Tx of hyperplasia in women who wish to conceive

Question 1

Management of women with hyperplasia who wish to conceive

Answer 1

• Disease regression should be achieved on at least one endometrial sample before women attempt to
  conceive.
• Women should be referred to a fertility specialist
  to discuss the options for attempting conception, further assessment and appropriate treatment.
• Assisted reproduction may be considered as the live birth rate is higher and it may prevent relapse.
• Prior to assisted reproduction, regression of endometrial hyperplasia should be achieved as this is
  associated with higher implantation and clinical pregnancy rates.