Can you get pregnant with endometrial polyps?

Written by Du Rui Xia
Obstetrics
Updated on September 28, 2024
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Endometrial polyps can affect pregnancy, but it does not mean that conception is impossible. Rather, it means that the chances of becoming pregnant may decrease. Endometrial polyps can affect the lining of the uterus and thereby hinder the implantation of a fertilized egg after the sperm and egg have combined. Even if fertilization and implantation occur in the uterus, miscarriage is more likely to happen. Therefore, when endometrial polyps occur, treatment can be administered based on the size and extent of the polyps. If the condition is mild with few and small polyps that do not affect pregnancy, conception is still possible.

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Can endometrial polyps cause bleeding?

Endometrial polyps can bleed, which is due to the proliferation of the endometrium resulting in a polyp-like tissue formation. This tissue sticks to the endometrium and thus has blood vessels on it. If women experience this, clinical symptoms will present as irregular vaginal bleeding. Such bleeding mostly occurs after menstruation has ended, followed by renewed vaginal bleeding, and the amount of bleeding can increase after physical activity. If this condition occurs, it is necessary to go to the hospital for an ultrasound to first rule out if it is caused by endometrial polyps.

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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.

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Written by Wang Jing Hua
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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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Obstetrics and Gynecology
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What should I do if the endometrial polyp recurs?

Endometrial polyps are polyp-like changes that occur due to overgrowth of the endometrial lining, primarily related to high levels of estrogen in the body and hormonal imbalances. Additionally, oral consumption of some health supplements containing hormonal medications can stimulate the formation of endometrial polyps. Patients with hypertension or obesity are among the high-risk groups for developing endometrial polyps. Since endometrial polyps are related to estrogen levels, there is a possibility of recurrence. Once endometrial polyps are suspected, it is crucial to undergo a hysteroscopic examination at a hospital for confirmation. If the polyp is larger than one centimeter or if there is continuous bleeding during menstruation, it is necessary to promptly undergo a hysteroscopic polypectomy. Post-surgery, medications are required to prevent the recurrence of endometrial polyps.

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Can endometrial polyps be cured?

Endometrial polyps are a common gynecological condition clinically, and most of the time, they are not very harmful. Clinically, once endometrial polyps are discovered, it is recommended to assess with the local hospital's gynecology department whether surgical removal is necessary. Most endometrial polyps can be cured through surgical removal and will not affect the patient's daily life or future. However, it is important to note that endometrial polyps are very prone to recurrence.