Treatment of endometrial hyperplasia by obstetrician-gynecologist Vitaliy Grigoryevich Kostenko in Dnipro.

Patients typically present with menstrual cycle irregularities, lower abdominal pain, abnormal or irregular discharge, or concerns about changes in reproductive health.

The doctor carefully reviews the complaints, studies the medical history, and, when necessary, orders additional tests to clarify the condition of the endometrium.

As a result, the patient receives a clear and understandable action plan—from recommendations for current behavior to the necessary diagnostic measures and ongoing monitoring over time.

Vitaliy Grigoryevich Kostenko pays particular attention to differential diagnosis and follow-up, which helps to adjust treatment in a timely manner and reduce the risk of complications.

When to See a Doctor

If you notice possible signs of endometrial hyperplasia or are experiencing discomfort, it is important not to delay a visit to an obstetrician-gynecologist. A consultation can help identify the causes of your symptoms and determine the next steps.

You should make an appointment with an obstetrician-gynecologist if, with endometrial hyperplasia, you notice:

• persistent or irregular uterine bleeding
• heavy menstrual periods that interfere with daily life
• prolonged spotting between periods with an unpleasant odor
• pain or a pulling sensation in the lower abdomen
• menstrual cycle disturbances, delays, or frequent changes
• a deterioration in your overall condition along with gynecological complaints
• recurring symptoms that were previously treated without success
• symptoms that become more severe and start affecting work or sleep
• no effect from previously prescribed treatment
• new complaints appearing after stressful situations or infections
• the need for a second opinion or treatment adjustment
• symptoms appearing for the first time after a long symptom-free period

Even if the symptoms seem minor, a clinic consultation can help rule out serious changes and choose the right approach to examination and monitoring. It is important to remember that timely medical attention helps protect your health and prevent possible complications. If you have any doubts or notice changes in your condition, you should see a specialist to avoid unnecessary risks.

Emergency conditions, or when you need to see a doctor urgently

• sudden and heavy uterine bleeding that does not stop for more than 1–2 hours
• severe, increasing lower abdominal pain that does not subside and gets worse
• severe pain accompanied by a high fever and chills
• bleeding or pain after an abdominal injury
• a sudden deterioration in condition with loss of consciousness or weakness

If you have these symptoms, do not wait for a scheduled appointment and seek emergency medical care. Our clinic offers a home-visit doctor service for prompt examination and assistance.

Causes and Risk Factors for Endometrial Hyperplasia

Understanding the possible causes and risk factors helps explain why endometrial hyperplasia develops and what issues should be checked with a doctor. This is important for choosing an effective approach to diagnosis and treatment.

Main causes / mechanisms (briefly)

• hormonal imbalance with excess estrogen
• menstrual cycle and ovulation disorders
• long-term continuous use of hormonal medications without medical supervision
• inflammatory processes in the uterine cavity
• changes after prolonged stress or surgical procedures

Risk factors

• age over 35–40, especially in the premenopausal period
• excess weight and metabolic syndrome
• diabetes mellitus
• hereditary predisposition to hormonal disorders
• chronic diseases of the reproductive system
• irregular menstrual cycles and late menopause
• smoking and other harmful habits
• stress and heavy physical exertion

Reversible causes that should be ruled out

• polyps or endometrial inflammation
• long-term use of medications without a doctor’s prescription
• certain systemic diseases that affect hormone levels

Endometrial hyperplasia often develops under the influence of multiple factors, so a comprehensive assessment is needed to choose the right treatment and monitoring strategy.

Diagnosis

The diagnosis of endometrial hyperplasia is aimed at identifying possible causes of the changes and clarifying the condition. The doctor carries out a step-by-step evaluation to create a clear plan for further tests and treatment.

