Case challenge · Surgical approach decision / Gynecology · teaching

Endometrial Hyperplasia · Progestin vs Hysterectomy · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ACOG 2023 / RCOG GTG-67

Case #1Surgical approach decision / Gynecology

📋 Case data

Atypia + fertility wish + menopausal statusAtypical/EIN, wants fertility preservation or high surgical risk

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Atypia + fertility wish + menopausal status

Atypia (EIN/AEH)? Preserve fertility/uterus? Menopausal status?

💡 Atypical hyperplasia (EIN/AEH) has ~35–40% concurrent endometrial cancer; before fertility-sparing, hysteroscopic targeted biopsy must exclude concurrent cancer.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.