Snapshot A 60-year-old G0 female was found on outpatient endometrial biopsy to have abnormal proliferation of stromal and glandular endometrial elements. Overview Introduction An estrogen-dependent hyperplasia affecting mainly postmenopausal women login to view 1 more bullet Risk factors include login to view 10 more bullets 3 classes of hyperplasia severity login to view 7 more bullets Presentation Symptoms login to view 2 more bullets Evaluation Tissue biopsy login to view 1 more bullet Treatment Pharmacologic login to view 4 more bullets Surgical login to view 4 more bullets