Diagnostic approach

• taking a medical history to identify complaints and disease history
• gynecological examination to assess the condition of the pelvic organs
• basic laboratory tests when indicated
• ultrasound examination of the pelvic organs when indicated
• if necessary, hysteroscopy or endometrial biopsy
• analysis of the results and formulation of a preliminary treatment and follow-up plan
• discussion with the patient of next steps and recommendations

Typical indicated tests may include:

• ultrasound of the uterus and adnexa
• blood tests (hormonal profile, complete blood count)
• hysteroscopy to examine the inner surface of the uterus
• endometrial biopsy to clarify the diagnosis
• additional examinations if concomitant pathology is suspected

What to bring to the appointment

• results of previous examinations and tests
• a list of medications currently being taken
• a description or diary of symptoms, if kept
• information about the menstrual cycle and any changes
• questions or concerns you would like to discuss with the doctor

This step-by-step approach to diagnosing endometrial hyperplasia helps provide an accurate understanding of the condition and choose the most effective treatment and monitoring strategy.

Treatment

Treatment of endometrial hyperplasia is aimed at controlling symptoms and preventing progression of the condition. The treatment plan is selected individually, taking into account the patient’s characteristics and examination results.

Treatment goals

• reducing unpleasant symptoms and discomfort
• correcting hormonal balance and the underlying cause of the changes
• restoring normal uterine function and the menstrual cycle
• preventing possible complications and worsening of the condition

Main treatment approaches

• may include medication therapy when indicated to regulate hormonal levels
• use of non-drug methods aimed at supporting reproductive system health
• if necessary, minimally invasive procedures to clarify or correct the condition
• therapy is individualized and developed with consideration of comorbidities and patient-specific factors

What the doctor does

• selects and adjusts treatment depending on changes in the condition
• takes into account comorbidities and possible interactions
• monitors the appearance and severity of treatment side effects
• explains the criteria for evaluating effectiveness and the need to continue therapy
• refers the patient to other specialists when necessary for a comprehensive approach

What to expect: plan and follow-up

• approximate assessment of changes and treatment effects during follow-up
• regular monitoring of the condition with possible adjustment of the treatment plan based on results
• repeat visits are scheduled individually, depending on indications and symptom dynamics
• the importance of following recommendations and seeking timely medical attention if the condition changes

To develop an individualized treatment plan, please book a consultation with Dr. Vitaliy G. Kostenko.

Prevention

Prevention plays an important role in reducing the risk of endometrial hyperplasia and maintaining reproductive health. The prevention plan is selected individually, taking into account each patient’s specific characteristics.

Main measures of primary prevention

• maintaining a healthy weight and controlling metabolism
• a balanced diet with adequate vitamins and minerals
• quitting smoking and limiting alcohol consumption
• regular follow-up in the presence of hormonal disorders
• control of chronic conditions that affect hormonal balance
• minimizing stressful situations and supporting emotional balance

Screening and secondary prevention / regular monitoring

• regular gynecological examinations as recommended by a doctor
• pelvic ultrasound as indicated
• monitoring the menstrual cycle and seeking medical attention promptly if changes occur
• hormone level monitoring when necessary
• assessment of treatment effectiveness and changes in the condition

Practical advice

• record changes in the menstrual cycle and symptoms to discuss with your doctor
• talk with your doctor about possible lifestyle adjustments and treatment if you have concomitant conditions
• monitor sleep quality and stress levels
• try to maintain physical activity at a comfortable level
• avoid long-term self-administration of hormonal medications

Preventive measures help reduce the risk of developing endometrial hyperplasia and improve overall health, so regular consultation and evaluation by a specialist are important.

Important to know

Endometrial hyperplasia requires careful treatment and follow-up. It is important not only to relieve symptoms, but also to understand the causes of the condition in order to choose the most effective approach. Early medical evaluation helps reduce the risk of complications and progression. The condition can change over time, so dynamic monitoring and adjustments to the treatment plan may sometimes be necessary. Lifestyle, stress, sleep quality, and accompanying medical conditions can influence its course, and these are also taken into account when treatment is prescribed. Self-medication can make it harder to establish an accurate diagnosis and may lead to undesirable effects, so it is important to consult a specialist.

• Identifying the causes and triggering factors is more important than relieving symptoms alone
• Timely consultation helps determine the optimal treatment plan and reduce risks
• Dynamic monitoring makes it possible to adjust therapy when needed
• The course of the condition is influenced by stress, workload, sleep, and other health factors
• Choosing medications on your own may mask symptoms and complicate diagnosis
• The doctor takes all individual health factors into account for a comprehensive treatment approach

For detailed information about endometrial hyperplasia and treatment options, we recommend reading our general page, where diagnosis, therapy, and prevention are discussed in detail.

