Treatment of simple endometrial hyperplasia with atypia in 45 yr female:
(A) Hysterectomy (B) Progestin (C) Mirena (D) Postmenopausal women
(A) Risk of malignancies Management Simple Hyperplasia without Atypia- 1% Complex Hyperplasia without Atypia- 3% Progestin Therapy Simple Hyperplasia with Atypia- 8% Complex Hyperplasia without Atypia - 29% Hysterectomy Hysterectomy is the best treatment at any age with atypical endometrial hyperplasia because of the risk of invasive cancer.