How to treat endometrial polyps

Endometrial polyps, also known as endometrial polyps, are a particularly common gynecological problem. If this disease is not controlled and treated in time, it will have a great impact on the female reproductive system. Of course, when treating endometrial polyps, you cannot act blindly, but need to treat under the guidance of a doctor. Next, I will introduce to you the treatment methods of endometrial polyps!

1. Treatment policy

Small, asymptomatic polyps can be treated without intervention for the time being. For patients over 40 years old, with obvious bleeding symptoms and frequent recurrences, total hysterectomy can be performed.

2. Surgical treatment

1. Hysteroscopic transurethral resection

For patients with obvious clinical symptoms, those with intrauterine growths detected by B-ultrasound, or those whose intrauterine growths cannot completely rule out the possibility of malignancy, surgical treatment is recommended. Patients who want to have children and may have 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.

(1) The surgery is usually performed 3 to 7 days after the end of menstruation. Sexual intercourse is prohibited 3 days before the surgery. Patients can hold their urine for a while before the surgery to facilitate B-ultrasound monitoring during the surgery.

(2) Rest for at least one week after surgery. Sexual intercourse and bathing are prohibited within one month after surgery.

(3) Pay attention to changes in the condition. There may be a small amount of vaginal bleeding within 2 months after hysteroscopic transurethral resection. If the bleeding is heavy, seek medical attention immediately. Normal menstruation can be resumed in the 3rd month.

2. Radical surgery

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.

Other treatments

Small, asymptomatic polyps can be temporarily left untreated, and some polyps may resolve spontaneously, but drug treatment of polyps is not recommended.

IV. Prognosis

This disease is prone to recurrence, and regular follow-up examinations should be conducted after surgery, once every 3 months. However, for those asymptomatic, repeated surgical treatment is not necessary.

5. Daily care

Pay attention to perineal hygiene care after surgery. Except for high-risk patients, patients can be guided to turn over and move around in bed within 6 hours after surgery, and can get out of bed and move around after 6-8 hours, and the amount of activity can be gradually increased. Rest for at least 1 week after surgery. Sexual intercourse and bathing in a tub are prohibited within 1 month after surgery. There may be a small amount of vaginal bleeding within 2 months after hysteroscopic transurethral resection. If the bleeding is heavy, seek medical attention immediately.