What should I do about endometrial polyps?

Written by Zhang Lu
Obstetrics
Updated on September 02, 2024
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Endometrial polyps are a common condition in women, with many experiencing them. The treatment for endometrial polyps discovered during an ultrasound primarily depends on the size of the polyps and whether they cause clinical symptoms. Firstly, if the endometrial polyp is relatively small, less than 5mm, and does not cause significant clinical symptoms, it may not require intervention and can be monitored with regular check-ups. Secondly, if the endometrial polyp is larger than 1cm or causes a significant increase in menstrual flow, hysteroscopic surgery should be performed to excise the polyp.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Do uterine polyps cause lower abdominal pain?

Endometrial polyps generally manifest clinically with a shorter menstrual cycle, usually occurring every 20 days or so, and a longer period, typically lasting 8 to 10 days or more before it ends. This is a typical clinical presentation of endometrial polyps, and there is usually no pain in the lower abdomen. However, if there is frequent bleeding and the bleeding lasts for a long time, causing endometrial inflammation, pain in the lower abdomen may occur. If the endometrial polyps are not inflamed, there will be no pain in the lower abdomen. If endometrial polyps are detected, the treatment generally involves performing a polypectomy under hysteroscopy within three to seven days after the end of the menstrual period, followed by anti-inflammatory treatment as appropriate. With simple endometrial polyps, there is no pain in the lower abdomen.

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Written by Fan Li Ping
Obstetrics and Gynecology
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Endometrial polyps in unmarried women, what to do?

What to do about endometrial polyps if unmarried? If endometrial polyps are discovered, the first thing to determine is whether they need to be treated. If your polyps are small and do not affect you, causing no issues like abnormal menstruation, then regular ultrasound rechecks are sufficient. However, if there are numerous or large polyps, or if they cause persistent abnormal menstrual bleeding, treatment is recommended. The primary treatment method would be endometrial polyp removal via hysteroscopy. Of course, if you really prefer not to have surgery, conservative treatment and observation for a couple of months could be considered first. If medication is ineffective, surgery might be necessary. With hysteroscopic surgery, instruments are inserted through the opening of your hymen, directly into the cervix to view and remove the polyps, which can be done without damaging the hymen or affecting you.

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Written by Yan Qiao
Obstetrics and Gynecology
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Can uterine polyps disappear?

First, we need to determine whether the endometrial polyp is a true polyp or a pseudo-polyp. If the polyp appears before menstruation and possibly disappears after the menstrual period, it is actually a pseudo-polyp. If the polyp found before menstruation persists after the menstrual period, it is a true polyp. True endometrial polyps generally do not disappear. Therefore, for true endometrial polyps, it is necessary to decide whether treatment is needed based on the size of the polyp and whether the patient has any corresponding symptoms. For endometrial polyps smaller than one centimeter and without any clinical symptoms, follow-up observation may be sufficient. For those with clinical symptoms, or where the endometrial polyp is larger than one centimeter, early surgical treatment is generally recommended.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can endometrial polyps recur?

Endometrial polyps are a common gynecological condition. Generally, when detected, endometrial polyps need to be surgically removed. After treatment, there is still a chance of recurrence of endometrial polyps, although the chance is not particularly high. Some patients may have a higher chance of recurrence, which varies from person to person. If endometrial polyps recur, further surgical treatment may be necessary. Under normal circumstances, oral medication can be administered post-surgery to help possibly prevent the recurrence of endometrial polyps. (Please use medication under the guidance of a doctor.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can endometrial polyps heal by themselves?

Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.