Can you have intercourse with endometrial polyps?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 16, 2024
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Endometrial polyps do not prevent sexual intercourse. This is because endometrial polyps are located within the uterine cavity, and sexual intercourse generally affects the vulva, vagina, and cervix. As long as these organs do not have any pathological changes, sexual intercourse is generally possible because the polyps inside the uterine cavity are not contacted during intercourse. Therefore, intercourse does not significantly affect the presence of polyps and can occur. However, if endometrial polyps are discovered, it is crucial to undergo early surgical treatment, which can be done through hysteroscopy or diagnostic curettage, as the polyps can grow larger over time.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Do uterine polyps require surgery?

Endometrial polyps are caused by excessive growth of the endometrial lining, and can be single or multiple, with diameters ranging from a few millimeters to several centimeters. They can be pedunculated or sessile. Endometrial polyps smaller than one centimeter in diameter, if asymptomatic, have a natural resolution rate of about 27% within a year and a low rate of malignancy. If the polyp is large, greater than one centimeter, it requires hysteroscopic endometrial polypectomy or curettage. However, curettage has disadvantages, as it can easily miss polyps, and there is a high chance of recurrence after the surgery. Therefore, once an endometrial polyp larger than one centimeter is identified, it is advisable to promptly visit a hospital for examination and treatment. Postoperative treatment should be guided based on the pathological findings.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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 Zhang Lu
Obstetrics
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What should I do about endometrial polyps?

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 Xu Xiao Ming
Obstetrics and Gynecology
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Symptoms of endometrial hyperplasia polyps

If endometrial hyperplasia and polyps are present, there may be an increase in menstrual flow and an extension of the menstrual cycle. This is because if many polyps grow on the endometrium, it will increase the surface area of the endometrium, leading to increased menstrual bleeding. Therefore, it is recommended that such patients should go to the hospital in time for examination and treatment. If there are many polyps affecting daily life and reproductive function, a hysteroscopic examination is necessary. Under hysteroscopy, endometrial polyps can also be removed. Therefore, it is advised to seek medical examination as soon as possible.

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Written by Yue Hua
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How to investigate endometrial polyps?

Endometrial polyps require an ultrasound examination to be detected, as they are located within the uterine cavity and cannot be seen by a gynecological examination alone. Under ultrasound, one can see a polyp-like object in the uterine cavity, which usually measures only a few millimeters, although some may be about ten or more millimeters in size. Certainly, if possible, a hysteroscopy can also identify them. However, generally, an ultrasound is conducted first to observe the endometrial polyps, followed by a hysteroscopy to remove them.