Will uterine polyps cause bleeding during intercourse?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 27, 2024
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Endometrial polyps generally do not cause bleeding after sexual intercourse. However, bleeding after sexual intercourse can occur if there are polyps in the cervical canal. Clinically, endometrial polyps generally present with shorter menstrual cycles, occurring every 20-something days. The period duration is also typically longer; normally, a period lasts from three to seven days. In patients with endometrial polyps, the period can extend up to eight or nine days. Under such circumstances, endometrial polyps are generally suspected, and patients are often advised to visit a hospital for an ultrasound to examine the thickness of the endometrial lining and its echo characteristics, allowing for a definitive diagnosis of endometrial polyps. Endometrial polyps do not cause bleeding after sexual intercourse. Bleeding after intercourse is generally considered clinically if there are conditions such as cervical cancer, precancerous cervical conditions, cervical polyps, or other cervical alterations. Thus, if bleeding after intercourse occurs, it is crucial to undergo cervical cancer screening at a hospital.

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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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Can endometrial polyps be misdiagnosed?

Endometrial polyps can be misdiagnosed as they are caused by excessive proliferation of the endometrial lining. Clinically, the thickness of the endometrium varies throughout the menstrual cycle. Typically, just before menstruation, the endometrium is quite thick. As a result, some women might notice that their endometrium appears thick, resembling a polyp. If such a condition is observed, it is advisable to wait until after a menstrual period when the endometrium has shed before undergoing an ultrasound examination. If it is indeed an endometrial polyp, it will not shed with the menstrual flow. If it’s just thickened endometrium, it will resolve after menstruation. Therefore, it is essential to perform an ultrasound after menstruation to confirm if it is an endometrial polyp. If the polyp persists after a clean menstrual cycle, it can be diagnosed definitively.

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How to prevent endometrial polyps

Endometrial polyps can be prevented through some daily life adjustments. Firstly, it is important to maintain a good mentality and avoid being in a consistently gloomy mood for a long period, as these negative emotions can lead to a decrease in the body's immune function, which may trigger certain diseases. Additionally, it is important not to marry and conceive too early, and also to avoid conceiving too late. The optimal age for childbirth is between 25-28 years old. These measures can effectively prevent endocrine disorders and the occurrence of endometrial polyps. Furthermore, after marriage, if there is no plan for childbirth, women can take some contraceptive measures, such as using condoms or an intrauterine device, to prevent accidental pregnancies. This is important because accidental pregnancies, followed by surgical or medical abortions, can affect the body's hormonal balance and may lead to the development of endometrial polyps.

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Do uterine polyps affect pregnancy?

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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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.