ultrasonographic appearance of endometrial polyps

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on December 20, 2024
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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 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.

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Written by Zhang Lu
Obstetrics
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Difference between endometrial polyps and cervical polyps

Endometrial polyps and cervical polyps are two types of reproductive system polyps that are relatively common in women. Their differences lie in the following aspects: First, the location of the polyps is different. Endometrial polyps are located inside the uterine cavity, whereas cervical polyps grow in the cervical canal or on the external cervix. Second, the symptoms caused by each are different. Cervical polyps may cause symptoms or tend to cause abnormal vaginal bleeding outside of menstruation. In contrast, endometrial polyps typically lead to increased menstrual flow and generally do not cause bleeding outside of menstruation. Third, the examination methods are not completely the same. Endometrial polyps are primarily diagnosed through ultrasound, while cervical polyps are mainly checked through gynecological examination.

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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 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 Wang Jing Hua
Obstetrics and Gynecology
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Can uterine polyps disappear on their own?

Endometrial polyps are generally located in the uterine cavity. Some endometrial polyps may be expelled during menstruation, as each menstrual period involves the shedding of the endometrial lining, causing some small polyps to disappear after menstruation. However, if the endometrial polyps persist and are relatively large, causing irregular bleeding, excessive menstrual flow, or affecting pregnancy, it might be necessary to perform a hysteroscopy for examination and treatment, and to send samples for pathological testing.