Endometrial polyp removal time

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on March 12, 2025
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Endometrial polyps require hysteroscopic polypectomy, which is a type of minimally invasive surgery, performed under intravenous anesthesia or general anesthesia. If the polyp is small and the cervical opening is relaxed, the surgery typically concludes within about an hour. After the surgery, the patient can leave the operating room once they regain consciousness. However, if the polyp is located near the uterine corner and the cervix is relaxed, it can complicate the surgical procedure, extending the duration to about one and a half to two hours. Post-surgery, it is important to monitor the patient's bleeding levels.

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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
Obstetrics and Gynecology
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Do uterine polyps cause lower abdominal pain?

Endometrial polyps generally manifest clinically with a shorter menstrual cycle, usually occurring every 20 days or so, and a longer period, typically lasting 8 to 10 days or more before it ends. This is a typical clinical presentation of endometrial polyps, and there is usually no pain in the lower abdomen. However, if there is frequent bleeding and the bleeding lasts for a long time, causing endometrial inflammation, pain in the lower abdomen may occur. If the endometrial polyps are not inflamed, there will be no pain in the lower abdomen. If endometrial polyps are detected, the treatment generally involves performing a polypectomy under hysteroscopy within three to seven days after the end of the menstrual period, followed by anti-inflammatory treatment as appropriate. With simple endometrial polyps, there is no pain in the lower abdomen.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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ultrasonographic appearance of endometrial polyps

Under normal circumstances, the diagnosis of endometrial polyps is usually determined clearly by performing an ultrasound at the hospital. Normally, the endometrial line is continuous. There is a specific thickness to the endometrium. Typically, a thickness of 3-4mm in the endometrium at the end of menstruation is considered normal. During ovulation, the thickness of the endometrium is 8mm. Before menstruation starts, the endometrial thickness is generally more than 10mm. If it is within this range, it is generally considered normal. If there is an increase in endometrial thickness and the echo of the endometrium is not continuous, and the endometrial echo is uneven, in most cases, endometrial polyps are suspected. The diagnosis of endometrial polyps can generally be clearly determined through color Doppler ultrasound. This diagnosis is not difficult. Once endometrial polyps are clearly diagnosed by ultrasound, they can be removed by hysteroscopic polypectomy at the hospital.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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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.