Modern ideas about the etiology, pathogenesis and principles of treatment of endometrial hyperplasia


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Abstract

Endometrial hyperplasia is a complex and multifaceted problem in gynecology. The existing information on the development of endometrial hyperplasia is not sufficient and the specialists do not have a common understanding of the pathogenesis of the disease and its triggering mechanisms. At the same time, diagnostic and therapeutic approaches should be improved for a great number of women facing the problem of endometrial hyperplasia. Findings of the international and Russian scientists presented in the article reflect the current understanding of etiology, pathogenesis, diagnosis and treatment of this pathology. Progestogen therapy is pathogenetically justified and has proved to be effective. Among oral progestogens, dydrogesterone has progestogenic antiproliferative activity, an optimal safety profile and allows doctors to personalize therapy for patients with various somatic pathologies in order to control the symptoms of endometrial hyperplasia and prevent recurrence of the disease. Conclusion. Scientific data collection and possibility of providing personalized therapy for patients with endometrial hyperplasia can help improve diagnostics as well as the management of the patients and minimize the risk of recurrence of this pathology.

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About the authors

Natalia M. Podzolkova

Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Email: podzolkova@gmail.com
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology Moscow, Russia

Vera V. Korennaya

Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Email: drkorennaya@mail.ru
PhD, Associate Professor of the Department of Obstetrics and Gynecology Moscow, Russia

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