What to do if there are polyps in the endometrium

Women's physical examinations will include gynecological examinations, usually through color ultrasound to understand the internal conditions of the uterus to see if there are any problems. Physical examination is very necessary. If there is no problem, it is best. If there is a problem, it can be discovered and treated as early as possible. Some women are found to have polyps on their endometrium during physical examinations, which can be shocking to many female friends. Next, let’s talk about how to deal with endometrial polyps.

1. Treatment of endometrial polyps

1. For small, asymptomatic endometrial polyps, no intervention is required for the time being. 25% of endometrial polyps (especially those less than 1 cm in diameter) can regress on their own.

2. Drug treatment of polyps is not currently recommended.

3. Endometrial polyps with obvious clinical symptoms are mainly treated surgically. When polyps are large or accompanied by severe inflammation, partial or complete hysterectomy should also be considered.

Tip: After uterine polyp surgery, you should go to the hospital for regular check-ups as ordered by your doctor, because if there is inflammation or if there are smaller or deep-seated polyps that are not removed together, recurrence may occur. Regular follow-up examinations can detect new recurrent lesions as early as possible, so as to facilitate timely symptomatic treatment, completely eliminate hidden dangers, and ensure good health.

2. What are endometrial polyps?

Endometrial polyp is a common gynecological disease. Endometrial polyps are growths formed by excessive growth of the local endometrium of the uterus. There may be one or more endometrial polyps, with diameters ranging from a few millimeters to several centimeters and pedicles of varying lengths.

Endometrial polyps can occur at any age, and women from childbearing age to postmenopause are at high risk of endometrial polyps. Smaller polyps generally have no clinical symptoms, but after menopause, polyps accompanied by bleeding often indicate the possibility of malignant transformation.

3. Causes of endometrial polyps

Endometrial polyps are characterized by localized endometrial tumors protruding into the uterine cavity. The tumors are gray-red, shiny, soft, and single or multiple. The pedicles vary in length, and the longer ones may protrude outside the cervical os. Microscopically, most endometrial polyps are immature epithelia that do not respond to progesterone and show proliferative changes, while the surrounding endometrium has undergone secretory changes.

1. Inflammatory factors

Women who suffer from gynecological inflammation for a long time are prone to uterine polyps, and long-term inflammatory stimulation will cause the polyps to grow larger and larger.

2. Endocrine disorders

Endometrial polyps are associated with high estrogen levels, which promote the development of the vagina, uterus, fallopian tubes and ovaries themselves, while the endometrium proliferates and produces menstruation. The endometrium is only stimulated by estrogen and lacks the effect of progesterone, which causes the endometrium to grow without restriction and is prone to polyps.

3. Pathogen infection

It is usually caused by childbirth, miscarriage, postpartum infection, surgical operation or mechanical stimulation, sexual intercourse damaging the cervix, and infection caused by invasion of pathogens. Therefore, women with gynecological inflammation must actively check and treat to avoid complications of more diseases.