What should the initial management of atypical hyperplasia be?
Women with atypical hyperplasia should undergo a total hysterectomy because of the risk of underlying malignancy or progression to cancer.A laparoscopic approach to total hysterectomy is preferable to an abdominal approach as it is associated with a shoer hospital stay, less postoperative pain and quicker recovery.Reference: RCOG Guidelines on endometrial hyperplasia
Cyclical progestogens
Continuous progestogens
MIRENA
Hysterectomy
Gynaecological oncology