Can you get pregnant with endometrial polyps?

Written by Du Rui Xia
Obstetrics
Updated on September 28, 2024
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Endometrial polyps can affect pregnancy, but it does not mean that conception is impossible. Rather, it means that the chances of becoming pregnant may decrease. Endometrial polyps can affect the lining of the uterus and thereby hinder the implantation of a fertilized egg after the sperm and egg have combined. Even if fertilization and implantation occur in the uterus, miscarriage is more likely to happen. Therefore, when endometrial polyps occur, treatment can be administered based on the size and extent of the polyps. If the condition is mild with few and small polyps that do not affect pregnancy, conception is still possible.

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Written by Du Rui Xia
Obstetrics
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How to prevent endometrial polyps

Endometrial polyps can be prevented through some daily life adjustments. Firstly, it is important to maintain a good mentality and avoid being in a consistently gloomy mood for a long period, as these negative emotions can lead to a decrease in the body's immune function, which may trigger certain diseases. Additionally, it is important not to marry and conceive too early, and also to avoid conceiving too late. The optimal age for childbirth is between 25-28 years old. These measures can effectively prevent endocrine disorders and the occurrence of endometrial polyps. Furthermore, after marriage, if there is no plan for childbirth, women can take some contraceptive measures, such as using condoms or an intrauterine device, to prevent accidental pregnancies. This is important because accidental pregnancies, followed by surgical or medical abortions, can affect the body's hormonal balance and may lead to the development of endometrial polyps.

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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 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 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 Hou Jie
Obstetrics and Gynecology
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Benign characteristics of endometrial polyps

If a woman is diagnosed with endometrial polyps, then the condition is benign. If there are symptoms such as irregular vaginal bleeding, increased menstrual flow, or prolonged menstruation, endometrial polyps should be considered. It is advised to undergo diagnostic curettage or hysteroscopic endometrial polyp electrosurgical resection, and the removed tissue should be sent for pathological examination. Whether it is benign or malignant is mainly determined by the pathological examination as the final diagnostic basis. If confirmed as endometrial polyps, then it is benign. If precancerous lesions are present or if it is confirmed as malignant tumor, the case will be described in detail.