How to regulate endometrial polyps

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on November 05, 2024
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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
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 Liu Jian Wei
Obstetrics and Gynecology
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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.

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Written by Zhang Lu
Obstetrics
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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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do about endometrial polyps?

Endometrial polyps, if diagnosed, are generally treated within 3 to 7 days after the end of menstruation. You can go to the hospital to have the polyps removed under hysteroscopy. Postoperative anti-inflammatory and symptomatic treatment is then sufficient. The removed polyps should be sent for pathology analysis, and based on the pathology results, an appropriate treatment method can be selected. Generally, most endometrial polyps are benign, with a very small percentage having a tendency to become malignant. Endometrial polyps are prone to recurrence, so it is essential to undergo proper anti-inflammatory and symptomatic treatment after the removal of endometrial polyps. The diagnosis of endometrial polyps generally requires a hospital visit for a color Doppler ultrasound. After menstruation, if the ultrasound shows thickened endometrial echoes or uneven echoes, most can be diagnosed through this ultrasound. Treatment can only be performed surgically.

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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.