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Состояние считается доброкачественным, но иногда (особенно при атипичных формах) грозит возникновением рака [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/). \n\nВыделяют два основных типа гиперплазии эндометрия [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/): \n1. **Гиперплазия без атипии** — разрастание желёз эндометрия при сохранённой структуре клеток, низкий риск перерождения в злокачественную опухоль (менее 5%) [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/). \n2. **Гиперплазия с атипией** — сопровождается нарушением клеточной дифференцировки и архитектуры тканей, что значительно повышает риск развития рака эндометрия [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/).\n\n\n\n## Причины\nОсновная причина — **нарушение баланса эстрогена и прогестерона** [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/). Избыточный синтез эстрогена и нехватка прогестерона приводят к разрастанию эндометрия [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/). \n\nНекоторые факторы риска: \n* начало менструации в раннем возрасте [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/); \n* поздняя менопауза [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/); \n* наследственная предрасположенность [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/); \n* ожирение — лишняя масса тела провоцирует продуцирование эстрогенов в жировой ткани [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/); \n* приём некоторых медикаментозных средств, например, при монотерапии эстрогенами или использовании антиэстрогенных препаратов [7](https://voronezh.sovamed.ru/zabolevaniya/giperplaziya-endometriya/).\n\n## Симптомы\nЧасто болезнь протекает бессимптомно и выявляется случайно — при УЗИ или обращении по поводу нерегулярного цикла, выделений и проблем с зачатием [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/). Некоторые симптомы: \n* нарушения менструального цикла (нерегулярность, длительность менструации более 5–7 дней, обильные выделения) [10](https://www.invitro.ru/library/bolezni/30831/); \n* кровотечение в середине менструального цикла [10](https://www.invitro.ru/library/bolezni/30831/); \n* кровотечение в период менопаузы и постменопаузы [10](https://www.invitro.ru/library/bolezni/30831/); \n* тяжесть, ноющая боль внизу живота [10](https://www.invitro.ru/library/bolezni/30831/); \n* боль во время и после полового контакта [10](https://www.invitro.ru/library/bolezni/30831/).\n\n## Диагностика\nДиагностикой и лечением гиперплазии эндометрия занимается акушер-гинеколог [13](https://gemotest.ru/info/spravochnik/zabolevaniya/giperplaziya-endometriya/). Некоторые методы диагностики: \n* **УЗИ органов малого таза** (в том числе трансвагинальное) — выявляет возможные аномалии в структуре матки и эндометрия [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/). \n* **Гистероскопия** — эндоскопическое исследование позволяет напрямую осмотреть полость матки с помощью камеры, введённой через шейку матки [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/). \n* **Пайпель-биопсия или раздельное диагностическое выскабливание** — забор тканей эндометрия специальной трубочкой (пайпеля), которая проходит через шейку матки [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/). Исследование полученного материала помогает определить степень гиперплазии [4](https://www.reaviz.com/about/articles/giperplaziya-endometriya-matki-prichiny-i-sposoby-lecheniya/).\n\n## Лечение\nВыбор тактики лечения зависит от разновидности гиперплазии, вызвавших её причин и индивидуальных особенностей организма женщины [1](https://mammaclinic.ru/zabolevaniya/giperplaziya-endometriya/). 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