Can I get pregnant if I have polyps in my uterus?

In our lives, many women often feel abdominal pain during the process of preparing for pregnancy. At this time, they go to the hospital for examination and are likely to find that their uterus has polyps. Some women will consider whether to continue preparing for pregnancy or to have polyps removed, because if there are polyps in the uterus, it is also a potential threat to the fetus if you get pregnant. So, can you get pregnant with polyps in the uterus?

What should I do if I find endometrial polyps when I am preparing for pregnancy?

Endometrial polyps are the result of local overgrowth of the uterine endometrium. They are benign nodules that protrude from the surface of the endometrium. They can be understood as illegal buildings in the uterus or weeds growing in the fields. They have a low rate of malignant transformation. Endometrial polyps can grow anywhere in the uterine cavity and can occur individually or in groups.

And in the uterus, the soil that nurtures babies, any uninvited guests are unwelcome. Naturally, the presence of endometrial polyps is not good for the uterus.

This is because endometrial polyps, especially multiple polyps, form a space in the uterine cavity, which may affect sperm transport; polyps occupy the limited living space for the baby, which may cause changes in the morphology of the uterine cavity, reduce the volume of the uterine cavity, interfere with the implantation and development of the fertilized egg and hinder fertility.

If pregnancy occurs, endometrial polyps will affect the blood supply to the placenta, resulting in poor blood supply to the placenta and prone to miscarriage.

But as the saying goes, if there is a seed, there is no need to worry about its growth. If the embryo is strong enough, the impact of endometrial polyps on pregnancy is not absolute.

Therefore, if the endometrium shows the presence of polyps, continuous observation is recommended, such as a B-ultrasound check once a month, to check the condition of the polyps and the endometrium. If they persist and the endometrium tends to thicken, it is recommended to remove them before preparing for pregnancy.

After all, endometrial polyps are unlikely to resolve spontaneously, and their nature is unclear. At the same time, they are often accompanied by abnormal endometrial hyperplasia, which are diseases that require treatment and may also affect pregnancy.

How to treat endometrial polyps?

1. Conservative treatment

For small, asymptomatic polyps, no intervention is required temporarily. Some polyps may resolve spontaneously. Drug treatment of polyps is not recommended.

2. Hysteroscopic transurethral resection

For patients with obvious clinical symptoms, those who have been found to have growths in the uterine cavity by B-ultrasound, or those whose intrauterine growths cannot completely rule out the possibility of malignancy, surgical treatment is recommended. In addition, patients who want to have children and are found to have possible endometrial polyps are also recommended to try for pregnancy after surgery. Hysteroscopic polypectomy is the main treatment method with relatively low associated risks, and all removed tissues are sent for pathological examination.