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Benign Endometrial Hyperplasia
D efinition —An exaggerated response to unopposed estrogen but lacking the features of endometrial intraepithelial neoplasia (EIN) (atypical hyperplasia).
Clinical Features
Epidemiology
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Most commonly seen at or around menopause with failed ovulation and persistent follicle.
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Common in polycystic ovarian syndrome (PCOS).
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Abnormal uterine bleeding in the fourth or fifth decade is the most common presenting sign.
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Can be mimicked by estrogen administration post menopause.
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