How to regulate endometrial polyps

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on March 31, 2025
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Under normal circumstances, if there is endometrial polyp in the uterus, trying to treat it with food or medication is unlikely to be effective. The best treatment for endometrial polyps is to remove the polyps via hysteroscopy. After the surgery, the polyp tissue should be sent for pathology to differentiate between benign and malignant. Postoperative anti-inflammatory treatment is necessary, and sexual intercourse should be avoided for one month after the surgery. The treatment for endometrial polyps typically occurs within three to seven days after the end of menstruation. Diagnosis usually involves going to the hospital for an ultrasound to check the thickness of the endometrium and the echogenicity of the endometrium. Therefore, trying to manage endometrial polyps through non-surgical means is ineffective; surgical treatment is the only viable option.

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Written by Yue Hua
Obstetrics and Gynecology
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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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Written by Sun Shan Shan
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Causes of endometrial polyps

There are many causes of endometrial polyps. One is the excessive secretion of estrogen in the body, leading to an uneven distribution of hormone levels. Furthermore, long-term use of health products and hormone medications can stimulate their development, as can gynecological inflammations from events like abortion, childbirth, or surgical procedures, all of which can lead to the formation of endometrial polyps. Additionally, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, it’s crucial to carry out a timely hysteroscopic examination once endometrial polyps are detected. This examination should take place three to seven days after menstruation at a hospital. If the polyps are larger than one centimeter in diameter, or if there is continuous vaginal bleeding, an immediate hysteroscopic polypectomy is necessary.

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Written by Du Rui Xia
Obstetrics
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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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Written by Sun Shan Shan
Obstetrics and Gynecology
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Can endometrial polyps heal by themselves?

Firstly, endometrial polyps cannot heal on their own. There are many causes of endometrial polyps, one being excessive levels of estrogen in the body; another is long-term gynecological inflammation stimulation, such as from abortions or childbirth surgical procedures, which can lead to the formation of endometrial polyps; furthermore, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, once endometrial polyps occur, this condition cannot heal on its own. It requires a hysteroscopic examination three to seven days after menstruation has ended to confirm if it is indeed an endometrial polyp. If confirmed as an endometrial polyp, further hysteroscopic endometrial polypectomy is needed, followed by further pathological examination after the surgery.

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Written by Liu Jian Wei
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How to perform surgery on endometrial polyps

Currently, most hospitals require hospitalization for further examinations for endometrial polyps, followed by surgery in the operating room. Generally, anesthesia is administered to the patient before surgery, usually in the form of spinal anesthesia. After the anesthesia, the patient remains conscious, but feels no pain from the lower abdomen to the legs. Under these conditions, the surgery to remove the endometrial polyp is performed. Under the exploration of a hysteroscope, the polyps are removed sequentially with an electrosurgical loop, and the removed tissue is sent for pathological examination.