By Dr. James Naipao,
Coronavirus (Covid-19): 105, 300 coronavirus cases confirmed world wide. This figure will increase by the day.
Our nearest neighbours have confirmed this virus.
This virus whom virologists thought the incubation period is two weeks, but it seems to be unpredictable, and the incubation period now stands at three weeks.
By Dr. Mathias Sapuri
40 years ago obesity in our women population in PNG was only 3 percent. Today the incidence is about 18 percent with BMI of 30 plus. This is associated with endometrial hyperplasia. Today in PNG endometrial hyperplasia is the second commonest indication for a D&C following miscarriages. Below a few hysteroscopic images from my weekly surgery lists and patients Q&A narrative from ACOG.
What is endometrial hyperplasia?
Endometrial hyperplasia occurs when the endometrium, the lining of the uterus, becomes too thick. It is not cancer, but in some cases, it can lead to cancer of the uterus.
How does the endometrium normally change throughout the menstrual cycle?
The endometrium changes throughout the menstrual cycle in response to hormones. During the first part of the cycle, the hormone estrogen is made by the ovaries. Estrogen causes the lining to grow and thicken to prepare the uterus for pregnancy. In the middle of the cycle, an egg is released from one of the ovaries (ovulation). Following ovulation, levels of another hormone called progesterone begin to increase. Progesterone prepares the endometrium to receive and nourish a fertilized egg. If pregnancy does not occur, estrogen and progesterone levels decrease. The decrease in progesterone triggers menstruation, or shedding of the lining. Once the lining is completely shed, a new menstrual cycle begins.