Is endometrial hyperplasia considered a normal physiologic occurrence?

Endometrial hyperplasia is characterized by an abnormal increase in the number of endometrial cells, which can result from excessive estrogen stimulation without adequate progesterone. While the endometrium does undergo changes during the menstrual cycle, true hyperplasia indicates an abnormal condition that can be caused by hormonal imbalances or other pathological conditions.

This abnormal growth can lead to conditions like heavy menstrual bleeding and increase the risk of endometrial cancer, especially if left untreated. Therefore, identifying endometrial hyperplasia as not a normal physiological occurrence aligns with the understanding that it is a pathological condition requiring medical attention.

In contrast, while endometrial changes are normal during different phases of the menstrual cycle and various physiological states, hyperplasia does not fit into that category, making it essential to recognize its underlying implications.