What to do with postmenopausal endometrial polyps

Many women experience some changes in their bodies after menopause, and often some reproductive organs unique to women will also change, which is particularly likely to lead to the occurrence of some gynecological diseases. Among them, endometrial polyps are the most common disease. However, many women often think that they will no longer have children because they have reached menopause, so they do not need to receive timely treatment. In fact, this idea is very wrong, because endometrial polyps may cause lesions if not treated in time, which poses a certain risk to women's lives. Let's learn about what to do with endometrial polyps after menopause?

What to do with postmenopausal endometrial polyps

Dilate the cervix, remove the polyps, and then scrape the entire uterine cavity. Diffuse small polyps can be scraped out and sent for pathological examination. Regular follow-up should be conducted after surgery to pay attention to recurrence and malignant transformation and to deal with them in a timely manner. Later, some people successfully used hysteroscopic surgery to remove or laser treat small polyps. Endometrial polyposis can cause infertility, and some endometrial polyps secondary to specific causes can even develop into adenomatous hyperplasia and cancer. Therefore, any disease discovered must be treated early and do not delay, so as to avoid lifelong regrets.

For patients over 40 years old, if the bleeding symptoms are obvious, the above treatment cannot eradicate them or they recur frequently, total hysterectomy may be considered. If the patient is a young woman or a woman who wants to get pregnant, she can choose the Chinese medicine Zhuyu Zhixi ointment for treatment.

Treatment options

Different treatments are used depending on the size, location, shape of the polyps and the age of the patient.

1. For larger polyps with peduncles, they can be seen or felt in the lower part of the uterus. At this time, the polyps can be removed by dilating the cervix, and then cervical and uterine cavity curettage can be performed to scrape out the remaining polyps and send them for pathological examination.

2. When performing curettage on small focal or diffuse polyps, attention should be paid to scraping the entire area, especially the fundus and uterine angles.

3. After intrauterine surgery, anti-infection treatment should be carried out. Antibiotics can be given orally or intravenously in clinical practice.

4. For patients with obvious bleeding symptoms, who cannot be cured by the above treatment methods or who frequently relapse, hysterectomy should be considered.

Laser preparation

1. Same as laser treatment for cervical erosion.

2. Equipment preparation: Nd:YAG laser preparation is the same as that for cervical erosion treatment, using a power of 40 to 60W.

Hysteroscopy and endoscopic surgery

1. 5% G, S liquid is often used as uterine distension fluid.

2. Bimanual examination can help understand the position, size, shape, hardness, mobility, etc. of the uterus. Use a cervical forceps to clamp the anterior lip of the cervix, and use a probe to gently enter the uterine cavity through the cervical os to detect the depth of the uterine cavity. For those with a small cervical os (including the internal and external os), use a uterine dilator to dilate the cervix to size 6 to 6.5. 3. According to the detected cervical depth, adjust the hysteroscope limiter, insert the hysteroscope into the cervical canal, pass through the internal os, and slowly push it into the uterine cavity along the side of the uterine wall.

Turn on the cold light source, open the water injection valve, and ask the assistant to inject expansion fluid into the uterine cavity through the pressurizer. The pressure is maintained between 18 and 22 kPa (130 and 160 mmHg). Carefully find the exact location of the pedicle of the uterine polyp in the good visual space of the dilated uterus. Insert the Nd:YAG optical fiber through the rubber cap through the hysteroscopic biopsy channel. Under direct vision, insert the optical fiber into the root of the polyp to output laser. Adjust the laser output power according to the size of the polyp root. When the polyp turns crimson purple, any that can be removed from the base will be removed. For sessile and smaller polyps, the needle can be directly inserted to solidify and the whitening will stop.

Postoperative treatment: Once endometrial polyps are diagnosed, surgical removal of the polyps should be the main treatment. However, the recurrence rate of polyps is high after surgery. Therefore, the principles of Chinese medicine diagnosis and treatment should be adopted after surgery to promote the body's yin and yang balance. In addition, patients with a long course of illness often suffer from anemia due to excessive menstruation. Therefore, after polyp removal, they should be given drugs to nourish the spleen and qi, nourish the blood and produce blood to promote rapid recovery of the body. Commonly used medicines: ginseng (or codonopsis), astragalus, yam, atractylodes, jujube, longan meat, angelica, donkey-hide gelatin, rehmannia, white peony root, etc., for syndrome differentiation and treatment.

The above is an introduction to what to do with endometrial polyps after menopause. After understanding it, female friends who have such diseases must pay great attention to it and go to the hospital for treatment in time. In addition, in order to avoid such situations, female friends must pay more attention to their private hygiene, wear more comfortable and loose pants, and change underwear frequently.