Self-care before your appointment: what you can and cannot do

Before your visit with Dr. Vitaliy Grigoryevich Kostenko, it is important to know how to safely support yourself and what to avoid so as not to worsen your condition or make diagnosis more difficult. If your symptoms worsen, it is recommended that you seek medical attention immediately.

What you can do before the appointment

• Write down when and how the symptoms appeared, as well as their intensity and the time of day
• Keep a symptom diary, noting possible triggers and changes in how you feel
• Bring a list of all medications and dietary supplements you are taking, with dosages if you know them
• Reduce physical activity and rest, especially if you have discomfort in the lower abdomen
• Measure and record your body temperature and other indicators if you know how
• Drink enough water to avoid dehydration
• Try to avoid stressful situations and get adequate sleep
• Take simple pain relievers if it is safe for you and there are no contraindications

What you should not do before the appointment

• Do not stop or change prescribed medications without consulting a doctor
• Do not start taking new medications or drugs with unknown effects without a doctor’s advice
• Do not use folk remedies or recipes without confirmed safety
• Do not try to interpret test or examination results on your own
• Do not postpone your doctor’s visit if symptoms worsen or new complaints appear
• Do not combine several self-treatment methods at the same time without consulting a doctor
• Do not ignore specialists’ recommendations and do not self-medicate

If there are signs of deterioration in your condition, seek help from Dr. Vitaliy Grigoryevich Kostenko immediately.

How can I help as a doctor with issues related to endometrial hyperplasia

During a consultation for endometrial hyperplasia, I can help you with the following:

• review symptoms and medical history to identify possible causes
• assess the severity of the condition and the risk of complications
• analyze current prescriptions and how well the therapy is tolerated
• develop a plan for next steps: tests, treatment, and follow-up
• take into account any comorbidities and medications you are already taking
• give recommendations on diet and lifestyle based on your individual needs
• explain how to monitor the condition and when a follow-up consultation is needed
• perform an initial evaluation of possible causes and differential diagnosis
• adjust treatment if the effect is insufficient or if side effects occur

Thus, the consultation provides a comprehensive view of the problem, helps choose the best management strategy, and ensures regular monitoring of your condition. This approach helps respond promptly to changes and maintain quality of life.

What questions can you ask a doctor about endometrial hyperplasia?

At an appointment about endometrial hyperplasia, you can discuss the following issues with Vitaliy Grigorievich Kostenko:

• irregular or heavy menstrual bleeding
• pulling or aching pain in the lower abdomen
• prolonged or unusual vaginal discharge
• recurring symptoms after previous treatment
• difficulty choosing an effective treatment or adjusting it
• the impact of comorbid conditions on the course of the disease
• the need for a second opinion on an already established diagnosis
• questions about prevention and monitoring of the condition

If you experience sudden heavy bleeding, severe worsening pain, or a decline in your overall condition, you need urgent medical care — do not wait for a scheduled appointment.

Common questions patients ask:

• What is happening to me, and why did these symptoms start?
• Why might this have appeared specifically now?
• How can endometrial hyperplasia be distinguished from other problems?
• What examinations are needed in my case?
• Which tests and studies are essential, and which can be omitted?
• How should I prepare for the appointment and the examinations?
• What treatment options are available, and how do they differ?
• Is it possible to get rid of the problem completely, or is it a chronic condition?
• What should I do if the prescribed treatment does not help?
• Can this be managed without medication or surgery?
• How long does treatment usually last, and how often is follow-up needed?
• What signs indicate that the condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

During the consultation, the doctor will discuss your complaints and symptoms in detail, assess your current condition, and choose the best diagnostic and treatment plan. If necessary, the doctor may refer you for additional consultations with related specialists or recommend emergency measures in urgent situations. This allows for comprehensive and safe care for women’s health, taking all individual factors into account.

