Today’s Quiz 9/2/22 Leave a Comment / Blog / By Dr Megha Mishra 30 12 z4 Endometrial Hyperplasia 1 / 2 1. Q5 EH For what minimum duration should progesterones ( Oral or LNG IUD) be given for treatment of Simple Endometrial Hyperplasia? A. 3 months B. 1 year C. 2 years D. 6 months Treatment with oral progestogens or the LNG-IUS should be for a minimum of 6 months in order to induce histological regression of endometrial hyperplasia without atypia. If adverse effects are tolerable and fertility is not desired, women should be encouraged to retain the LNG-IUS for up to 5 years as this reduces the risk of relapse, especially if it alleviates abnormal uterine bleeding symptoms. 2 / 2 2. Q6 EH A woman presents with Abnormal uterine bleeding. Endometrial biopsy reveals Endometrial hyperplasia without atypia. LNG IUD was inserted 4 months ago and her symptoms have subsided now. She wants to continue the LNG IUD for 5 years. What advice will you give her ? A. Discharge. Return for LNG IUD removal/replacement after 3 years. B. Continue LNG IUD. Return for biopsy after 6 months and 12 months from the initial biopsy. C. Continue on LNG IUD. Return if any menstrual symptoms. D. Continue LNG IUD. Return for repeat biopsy after 6 months from the initial biopsy. If this biopsy normal, she can be discharged. Treatment with oral progestogens or the LNG-IUS should be for a minimum of 6 months in order to induce histological regression of endometrial hyperplasia without atypia. - Endometrial surveillance incorporating outpatient endometrial biopsy is recommended after a diagnosis of hyperplasia without atypia. - Endometrial surveillance should be arranged at a minimum of 6-monthly intervals. - At least two consecutive 6-monthly negative biopsies should be obtained prior to discharge. Your score is LinkedIn Facebook Twitter Restart quiz Rate this quiz Send feedback
