Symptoms of endometrial polyp malignancy

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 21, 2024
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When endometrial polyps in women undergo malignant transformation, it can lead to a large amount of vaginal discharge. This discharge may be accompanied by a foul odor, which could possibly be due to an associated infection. Additionally, when endometrial polyps undergo malignant transformation and form tumors, their growth rate accelerates, and the blood supply may not meet the growth needs of the polyps. This may lead to localized ulceration and bleeding, causing women to experience irregular vaginal bleeding. This bleeding can manifest as blood streaks in vaginal discharge or as persistent vaginal bleeding. As the tumor gradually enlarges, it increases the pressure in the uterine cavity, leading to abdominal pain in some women.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Endometrial polyp removal time

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 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 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 Zhao Li Li
Obstetrics
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What should not be eaten with endometrial polyps?

Under normal circumstances, after confirming the presence of endometrial polyps, further examinations and treatments are still required. Generally, endometrial polyps can easily lead to abnormalities in menstrual cycle or menstrual volume, and may also stimulate the occurrence of local vaginal inflammation. Therefore, it is necessary to follow a light and nutritious diet, avoid spicy and stimulating foods, get plenty of rest, avoid excessive fatigue, and ensure thorough cleanliness of the vulva. If the endometrial polyps persist and are large, it is recommended to undergo hysteroscopic surgery for targeted treatment and complete removal of the endometrial polyps.

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Written by Zhang Lu
Obstetrics
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What should I do about endometrial polyps?

Endometrial polyps are a common condition in women, with many experiencing them. The treatment for endometrial polyps discovered during an ultrasound primarily depends on the size of the polyps and whether they cause clinical symptoms. Firstly, if the endometrial polyp is relatively small, less than 5mm, and does not cause significant clinical symptoms, it may not require intervention and can be monitored with regular check-ups. Secondly, if the endometrial polyp is larger than 1cm or causes a significant increase in menstrual flow, hysteroscopic surgery should be performed to excise the polyp.