II. Indications

III. Interpretation: Biopsy Results - Normal

  1. Atrophic endometrium
  2. Proliferative endometrium
  3. Secretory endometrium

IV. Indications: Biopsy Results - Abnormal

  1. Endometrial Cancer
  2. Endometrial Hyperplasia
    1. Cystic hyperplasia (rarely progresses to cancer)
      1. No treatment necessary
    2. Adenomatous hyperplasia (10% progresses to cancer)
      1. Intermittent or continuous Progestin
      2. Repeat biopsy in 3 to 6 months
    3. Atypical Adenomatous hyperplasia (25-50% progress)
      1. No future pregnancy planned
        1. Hysterectomy
      2. Future Fertility desired
        1. Consult with gynecology due to high risk
        2. High dose continuous Progestin
        3. Resample every 6 months

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