How to prevent recurrence of endometrial polyps

Endometrial polyps are a symptom that many women are very worried about. Its onset is mainly directly related to inflammation and endocrine disorders, and is also related to excessively high levels of estrogen. Therefore, women should pay attention to hygiene in their daily lives, and don’t be too nervous if they find endometrial polyps. Some measures can be taken to prevent endometrial recurrence.

Hysteroscopy and hysteroscopic transurethral resection of endometrial polyps are currently the preferred diagnostic and treatment methods for endometrial polyps, and the recurrence rate of endometrial polyps after surgery is high. The main reason for this is that women who have not had progesterone to counteract estrogen for a long time or have high estrogen levels are prone to endometrial polyps, and surgical resection can only treat the symptoms of the disease. Therefore, giving progesterone after surgery to counteract estrogen and promote the transformation of the endometrium to the secretory phase is an effective way to prevent polyps.

Progesterone has a variety of dosage forms, including oral preparations, intrauterine sustained-release preparations, subcutaneous implants, etc. It is one of the most important hormones in regulating the female reproductive system.

Cyclic oral progestin can inhibit endometrial hyperplasia and promote endometrial transformation. It is a common method for preventing recurrence in patients with endometrial polyps with high-risk factors. A commonly used method is to supplement natural progestins such as dydrogesterone or progesterone capsules in the second half of menstruation. While preventing polyps, it can supplement the function of the corpus luteum. For women with infertility, it can achieve the effect of assisting pregnancy and preserving the fetus in early pregnancy.

For women who do not want to have children, they can choose to take short-acting oral contraceptives cyclically. The combination of estrogen and progesterone in oral contraceptives can promote the repair of the endometrium after polypectomy, while progesterone can inhibit endometrial hyperplasia and prevent the recurrence of polyps. The new generation of oral contraceptives currently in widespread use have no adverse effects on coagulation function and lipid metabolism, can reduce water and sodium retention, and have the effect of controlling weight. The most important thing is that you can get pregnant the next month after stopping the medication, and it has no adverse effects on pregnancy.

Mirena (levonorgestrel-releasing intrauterine system, LNG-IUS) provides a new way of delivering progestin. It is easy to use and releases drugs locally. LNG-IUS releases 20 μg of levonorgestrel in the uterine cavity every day, acting on the endometrium, making the endometrium atrophic and inactive and increasing the viscosity of cervical mucus. It was originally used for contraception and has recently been widely used to treat endometrial-related lesions such as menorrhagia. This local sustained-release progestin is easy to use and has a high concentration in the target organ, the endometrium, while the blood concentration is extremely low. The concentration ratio is nearly 8,000. While achieving a good inhibitory effect on endometrial hyperplasia, it minimizes the adverse reactions caused by the drug.

The above is an introduction to how to prevent the recurrence of endometrial polyps. At the same time, patients should not have too much psychological pressure. Perhaps the endometrium causes a lot of pain to the patient or the symptoms of infertility are annoying, but patients should still maintain a positive and optimistic attitude and try to find relevant information to prevent the recurrence of endometrial polyps.