How to perform surgery on endometrial polyps

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on March 24, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Xu Xiao Ming
Obstetrics and Gynecology
41sec home-news-image

Symptoms of endometrial hyperplasia polyps

If endometrial hyperplasia and polyps are present, there may be an increase in menstrual flow and an extension of the menstrual cycle. This is because if many polyps grow on the endometrium, it will increase the surface area of the endometrium, leading to increased menstrual bleeding. Therefore, it is recommended that such patients should go to the hospital in time for examination and treatment. If there are many polyps affecting daily life and reproductive function, a hysteroscopic examination is necessary. Under hysteroscopy, endometrial polyps can also be removed. Therefore, it is advised to seek medical examination as soon as possible.

doctor image
home-news-image
Written by Yue Hua
Obstetrics and Gynecology
43sec home-news-image

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.

doctor image
home-news-image
Written by Liu Jian Wei
Obstetrics and Gynecology
34sec home-news-image

Can endometrial polyps cause bleeding?

Endometrial polyps can cause irregular vaginal bleeding, which can manifest as non-menstrual vaginal bleeding or menstrual vaginal bleeding, leading to prolonged menstrual periods and incomplete menstrual discharge. These conditions are generally caused by endometrial polyps. Generally, if endometrial polyps occur, it is recommended that patients undergo a hysteroscopic examination to assess the number and size of polyps. If necessary, surgical removal under hysteroscopy is required.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
1min 9sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 14sec home-news-image

How to check for endometrial polyps?

Endometrial polyp examinations are generally conducted through ultrasound at hospitals, which can provide a clear diagnosis. The best time for this ultrasound is within three to seven days after the end of menstruation. During this period, the thickness of the endometrium is between three to four millimeters, and the endometrial echo is uniform. If, during this period, the endometrial thickness is greater than four millimeters and the echo suggests unevenness, this generally indicates a high possibility of endometrial polyps. Patients with endometrial polyps typically experience shorter menstrual cycles, usually occurring every 20 days, with longer menstruation periods. Normally, the menstruation period lasts from three to seven days, but in patients with endometrial polyps, it can extend to over eight to ten days. Therefore, through symptoms and ultrasound, it is possible to determine whether there are endometrial polyps.