Do uterine polyps cause lower abdominal pain?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 23, 2024
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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 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 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 Zhao Li Li
Obstetrics
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What should not be eaten with endometrial polyps?

Under normal circumstances, after confirming the presence of endometrial polyps, further examinations and treatments are still required. Generally, endometrial polyps can easily lead to abnormalities in menstrual cycle or menstrual volume, and may also stimulate the occurrence of local vaginal inflammation. Therefore, it is necessary to follow a light and nutritious diet, avoid spicy and stimulating foods, get plenty of rest, avoid excessive fatigue, and ensure thorough cleanliness of the vulva. If the endometrial polyps persist and are large, it is recommended to undergo hysteroscopic surgery for targeted treatment and complete removal of the endometrial polyps.

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

Endometrial polyps can cause irregular vaginal bleeding, which can manifest as non-menstrual vaginal bleeding or menstrual vaginal bleeding, leading to prolonged menstrual periods and incomplete menstrual discharge. These conditions are generally caused by endometrial polyps. Generally, if endometrial polyps occur, it is recommended that patients undergo a hysteroscopic examination to assess the number and size of polyps. If necessary, surgical removal under hysteroscopy is required.

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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.