Uterine Lining Overgrowth: What It Is and How to Deal With It
If you’ve heard the term “uterine lining overgrowth,” you’re probably looking at a condition called endometrial hyperplasia. In simple terms, the inner wall of the uterus (the endometrium) gets thicker than it should. That extra tissue can cause irregular bleeding, spotting between periods, or heavier flow during your period.
Why does this happen? Most often it’s linked to too much estrogen without enough progesterone to balance it out. Things like obesity, polycystic ovary syndrome (PCOS), and certain hormone‑replacement therapies can push estrogen levels up. Even some medications that affect hormones, like tamoxifen, can tip the scales.
Spotting the Signs Early
The biggest clue is a change in your menstrual pattern. If you notice bleeding after menopause, unusually long periods, or spotting between cycles, it’s worth getting checked out. Some women also feel pelvic pressure or notice discharge that seems different from normal.
Don’t wait for the symptoms to get worse. A quick visit to your doctor can lead to an ultrasound and a simple tissue sample (biopsy) that tells whether the lining is just thickened or showing abnormal cells that could turn into cancer if left untreated.
Treatment Paths That Actually Work
Treatment depends on how severe the overgrowth is and whether you want to preserve fertility. For mild cases, doctors often prescribe progestin pills or a hormonal IUD. These add progesterone directly where it’s needed, helping the lining thin out.
If the biopsy shows atypical cells (a higher risk of turning cancerous), stronger options like oral progestins at higher doses, or even a hysterectomy may be recommended. Some newer studies show that a short course of low‑dose aspirin can improve hormone balance for women with PCOS, but always talk to your doctor before adding anything.
Lifestyle changes also matter. Losing excess weight, exercising regularly, and cutting down on alcohol can lower estrogen levels naturally. Eating plenty of fiber (fruits, veggies, whole grains) helps the body process estrogen more efficiently.
Bottom line: uterine lining overgrowth is a manageable condition when caught early. Keep an eye on any changes in your bleeding pattern, get a prompt check‑up if something feels off, and follow the treatment plan that fits your health goals.
