What to do if endometrial polyps recur

We also know that the uterus is a very important organ for women. The uterus is closely related to conception. Once the uterus has lesions, it is very likely to affect women's pregnancy and even cause certain harm to women's future. Endometrial polyps are a relatively common gynecological disease. Many patients are currently afraid of this disease. So what should you do if you accidentally suffer from endometrial polyps? What should you do if polyps recur? Let us learn about the relevant treatment methods together.

Endometrial polyps are localized hyperplasia of the basal layer of the endometrium caused by the continuous action of estrogen. They can grow at any part of the uterine wall and slowly grow upward and protrude from the surface of the endometrium. The base is wide at first, and then gradually forms a pedicle, which is a polyp. Endometrial polyps have no typical and specific symptoms. They can be single or multiple. The smallest ones are 1-2 mm, and the largest ones can fill the uterine cavity. Although this disease is a benign lesion, it can develop into adenomatous hyperplasia or even cancer, so attention should be paid.

According to experts, single smaller polyps generally have no clinical symptoms, while common symptoms of multiple or large polyps include heavy menstruation, intermenstrual bleeding, bleeding before and after menstruation, irregular menstruation or postmenopausal bleeding. When polyps show adenomatous hyperplasia, they should be regarded as precancerous lesions. In the past, the diagnosis of endometrial polyps was mainly based on hysterosalpingography, B-ultrasound and diagnostic curettage. However, injecting too much contrast agent during radiography can mask polyps and they can be easily confused with submucosal uterine fibroids, bubbles in the uterine cavity, etc.; B-ultrasound examinations are affected by the menstrual cycle and may miss polyps that are too small; diagnostic curettage may miss some tissue, or sometimes the tissue may be scraped into pieces and cannot make a clear diagnosis. It can only report the proliferative endometrium or endometrial hyperplasia, and has a high false positive rate. Therefore, hysterosalpingography, B-ultrasound and diagnostic curettage have limitations in diagnosing endometrial polyps. Most endometrial polyps are very small and difficult to detect even with multiple examinations using the traditional methods mentioned above, which can give doctors a false impression and delay treatment. Therefore, hysterosalpingography and curettage have limitations in diagnosing endometrial polyps, and hysteroscopy is currently the best diagnostic and treatment method.

The treatment of endometrial polyps is mainly surgical. Hysteroscopic endometrial resection is the only method that can clearly see the polyp pedicle and remove it from the root. Removal of the basal layer can prevent its persistence and recurrence. The uterine cavity can be observed directly with a hysteroscope, 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. For patients with multiple lesions, young patients, and those who want to have children, a comprehensive curettage can be performed under the hysteroscope to avoid missed curettage. For patients who want to have children, endometrial polyps can be completely treated while maintaining the integrity of the uterus.

The above is a brief introduction to the treatment of endometrial polyps. I hope that the above reading will be helpful to you. In order to prevent the recurrence of endometrial polyps, it is recommended that female friends must thoroughly treat the disease during the treatment and never rush to do it. Only in this way can our body completely recover health and avoid repeated interference of the disease.