Do uterine polyps affect pregnancy?

Written by Zhang Lu
Obstetrics
Updated on August 31, 2024
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Endometrial polyps refer to the hyperplasia of the endometrial lining due to inflammatory stimuli, resulting in many polypoid tissues. Whether endometrial polyps affect pregnancy mainly depends on the number and size of the polyps, and whether they cause clinical symptoms. First, if the polyps are small and few in number without causing an increase in menstrual flow, they generally do not affect pregnancy and do not require removal of the endometrial polyps, as removing them could instead easily damage the function of the endometrial lining. Second, if the polyps are large, over one centimeter, or there are multiple endometrial polyps, and they cause an increase in menstrual volume, this indicates that the endometrial polyps have impacted the woman's body. In such cases, it is necessary to use a hysteroscope to remove the endometrial polyps before trying to conceive.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Do uterine polyps cause lower abdominal pain?

Endometrial polyps generally manifest clinically with a shorter menstrual cycle, usually occurring every 20 days or so, and a longer period, typically lasting 8 to 10 days or more before it ends. This is a typical clinical presentation of endometrial polyps, and there is usually no pain in the lower abdomen. However, if there is frequent bleeding and the bleeding lasts for a long time, causing endometrial inflammation, pain in the lower abdomen may occur. If the endometrial polyps are not inflamed, there will be no pain in the lower abdomen. If endometrial polyps are detected, the treatment generally involves performing a polypectomy under hysteroscopy within three to seven days after the end of the menstrual period, followed by anti-inflammatory treatment as appropriate. With simple endometrial polyps, there is no pain in the lower abdomen.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to regulate endometrial polyps

Patients with endometrial polyps, if they want to manage their condition, the majority is due to an infection. This is because the recurrence of endometrial polyps can occur during endometrial inflammation. The treatment for endometrial polyps generally requires hysteroscopic polypectomy at a hospital for symptomatic treatment. Patients with endometrial polyps generally experience menstrual disorders. Therefore, when managing, it is crucial to be aware that endometrial polyps can easily recur. Prevention of infection must be emphasized during management. Furthermore, endometrial polyps can lead to changes in menstruation. This generally affects fertility. Thus, after hysteroscopic polypectomy for endometrial polyps, it is essential to properly manage inflammation and provide appropriate treatment. Intercourse should be avoided within a month after the polyp removal surgery. If there are any abnormal conditions, it is necessary to seek hospital treatment for symptomatic management.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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The difference between endometritis and endometrial cancer.

Endometritis falls under the category of inflammation and its general clinical treatment primarily involves anti-inflammatory treatment. Endometrial cancer, on the other hand, is a malignant tumor of the uterus and differs in prognosis and treatment. The preferred treatment for endometrial cancer is surgical. If the patient has missed the opportunity for surgery, chemotherapy or radiotherapy can be administered, with the aim of extending the patient’s life as much as possible. Compared to endometritis, which is relatively mild, endometrial cancer has a more significant impact.

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Written by Zhang Lu
Obstetrics
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What should I do about endometrial polyps?

Endometrial polyps are a common condition in women, with many experiencing them. The treatment for endometrial polyps discovered during an ultrasound primarily depends on the size of the polyps and whether they cause clinical symptoms. Firstly, if the endometrial polyp is relatively small, less than 5mm, and does not cause significant clinical symptoms, it may not require intervention and can be monitored with regular check-ups. Secondly, if the endometrial polyp is larger than 1cm or causes a significant increase in menstrual flow, hysteroscopic surgery should be performed to excise the polyp.

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Written by Yue Hua
Obstetrics and Gynecology
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What are endometrial polyps?

Endometrial polyps refer to excessive proliferation of the endometrial lining, forming polyp-like tissues. Patients typically experience irregular vaginal bleeding, primarily manifesting as minor vaginal bleeding after menstrual periods have ended. Upon visiting the hospital and undergoing a vaginal ultrasound examination, a polyp-like tissue can be detected within the uterine cavity. Once identified, a hysteroscopy or diagnostic curettage is required to remove these tissues. Subsequently, a pathological examination must be conducted to clearly determine the cause and nature of the polyps.