Can endometrial polyps cause bleeding?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 06, 2024
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Endometrial polyps can bleed, which is due to the proliferation of the endometrium resulting in a polyp-like tissue formation. This tissue sticks to the endometrium and thus has blood vessels on it. If women experience this, clinical symptoms will present as irregular vaginal bleeding. Such bleeding mostly occurs after menstruation has ended, followed by renewed vaginal bleeding, and the amount of bleeding can increase after physical activity. If this condition occurs, it is necessary to go to the hospital for an ultrasound to first rule out if it is caused by endometrial polyps.

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Written by Liu Wei Jie
Obstetrics
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Endometrial polyp pain sensation

Do endometrial polyps feel painful? Generally, endometrial polyps do not cause any pain unless there is malignant transformation. In such cases, one might experience discomfort or a dragging pain in the lower abdomen. How are endometrial polyps typically diagnosed? They are diagnosed due to clear changes such as excessively heavy menstrual flow. An ultrasound can reveal polyps, or if the menstrual flow is too heavy, a dilation and curettage (D&C) procedure is performed, and the material removed is sent for pathological examination to confirm the presence of endometrial polyps. If the polyp is small, it can be left alone as 27% of them resolve on their own. However, if the polyp is large and causes changes in menstruation or affects fertility, a hysteroscopy is necessary.

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Written by Zhang Xiu Rong
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What should I do about endometrial polyps?

Endometrial polyps, if diagnosed, are generally treated within 3 to 7 days after the end of menstruation. You can go to the hospital to have the polyps removed under hysteroscopy. Postoperative anti-inflammatory and symptomatic treatment is then sufficient. The removed polyps should be sent for pathology analysis, and based on the pathology results, an appropriate treatment method can be selected. Generally, most endometrial polyps are benign, with a very small percentage having a tendency to become malignant. Endometrial polyps are prone to recurrence, so it is essential to undergo proper anti-inflammatory and symptomatic treatment after the removal of endometrial polyps. The diagnosis of endometrial polyps generally requires a hospital visit for a color Doppler ultrasound. After menstruation, if the ultrasound shows thickened endometrial echoes or uneven echoes, most can be diagnosed through this ultrasound. Treatment can only be performed surgically.

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Written by Fan Li Ping
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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 Zhang Xiu Rong
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ultrasonographic appearance of endometrial polyps

Under normal circumstances, the diagnosis of endometrial polyps is usually determined clearly by performing an ultrasound at the hospital. Normally, the endometrial line is continuous. There is a specific thickness to the endometrium. Typically, a thickness of 3-4mm in the endometrium at the end of menstruation is considered normal. During ovulation, the thickness of the endometrium is 8mm. Before menstruation starts, the endometrial thickness is generally more than 10mm. If it is within this range, it is generally considered normal. If there is an increase in endometrial thickness and the echo of the endometrium is not continuous, and the endometrial echo is uneven, in most cases, endometrial polyps are suspected. The diagnosis of endometrial polyps can generally be clearly determined through color Doppler ultrasound. This diagnosis is not difficult. Once endometrial polyps are clearly diagnosed by ultrasound, they can be removed by hysteroscopic polypectomy at the hospital.

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Written by Sun Shan Shan
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Can endometrial polyps heal by themselves?

Firstly, endometrial polyps cannot heal on their own. There are many causes of endometrial polyps, one being excessive levels of estrogen in the body; another is long-term gynecological inflammation stimulation, such as from abortions or childbirth surgical procedures, which can lead to the formation of endometrial polyps; furthermore, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, once endometrial polyps occur, this condition cannot heal on its own. It requires a hysteroscopic examination three to seven days after menstruation has ended to confirm if it is indeed an endometrial polyp. If confirmed as an endometrial polyp, further hysteroscopic endometrial polypectomy is needed, followed by further pathological examination after the surgery.