cancer after an episode of PMB in October). I currently have a Mirena coil in situ and I have been on a diet to lower my BMI (have lost 30lbs in the last couple of years, hope to lose at least 25 more!). My question to you is, what effects, if any, does eating soy rich and phytoestrogens-containing foods, many of which comprise a healthy diet, have on my hormone balance? Is this counter productive to the idea that I need more progesterone in my system and less oestrogen? I really don’t wish to avoid eating Healthy food, but at the same time I am aware of keeping my hormones in balance so that I can reverse my endometrial hyperplasia. I wonder what your thoughts are? I haven’t mentioned this to my gynaecologist, yet. Thanks.

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад +1

      I’ve not read anything in the literature to say that patients with hyperplasia need to avoid dietary soy. I’m not aware of any quantifiable impact this would have on the endometrium, particularly when you have a Mirena in place that would counter any negligible effect.
      (If your doctor has read anything to the contrary and advises you differently I would be interested to learn more, so let me know!)
      -Dr. Dervaitis

    • @StephanieSharp2
      @StephanieSharp2 3 года назад +1

      @@dr.kristinadervaitis789 Thank you very much for your reply. It was really just something I was wondering about. I think the benefits of a healthy diet outweigh the risks of having some of the soy containing foods, as well. I feel reassured that the Mirena is definitely helping me. Thanks for going into detail about this condition.

    • @tanjongmalaika5997
      @tanjongmalaika5997 Год назад

      @@dr.kristinadervaitis789Hi doctor, please I have a thick endometrium of 18mm, this is 4 days before my period. Please should I be worried?

    • @Pdk764
      @Pdk764 Год назад

      Possibly but why take a chance on soy. EVERYTHING I have read on GMO soy is never good and is cancer promoting.

    • @brendaandrandyking4126
      @brendaandrandyking4126 11 месяцев назад +1

      Look up dr ken berry soy and then other videos on this subject will follow

  • @HairdesignsByAlison
    @HairdesignsByAlison 3 года назад +1

    Hi I know this is an older video so I'm hoping you can still help. Im in the UK and today was diagnosed as having non-atypical endometrial hyperplasia. Is this considered pre-cancerous? My mother died of ovarian cancer at the age of 52 and I'm terrified 😨

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад +1

      Please refer back to the video for a full explanation of endometrial hyperplasia without atypia.
      -Dr. Dervaitis

  • @anjumshaikh9885
    @anjumshaikh9885 3 года назад

    Hi please advise if someone's report have atypical endometrial hypothesis should they do laparoscopic hysterectomy or they can wait finding out ather treatment please respond need advice

    • @dr.kristinadervaitis789
      @dr.kristinadervaitis789  3 года назад +1

      Hello-
      This channel is not intended to provide personalized medical advice, please discuss your question with your doctor.
      -Dr. Dervaitis