What are the symptoms of secretory endometrial polyps?

When it comes to women's gynecological diseases, there are really all kinds of diseases, big and small. Some diseases caused by not paying attention to living habits or hygiene habits can be improved in a timely manner. However, if some uncommon gynecological diseases occur, many female friends will be very anxious. Among them, endometrial polyps mentioned by friends make everyone very worried. So, what are the symptoms of secretory endometrial polyps?

This disease can occur at any age after puberty, but is more common in women over 35 years old. When polyps are very small, patients do not have any discomfort symptoms. Most of the time, they are discovered during gynecological examinations due to other diseases.

1. Irregular menstruation

Patients with multiple diffuse type often have menorrhagia and prolonged menstruation, which are related to the increase in endometrial area and excessive endometrial hyperplasia.

2. Abnormal leucorrhea

A small number of larger polyps will show increased leucorrhea, or a few traces of blood in the center of the leucorrhea, or even a small amount of vaginal bleeding, that is, bloody leucorrhea or contact bleeding, which is especially easy to bleed after sexual intercourse and when squatting and straining to defecate.

3. Irregular bleeding, etc.

Large polyps or polyps that protrude into the cervical canal are prone to secondary infection and necrosis, causing irregular bleeding and foul-smelling bloody secretions.

Hysteroscopic examination shows that endometrial polyps mostly occur at the bottom of the uterus, are the size of a little finger, are fat or pink in color, and are translucent. When pressure is applied to the uterus, the polyp trembles but does not fall off. A biopsy can be taken at this time to confirm the diagnosis.

Inspection method:

1. Gynecological examination

Acute inflammation may cause cervical congestion, edema, or erosion, with purulent secretions discharged from the cervical canal, and there may be pain when the cervix is ​​touched. If it is cervical erosion or polyp, there may be contact bleeding.

2. Microscopic examination

Endometrial polyps are composed of the endometrium, covered with a layer of cuboidal epithelium or low columnar epithelium. The middle part of the polyp forms a fibrous longitudinal axis, which contains blood vessels.

3. Cervical Smear

Shows Papanicolaou grade II.

4. Cervical biopsy

For patients with more serious conditions, a cervical biopsy can be performed to confirm the diagnosis. The pathological diagnostic criteria for malignant transformation of polyps are: ① The entire morphology of the polyp must be seen; ② The malignant transformation is limited to the polyp; ③ There is no cancerous transformation in the inner membrane around the polyp. Care should be taken to differentiate it from endometrial adenocarcinoma which presents a polyp-like growth.

5. Hysteroscopy

Hospitals are increasingly using hysteroscopy for diagnosis. The hysteroscope can observe the uterine cavity directly, which is intuitive and clear. After excluding malignant lesions in the uterine cavity such as endometrial cancer, single, small endometrial polyps can be removed directly under the direct vision of the hysteroscope.

As for the symptoms of secretory endometrial polyps, everyone knows what they are. I hope this will be of great help to everyone. I hope women can understand that no matter whether the disease is minor or major, timely treatment is needed. This is the only way to prevent many serious diseases.