Endometrial polyps virgin

Endometrial polyps are a very common gynecological disease with many causative factors, which are related to endocrine, inflammation, obesity, age, etc. Patients with endometrial polyps are mainly concentrated in women from childbearing age to menopause, but there are also patients with endometrial polyps in virgins. After discovery, it is necessary to find out the cause as soon as possible and treat it symptomatically to avoid complications such as infertility.

Causes

1. Endocrine factors

Because estrogen can promote the proliferation of the endometrium and produce menstruation, the formation of endometrial polyps is closely related to excessively high estrogen levels. Perimenopausal and postmenopausal hormone replacement therapy, and regular consumption of hormone health products, will increase the estrogen level in women.

2. Inflammatory factors

Long-term gynecological inflammation, foreign bodies in the uterine cavity (such as contraceptive rings), childbirth, miscarriage, postpartum infection, surgical operations or mechanical stimulation may all cause the occurrence of endometrial polyps, and long-term inflammation will make the polyps larger and larger.

3. Others

Aging, hypertension, obesity, diabetes, and long-term use of tamoxifen after breast cancer surgery are all high-risk factors for endometrial polyps.

treat

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.

(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.