What is the reason for the growth of granulation tissue in the vagina?

When granulations are found in a woman's vagina, it may be caused by uterine polyps, which is a common gynecological disease, and as the disease continues to develop, it is likely to cause female infertility. Therefore, once granulations are found in the vagina, women must pay enough attention to it and it is best to seek medical attention in time. The following editor will introduce some information about the causes and treatments of uterine polyps.

In medicine, endometrial polyps refer to the local excessive growth of endometrial glands and stroma and the accompanying blood vessels, which protrude into the uterine cavity. It is a common benign intrauterine lesion in gynecology. It can grow anywhere in the uterine cavity, either alone or in multiples throughout the uterus. Small endometrial polyps are only 0.2~0.3 cm, and large ones are 2~3 cm or larger. They can be oval, triangular or irregular in shape, and most polyps have a stalk at the root. The causes of endometrial polyps may be related to inflammation, endocrine disorders, and especially excessive estrogen levels in the body. Patients with endometrial polyps may experience the following symptoms: menstrual disorders, increased menstrual flow, prolonged menstrual period, variable bleeding, and spotting. Large endometrial polyps or polyps that protrude into the cervical canal are prone to infection and necrosis, causing irregular vaginal bleeding and foul-smelling bloody discharge.

Patients with single, small endometrial polyps often have no symptoms. Due to the lack of typical and constant symptoms, endometrial polyps are often difficult to detect clinically. Menstruation is regular and is not affected by polyps, and there is no discomfort in the body. Without a hysteroscopy, it would be difficult to detect two small polyps hidden in the uterus.

Women with infertility have a high incidence of endometrial polyps, and pregnancy rates increase after polyp removal. The mechanism by which endometrial polyps cause infertility is not yet clear. It may be related to the following aspects: First, endometrial polyps are located in the uterine horns, blocking the opening of the fallopian tubes and affecting the upward movement of sperm and the combination of eggs; second, huge and multiple endometrial polyps affect the local endometrial blood supply, interfering with the implantation and development of the fertilized egg; third, endometrial polyps are combined with infection, which changes the environment in the uterine cavity, which is not conducive to sperm survival and fertilized egg implantation.

According to experts, the diagnosis of endometrial polyps in the past was mainly based on hysterosalpingography, B-ultrasound and diagnostic curettage. However, injecting too much contrast agent during radiography can mask polyps and they can be easily confused with submucosal uterine fibroids, bubbles in the uterine cavity, etc.; B-ultrasound examinations are affected by the menstrual cycle and may miss polyps that are too small; diagnostic curettage may miss some tissue or sometimes the tissue may be scraped into pieces and cannot be diagnosed clearly. Therefore, hysterosalpingography, B-ultrasound and diagnostic curettage all have limitations in diagnosing endometrial polyps. Most endometrial polyps are very small and difficult to detect even with multiple examinations using the traditional methods mentioned above, which can lead doctors to believe that the uterus is normal, thus delaying treatment.

Hospitals are increasingly using hysteroscopy for diagnosis. The uterine cavity can be observed directly with a hysteroscope, which is intuitive and clear. After excluding malignant lesions in the uterine cavity such as endometrial cancer, single, small endometrial polyps can be removed directly under the direct vision of the hysteroscope. For patients with multiple lesions, young patients, and those who want to have children, a comprehensive curettage can be performed under the hysteroscope to avoid missed curettage. For patients who want to have children, endometrial polyps can be completely treated while maintaining the integrity of the uterus. Experts remind that hysteroscopic diagnosis and treatment of endometrial polyps should be performed within one week after the end of menstruation, because the endometrium is relatively thin at this time and it is not easy to cover polyps.

During the treatment of uterine polyps, you should also pay attention to the hygiene of the genitals. When wearing underwear, it is best to choose comfortable and loose underwear to minimize friction on the vagina, so as to avoid aggravating the severity of uterine polyps due to long-term congestion and swelling of the vagina.