How the consultation goes

A doctor’s consultation involves a thorough review of the patient’s complaints, an assessment of the current condition, and the development of a plan for further action. The scope of necessary examinations is determined individually, based on indications, depending on the symptoms and the results of the initial examination. It is not always possible to make a definitive diagnosis during one appointment; however, a plan for a comprehensive approach is developed.

1. Clarifying the complaints and the purpose of the visit: the main symptoms, their duration, factors affecting the condition, and the patient’s expectations are identified.
2. Collecting the medical history and risk factors related to women’s health and the reproductive system.
3. Reviewing previous treatment and examinations; if possible, the patient is advised to bring medical records and a list of medications being taken.
4. Performing an examination and, if necessary, additional specialized tests as indicated to assess the condition of the uterus and endometrium.
5. Formulating preliminary conclusions with an emphasis on identifying likely causes and ruling out serious conditions, without making a definitive diagnosis.
6. Creating an individualized examination plan, which may include ultrasound, laboratory tests, hysteroscopy, or endometrial biopsy as indicated.
7. Discussing general principles of treatment and patient management, taking into account the examination results and individual health characteristics.
8. Planning follow-up and subsequent visits to monitor progress, adjust therapy, and respond promptly to any changes.

If this is your first visit, the consultation will focus on a detailed clarification of symptoms and identifying possible causes. If previous treatment has not been effective, special attention is paid to analyzing the reasons and adjusting the treatment strategy.

Preparing for the Appointment

To make your consultation with an obstetrician-gynecologist about endometrial hyperplasia as effective as possible, it is important to prepare properly. This will help the doctor assess your condition more quickly and create a plan for further examination and treatment.

• Bring a list of all current medications, including names and dosages if you know them.
• Take with you the results of any previous examinations, including ultrasound images and laboratory tests.
• Write down your main complaints: when the symptoms started, and what makes the condition worse or better.
• Do not stop taking prescribed medications without consulting your doctor.
• If you have special instructions, come on an empty stomach — do not eat or drink for 8–12 hours (if recommended; уточните при записи).
• Avoid applying makeup and using hair products before the examination if this is important for the visit.
• If possible, prepare any questions or concerns you would like to discuss with the doctor.
• If you have records of your menstrual cycle and any changes, bring them with you.
• Bring your documents and, if needed, wear comfortable clothing for the examination.

If you have any questions about preparation, it is best to clarify the details when booking the appointment and not to change your medication regimen without agreement from the doctor.

About the doctor

Vitaliy Grigoryevich Kostenko is a highly qualified obstetrician-gynecologist with over 15 years of experience. He works with patients who require diagnosis and treatment of endometrial hyperplasia, including first-time consultations and cases with recurring symptoms or a chronic course.

The doctor pays close attention to identifying the underlying causes and monitoring the condition over time, and also takes comorbidities into account to ensure a comprehensive approach.

During your consultation, you will receive a clear explanation of your situation and a plan of further steps tailored to your individual needs.

Why do patients choose Dr. Vitaliy Grigoryevich Kostenko?

When treating endometrial hyperplasia, the doctor develops a clear action plan — from the initial assessment to monitoring results. This approach helps the patient understand what is happening at each stage and what to expect next. The examination and any tests are ordered only when indicated, which avoids unnecessary procedures and reduces the burden on the body. Special attention is given to reviewing previous prescriptions and possible side effects, which is important when adjusting therapy. The doctor takes into account comorbidities and medications, ensuring the safety and effectiveness of treatment. Ongoing follow-up and plan adjustments make it possible to respond to changes in a timely manner and prevent complications. The appointment includes a detailed interpretation of tests already performed, allowing treatment to be organized quickly without duplication. A clear explanation of risks and treatment options helps patients make informed decisions about their health.

• A clear treatment plan, understandable at every stage, makes the process easier to follow and reduces anxiety
• Tests are ordered only when necessary, without unnecessary interventions
• Reviewing previous prescriptions makes it possible to adjust treatment with side effects in mind
• Taking comorbidities into account ensures safety and a comprehensive approach
• Monitoring changes in the condition helps adjust treatment tactics in a timely manner
• Interpreting tests already completed speeds up treatment decision-making
• Explaining risks and alternatives leads to informed patient choices

This level of structure and attention to detail makes working with the doctor effective and comfortable. Patients receive not just treatment, but support at every stage, which is especially important in the long-term management of endometrial hyperplasia and associated conditions.

