Symptoms of endometrial polyps

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 03, 2024
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The most common clinical symptom of endometrial polyps is vaginal bleeding, which manifests in the following ways: Some women may experience heavy menstrual flow with a large amount of blood clots. This is because most patients with endometrial polyps have excessive proliferation of the endometrial lining. When this excessively proliferated endometrium sheds during menstruation, it can result in a heavier flow. Additionally, some women may experience vaginal bleeding after their menstruation has ended. Typically, this bleeding is not heavy and is dark red in color. This could indicate the presence of endometrial polyps.

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Can endometrial polyps heal by themselves?

Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.

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What department should I go to for endometrial polyps?

Endometrial polyps can typically be diagnosed and treated at the gynecology department of a hospital. Patients should register at the gynecology department, and the doctor will schedule a hysteroscopy. Under hysteroscopy, the surgery to remove the endometrial polyp can be performed. This surgery is generally done within three to seven days after the end of menstrual bleeding. After the removal, the polyp can be sent for pathology to check if there is any tendency towards malignancy. Normally, most polyps are benign. After the removal, oral anti-inflammatory medications are usually prescribed as symptomatic treatment. Sexual intercourse should be avoided for one month, and oral anti-inflammatory medications can be taken within the first week. Patients who have had a polyp removed should seek re-examination if excessive bleeding occurs, and since endometrial polyps are prone to recurrence, annual check-ups are essential.

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Benign characteristics of endometrial polyps

If a woman is diagnosed with endometrial polyps, then the condition is benign. If there are symptoms such as irregular vaginal bleeding, increased menstrual flow, or prolonged menstruation, endometrial polyps should be considered. It is advised to undergo diagnostic curettage or hysteroscopic endometrial polyp electrosurgical resection, and the removed tissue should be sent for pathological examination. Whether it is benign or malignant is mainly determined by the pathological examination as the final diagnostic basis. If confirmed as endometrial polyps, then it is benign. If precancerous lesions are present or if it is confirmed as malignant tumor, the case will be described in detail.

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Difference between endometrial polyps and cervical polyps

Endometrial polyps and cervical polyps are two types of reproductive system polyps that are relatively common in women. Their differences lie in the following aspects: First, the location of the polyps is different. Endometrial polyps are located inside the uterine cavity, whereas cervical polyps grow in the cervical canal or on the external cervix. Second, the symptoms caused by each are different. Cervical polyps may cause symptoms or tend to cause abnormal vaginal bleeding outside of menstruation. In contrast, endometrial polyps typically lead to increased menstrual flow and generally do not cause bleeding outside of menstruation. Third, the examination methods are not completely the same. Endometrial polyps are primarily diagnosed through ultrasound, while cervical polyps are mainly checked through gynecological examination.

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Can you have intercourse with endometrial polyps?

Endometrial polyps do not prevent sexual intercourse. This is because endometrial polyps are located within the uterine cavity, and sexual intercourse generally affects the vulva, vagina, and cervix. As long as these organs do not have any pathological changes, sexual intercourse is generally possible because the polyps inside the uterine cavity are not contacted during intercourse. Therefore, intercourse does not significantly affect the presence of polyps and can occur. However, if endometrial polyps are discovered, it is crucial to undergo early surgical treatment, which can be done through hysteroscopy or diagnostic curettage, as the polyps can grow larger over time.