How to treat endometrial polyps after B-ultrasound examination

Many women have the habit of self-examination. The main parts of the self-examination are the breasts and abdomen. The abdomen includes the cervix and uterus. In fact, self-examination cannot diagnose diseases, but it can find abnormalities in the body. For abdominal self-examination, as long as the patient lies flat, the lower abdomen can be pressed to observe whether there is a lump or pain. Of course, it is also necessary to refer to the usual abdominal abnormalities. If there is a problem, a B-ultrasound examination can be performed. So how to treat endometrial polyps after B-ultrasound examination?

1. Laser treatment

(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 60 W.

2. Surgery

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. In recent years, some people have successfully used hysteroscopic surgery or laser treatment to remove small polyps. 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.

Surgical treatment: surgical resection is the main method.

3. Notes

(1) If there is inflammation, the infection must be controlled first;

(2) If bleeding occurs, the focus is on stopping the bleeding;

(3) Surgery should be performed after inflammation is under control. Although polyps rarely become cancerous, the canceration rate is still between 0.2% and 0.4%.

(4) For patients who develop polyps before or after menopause, the polyps should be sent for pathological examination after surgical removal. If there are signs of malignancy, treatment measures should be taken as soon as possible.

(5) This disease is prone to recurrence, and regular follow-up examinations should be conducted after surgery, once every three months.

It is feasible to confirm the diagnosis of endometrial polyps by B-ultrasound examination, but it cannot accurately determine the severity of the polyps. Patients are advised to undergo further examination and diagnosis. For example, during microscopic examination, the size of the polyp, the degree of erosion around the polyp, etc. can be clearly observed, and a treatment plan can be formulated according to the condition after the examination. Surgery is necessary to completely cure endometrial polyps. If left untreated for a long time, the polyps will worsen and many body functions will be affected.