Are endometrial polyps dangerous?

Endometrial polyps are indeed a very dangerous disease. This is mainly because the disease may become malignant after discovery and lead to mucosal fibroids. After the onset of this disease, patients are often accompanied by endocrine disorders, or various adverse factors such as excessive estrogen levels and severe inflammation of the endometrium. Therefore, once endometrial polyps are found, further detailed examinations should be conducted and active treatment should be carried out.

The main symptoms of endometrial polyps are increased menstrual volume or irregular uterine bleeding; polyps can be seen or touched at the cervical opening and the uterine body is slightly enlarged. Hysteroscopy or segmental diagnostic curettage and sending the removed tissue or polyps for pathological examination can confirm the diagnosis and differentiate it from dysfunctional uterine bleeding, submucosal uterine fibroids and endometrial cancer.

The most common type of endometrial polyp is a localized endometrial tumor that protrudes into the uterine cavity. It can be single or multiple, gray-red, shiny, and generally small in size, with an average diameter of 0.5 to 2 cm. The small ones are only 1 to 2 mm in diameter, while the large and multiple ones can fill the uterine cavity. The pedicles vary in thickness and length, and the longer ones may protrude beyond the cervical opening. Some have shorter pedicles and grow diffusely.

The surface of the polyp often has hemorrhagic necrosis and may also be infected. If the pedicle is twisted, hemorrhagic infarction may occur. The disease can occur at any age after puberty, but is more common in women over 35 years old. Single, small endometrial polyps often have no clinical symptoms and are often discovered during gross examination after hysterectomy due to other diseases, or diagnosed after diagnostic curettage.

Patients with endometrial polyps are advised to go to the hospital for detailed microscopic examination and pathological scraping examination. Through these examinations, we can find out the distribution of blood vessels inside the polyp, the degree of lesions in the polyp, and the specific location of the polyp, which will be of great help for future treatment. Regular check-ups can also help patients avoid polyp tissue from becoming cancerous.