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Endometrial Hyperplasia. Treatment in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
1708
General therapeutic rehabilitation
565.57

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology and Obstetrics

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5728

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5820

Leverkusen Clinic

10/10
location_onGermany, Leverkusen

Department of Gynecology, Urogynecology, Mammology and Obstetrics

The Leverkusen Clinic is a progressive provider of high-quality diagnostic and therapeutic services in Germany. The medical facility is an Academic Hospital of the University of Cologne, and also maintains close cooperation with the Rhine Research Center. The medical facility houses 12 specialized departments, as well as numerou
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5447

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5701

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
6858

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5515

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
7863

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Obstetrics, Adult and Pediatric Gynecology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
0

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
6104

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5821

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gynecology and Mammology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5525

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
6826

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5479

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Gynecology, Mammology and Obstetrics

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
6019

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5941

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Gynecology, Obstetrics

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Therapeutic curettage of cervical canal and uterine cavity in uterine lining thickening
5342
| from Booking Health GmbH

Endometrial hyperplasia is a proliferation of the lining of the uterus. It is often accompanied by the formation of polyps. Hyperplasia with atypia is considered a precancerous condition requiring surgical removal of the uterus. Hyperplasia without atypia is more common. In this form of the disease, the development of a malignant tumor can be prevented with the help of conservative treatments. Doctors in Germany use modern, sparing and safe treatment methods for endometrial hyperplasia, the effectiveness of which is close to 100%.

Content

  1. Diagnostics
  2. Conservative treatment
  3. Surgical treatment

The main treatment method is a hormonal intrauterine device implantation. Instead, oral gestagen therapy can sometimes be used. In the presence of atypia, based on the results of a histological examination of the uterine mucosa, a hysterectomy may be required. In Germany, it is performed using a minimally invasive laparoscopic procedure.

You can undergo treatment in one of these hospitals: University Hospital Rechts der Isar Munich, University Hospital Tuebingen, University Hospital Carl Gustav Carus Dresden.

If you want to undergo the treatment of endometrial hyperplasia in Germany, please contact Booking Health. The specialists of our company will select a specialized clinic and a doctor for you, recommend a treatment method, help you get a visa and arrange a flight, take care of medical insurance, and provide interpreting services. Also, a personal medical coordinator will always be in touch with you.

Diagnostics

 

The first diagnostic method is pelvic ultrasound. The doctor assesses the condition of the uterus, including the endometrium, myometrium and the ovaries. Ultrasound scanning is conducted on the 5th-7th day of the menstrual cycle, which should be considered when planning a trip to Germany for diagnostics. The Booking Health specialists will help you book a medical care program precisely on the dates when the examination of the uterus will be the most informative.

Suppose on the 5th-7th day of the cycle, the thickness of the endometrium reaches 7-8 mm or more in a heterogeneous structure with the presence of echogenic inclusions. In that case, this indicates a high probability of endometrial hyperplasia. Nevertheless, a final diagnosis cannot be made based on the ultrasound examination results. It is a diagnostic screening method.

If doctors doubt the presence of endometrial hyperplasia or cancer, a diffusion-weighted MRI of the pelvis may be performed. This procedure allows German doctors to detect the early signs of invasion of the endometrium into the myometrium, that is, the uterine mucosa into the deeper muscle layer of the organ.

Separate scraping of the cervical canal and the uterine cavity is the main method of confirming the diagnosis. Doctors obtain mucosal tissues and send them for histological examination. As a result, the diagnosis is established: endometrial hyperplasia with atypia (precancerous changes) or without atypia.

Doctors in Germany perform curettage under the guidance of hysteroscopy but not "blindly", which reduces the risk of complications to a minimum. During the procedure, doctors can not only obtain biomaterial for examination but also perform therapeutic manipulations: remove polyps or myoma nodes protruding into the uterine cavity.

Conservative treatment

 

Previously, the primary treatment for endometrial hyperplasia was the surgical removal of the uterus. In some countries with poorly developed medicine, this surgical intervention is still preferred by gynecologists. The treatment is carried out according to the principle "no uterus – no problems". In Germany, this tactic has long been abandoned. However, in today's practice removing the organ in the case of endometrial hyperplasia is infrequent. Such an operation is resorted to only in the presence of atypia (a precancerous condition).

Intrauterine system (coil) is implanted for several years and releases hormones – gestagens. The effectiveness of the system for endometrial hyperplasia without atypia reaches 100%. At the same time, there is practically no systemic effect on the body: hormones work mainly in the uterus. The frequency of side effects is minimal. German specialists will implant the coil carefully and safely to avoid its displacement and discomfort.

Oral gestagen therapy has a similar mechanism of action but with many disadvantages. The patient has to take pills regularly for years. The effectiveness of the treatment is 3 times lower than the spiral, and the frequency of side effects is higher due to the systemic effects of hormones. Depending on the woman's age, gestagens are used continuously or cyclically. For the treatment of endometrial hyperplasia in Germany, oral progestogen (pills) therapy is not considered the first-line treatment and is prescribed only for those who refuse intrauterine device implantation.

Gonadotropin-releasing hormone (GnRH) agonists are used in case of a combination of endometrial hyperplasia with endometriosis or uterine myoma.

Regardless of which treatment method is used, the therapy should be long-term and continuous. Coils are usually implanted for 5 years and then changed. If a woman wants to have a baby, then the spiral can be removed earlier. After the cessation of therapy, the risk of recurrence of endometrial hyperplasia within 2 years is 40%.

Surgical treatment

 

If a woman has signs of atypia, the probability that a cancerous tumor has already begun to grow in the uterus is about 50%. Therefore, the main treatment method for the disease is hysterectomy – removal of the uterus and its appendages. In women under 40, it is possible to preserve the ovaries in order to preserve the production of sex hormones.

An exception is possible for women who want to have a baby. They receive conservative therapy. However, to exclude cancer, endometrial curettage with a histological examination is required once every 3 months.

Doctors in Germany perform hysterectomy using a laparoscopic approach: the uterus is removed through several short incisions. As a result, the invasiveness of the operation and the risk of complications are reduced, the rehabilitation period is reduced and the aesthetic results are improved, since there are no large scars on the abdomen.

To undergo treatment in one of the clinics in Germany, you are welcome to use the Booking Health service. Here you can find out what is the price for treatment, compare prices in different medical centers and make an appointment for treatment at the best price. The Booking Health specialists will help you select the best clinic where doctors achieve the best results in treating endometrial hyperplasia, and arrange a trip to Germany.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Farrukh Ahmed. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Verywell Health

Medscape

Sience Direct




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