Can you get pregnant with endometrial polyps?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 14, 2024
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It is best to get pregnant after surgery for endometrial polyps, as this condition can lead to infertility. Endometrial polyps refer to an excessive growth of the uterine lining, where a polyp-like mass is found inside the uterine cavity. In this case, the presence of a foreign body around the uterine cavity can prevent a fertilized egg from implanting inside the uterus. Therefore, if suffering from endometrial polyps, which can also cause infertility, it is necessary to promptly remove the polyps and then send them for pathological examination. If there are no problems, it is best to consider pregnancy after three months.

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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 Wang Jing Hua
Obstetrics and Gynecology
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Can uterine polyps disappear on their own?

Endometrial polyps are generally located in the uterine cavity. Some endometrial polyps may be expelled during menstruation, as each menstrual period involves the shedding of the endometrial lining, causing some small polyps to disappear after menstruation. However, if the endometrial polyps persist and are relatively large, causing irregular bleeding, excessive menstrual flow, or affecting pregnancy, it might be necessary to perform a hysteroscopy for examination and treatment, and to send samples for pathological testing.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Causes of endometrial polyps

There are many causes of endometrial polyps. One is the excessive secretion of estrogen in the body, leading to an uneven distribution of hormone levels. Furthermore, long-term use of health products and hormone medications can stimulate their development, as can gynecological inflammations from events like abortion, childbirth, or surgical procedures, all of which can lead to the formation of endometrial polyps. Additionally, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, it’s crucial to carry out a timely hysteroscopic examination once endometrial polyps are detected. This examination should take place three to seven days after menstruation at a hospital. If the polyps are larger than one centimeter in diameter, or if there is continuous vaginal bleeding, an immediate hysteroscopic polypectomy is necessary.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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The difference between endometritis and endometrial cancer.

Endometritis falls under the category of inflammation and its general clinical treatment primarily involves anti-inflammatory treatment. Endometrial cancer, on the other hand, is a malignant tumor of the uterus and differs in prognosis and treatment. The preferred treatment for endometrial cancer is surgical. If the patient has missed the opportunity for surgery, chemotherapy or radiotherapy can be administered, with the aim of extending the patient’s life as much as possible. Compared to endometritis, which is relatively mild, endometrial cancer has a more significant impact.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to regulate endometrial polyps

Under normal circumstances, if there is endometrial polyp in the uterus, trying to treat it with food or medication is unlikely to be effective. The best treatment for endometrial polyps is to remove the polyps via hysteroscopy. After the surgery, the polyp tissue should be sent for pathology to differentiate between benign and malignant. Postoperative anti-inflammatory treatment is necessary, and sexual intercourse should be avoided for one month after the surgery. The treatment for endometrial polyps typically occurs within three to seven days after the end of menstruation. Diagnosis usually involves going to the hospital for an ultrasound to check the thickness of the endometrium and the echogenicity of the endometrium. Therefore, trying to manage endometrial polyps through non-surgical means is ineffective; surgical treatment is the only viable option.