You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is What should the initial management of atypical hyperplasia be? and explain in detail?
Women with atypical hyperplasia should undergo a total hysterectomy because of the risk of underlying malignancy or progression to cancer.A laparoscopic approach to total hysterectomy is preferable to an abdominal approach as it is associated with a shoer hospital stay, less postoperative pain and quicker recovery.Reference: RCOG Guidelines on endometrial hyperplasia