Can endometrial polyps recur?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 04, 2024
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Endometrial polyps are a common gynecological condition. Generally, when detected, endometrial polyps need to be surgically removed. After treatment, there is still a chance of recurrence of endometrial polyps, although the chance is not particularly high. Some patients may have a higher chance of recurrence, which varies from person to person. If endometrial polyps recur, further surgical treatment may be necessary. Under normal circumstances, oral medication can be administered post-surgery to help possibly prevent the recurrence of endometrial polyps. (Please use medication under the guidance of a doctor.)

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.)

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Written by Yue Hua
Obstetrics and Gynecology
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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.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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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.

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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 Zhang Xiu Rong
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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.