Case Studies

A middle-aged female patient presented with irregular and heavy uterine bleeding accompanied by pulling pain in the lower abdomen. It was important to rule out serious diseases and determine the possible causes of these symptoms. After the initial examination and the necessary tests were ordered, a thorough analysis of the results made it possible to identify a likely hormonal imbalance and changes in the endometrium. During subsequent treatment, the intensity of the bleeding decreased and the pain subsided. The patient remains under regular follow-up with periodic control visits to assess her condition and adjust therapy if necessary.

A young woman came for an appointment after an unsuccessful attempt to treat endometrial hyperplasia at another center, complaining of persistent discharge and discomfort. The physician performed repeat diagnostics, paying attention to previously received therapeutic measures and possible side effects. Based on a comprehensive analysis, the treatment approach was adjusted, taking concomitant factors into account. Within a few weeks, an improvement in symptoms and stabilization of the condition were observed. The physician arranged regular monitoring and supportive therapy to prevent a possible flare-up.

An elderly patient with a chronic course of the disease presented with a combination of endometrial hyperplasia and associated hormonal disorders. An important aspect was to take all comorbid conditions into account in order to develop a safe and effective treatment plan. The physician carefully reviewed the prescribed medications and adapted them to the patient’s specific characteristics. Over the follow-up period, the condition showed a reduction in symptoms and an improvement in overall health. Systematic monitoring continues, with possible further adjustment of therapy.

A middle-aged patient was admitted with worsening clinical symptoms, including increased bleeding and pain. It was necessary to quickly assess the severity of the condition and rule out emergency pathologies. After urgent diagnostics and stabilization of the condition, a maintenance therapy and prevention program for new flare-ups was developed. Follow-up visits showed positive progress, and the symptoms became less intense. The physician arranged regular examinations and provided recommendations to maintain the achieved result and prevent recurrences.

How long does a consultation last?

On average, a consultation takes 30–60 minutes. Please уточняйте details when booking.

How should I prepare for the appointment?

Please prepare a list of symptoms, previous examinations, and current medications; more details about preparation will be provided when you book.

What should I bring to the appointment?

It is recommended to bring test results, ultrasound results, discharge summaries, and a list of medications you are taking.

Do I need to come on an empty stomach?

Usually no, unless otherwise recommended when booking.

How many visits are usually needed for treatment?

The number of visits depends on the specific situation; usually several appointments are needed for examination and follow-up.

When can I expect the first results from treatment?

The first results depend on the chosen treatment approach and the patient’s individual characteristics.

What should I do if my condition worsens before the appointment?

If your condition worsens, contact a doctor. If you have severe symptoms or bleeding, urgent medical care is needed.

Can treatment be combined with my current medications?

Discuss this during the appointment; do not change your medication regimen on your own.

Is an online consultation available?

Yes, an online consultation is available at a convenient time.

Can I come with examinations already done?

Yes, please bring up-to-date examination results for assessment.

Do I need to come back for follow-up, and how often?

Follow-up visits are scheduled as needed for monitoring and treatment adjustment.

Can I get a second medical opinion?

Yes, a consultation with a second specialist is available at our clinic.

What should I do if symptoms return after improvement?

See a doctor to assess your condition and possibly adjust the treatment plan.

What examinations are needed for endometrial hyperplasia?

The examination plan depends on your symptoms and medical history; the doctor will choose the necessary tests.

How should I prepare for laboratory tests?

Please ask for preparation instructions when you are referred for tests.

Can treatment be carried out without examinations?

Examinations are ordered when indicated to assess your condition accurately.

Can I treat myself before the consultation?

It is better to avoid self-treatment so as not to complicate diagnosis or worsen your condition.

How can I tell if the treatment is effective?

Effectiveness is assessed by a reduction in symptoms and the results of follow-up examinations.

Can I skip a clinic visit and be treated online instead?

Online consultations are available, but in some cases an in-person examination and tests are required.