“…Obesity is associated with a hyperestrogenic state due to the peripheral conversion of androstenedione to estrone and estradiol within adipose tissue. This aromatase reaction is directly related to BMI [ 4 ]. Likewise, increased incidence of oligoovulation and anovulation among obese women contribute to this hyperestrogenic state, which increases the risk of abnormal uterine bleeding, endometrial hyperplasia, and endometrial cancer.…”