Subscribe
Endometrial polyp
How to regulate endometrial polyps
Under normal circumstances, if there is endometrial polyp in the uterus, trying to treat it with food or medication is unlikely to be effective. The best treatment for endometrial polyps is to remove the polyps via hysteroscopy. After the surgery, the polyp tissue should be sent for pathology to differentiate between benign and malignant. Postoperative anti-inflammatory treatment is necessary, and sexual intercourse should be avoided for one month after the surgery. The treatment for endometrial polyps typically occurs within three to seven days after the end of menstruation. Diagnosis usually involves going to the hospital for an ultrasound to check the thickness of the endometrium and the echogenicity of the endometrium. Therefore, trying to manage endometrial polyps through non-surgical means is ineffective; surgical treatment is the only viable option.
How long will endometrial polyps recur?
The recurrence time of endometrial polyps varies from person to person, and not all patients with endometrial polyps will experience recurrence. Therefore, the majority of women need not worry excessively about the recurrence of endometrial polyps. However, it should be noted that in some women, endometrial polyps are more likely to recur. For these patients, strict follow-up after endometrial resection is key to early detection of the recurrence of endometrial polyps.
Do uterine polyps require surgery?
Endometrial polyps are caused by excessive growth of the endometrial lining, and can be single or multiple, with diameters ranging from a few millimeters to several centimeters. They can be pedunculated or sessile. Endometrial polyps smaller than one centimeter in diameter, if asymptomatic, have a natural resolution rate of about 27% within a year and a low rate of malignancy. If the polyp is large, greater than one centimeter, it requires hysteroscopic endometrial polypectomy or curettage. However, curettage has disadvantages, as it can easily miss polyps, and there is a high chance of recurrence after the surgery. Therefore, once an endometrial polyp larger than one centimeter is identified, it is advisable to promptly visit a hospital for examination and treatment. Postoperative treatment should be guided based on the pathological findings.
How to perform surgery on endometrial polyps
Currently, most hospitals require hospitalization for further examinations for endometrial polyps, followed by surgery in the operating room. Generally, anesthesia is administered to the patient before surgery, usually in the form of spinal anesthesia. After the anesthesia, the patient remains conscious, but feels no pain from the lower abdomen to the legs. Under these conditions, the surgery to remove the endometrial polyp is performed. Under the exploration of a hysteroscope, the polyps are removed sequentially with an electrosurgical loop, and the removed tissue is sent for pathological examination.
Symptoms of endometrial hyperplasia polyps
If endometrial hyperplasia and polyps are present, there may be an increase in menstrual flow and an extension of the menstrual cycle. This is because if many polyps grow on the endometrium, it will increase the surface area of the endometrium, leading to increased menstrual bleeding. Therefore, it is recommended that such patients should go to the hospital in time for examination and treatment. If there are many polyps affecting daily life and reproductive function, a hysteroscopic examination is necessary. Under hysteroscopy, endometrial polyps can also be removed. Therefore, it is advised to seek medical examination as soon as possible.
Endometrial polyp removal time
Endometrial polyps require hysteroscopic polypectomy, which is a type of minimally invasive surgery, performed under intravenous anesthesia or general anesthesia. If the polyp is small and the cervical opening is relaxed, the surgery typically concludes within about an hour. After the surgery, the patient can leave the operating room once they regain consciousness. However, if the polyp is located near the uterine corner and the cervix is relaxed, it can complicate the surgical procedure, extending the duration to about one and a half to two hours. Post-surgery, it is important to monitor the patient's bleeding levels.
What should not be eaten with endometrial polyps?
Under normal circumstances, after confirming the presence of endometrial polyps, further examinations and treatments are still required. Generally, endometrial polyps can easily lead to abnormalities in menstrual cycle or menstrual volume, and may also stimulate the occurrence of local vaginal inflammation. Therefore, it is necessary to follow a light and nutritious diet, avoid spicy and stimulating foods, get plenty of rest, avoid excessive fatigue, and ensure thorough cleanliness of the vulva. If the endometrial polyps persist and are large, it is recommended to undergo hysteroscopic surgery for targeted treatment and complete removal of the endometrial polyps.
Can endometrial polyps be cured?
Women with endometrial polyps can be completely cured. First, endometrial polyps are benign lesions, which may be due to abnormally high levels of estrogen in women, leading to proliferative lesions. It is possible to completely remove the polyps through hysteroscopic endometrial polyp electrocision surgery. However, after surgery, some women may experience recurrence. To prevent this, periodic oral progestogen medication can also be administered to prevent recurrence. Some women may have endometrial inflammation, leading to the recurrence of endometrial polyps. In this case, broad-spectrum antibiotics can be used for anti-inflammatory treatment to prevent recurrence. (The use of drugs should be carried out under the guidance of a professional doctor.)
Are uterine polyps and endometrial cancer the same?
Endometrial polyps and endometrial cancer are different. First, both can be induced by hormonal imbalances in the body, but endometrial polyps may also involve inflammatory elements, leading to the formation of polyps. Additionally, the age of onset differs; endometrial polyps are more common in women of reproductive age, whereas endometrial cancer typically occurs after the age of 45. Furthermore, their clinical manifestations vary. Women with endometrial polyps mainly experience changes in menstrual cycles and infertility, and generally, endometrial polyps grow slowly. In contrast, women with endometrial cancer mainly experience abdominal pain, heavy vaginal discharge, or bleeding. In advanced stages, women may exhibit signs of cachexia. These two conditions can be differentiated through diagnostic curettage.
Causes of endometrial polyps
There are many causes of endometrial polyps. One is the excessive secretion of estrogen in the body, leading to an uneven distribution of hormone levels. Furthermore, long-term use of health products and hormone medications can stimulate their development, as can gynecological inflammations from events like abortion, childbirth, or surgical procedures, all of which can lead to the formation of endometrial polyps. Additionally, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, it’s crucial to carry out a timely hysteroscopic examination once endometrial polyps are detected. This examination should take place three to seven days after menstruation at a hospital. If the polyps are larger than one centimeter in diameter, or if there is continuous vaginal bleeding, an immediate hysteroscopic polypectomy is necessary.