How to check for endometrial polyps?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 30, 2024
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Endometrial polyp examinations are generally conducted through ultrasound at hospitals, which can provide a clear diagnosis. The best time for this ultrasound is within three to seven days after the end of menstruation. During this period, the thickness of the endometrium is between three to four millimeters, and the endometrial echo is uniform. If, during this period, the endometrial thickness is greater than four millimeters and the echo suggests unevenness, this generally indicates a high possibility of endometrial polyps. Patients with endometrial polyps typically experience shorter menstrual cycles, usually occurring every 20 days, with longer menstruation periods. Normally, the menstruation period lasts from three to seven days, but in patients with endometrial polyps, it can extend to over eight to ten days. Therefore, through symptoms and ultrasound, it is possible to determine whether there are endometrial polyps.

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

Patients with endometrial polyps, if they want to manage their condition, the majority is due to an infection. This is because the recurrence of endometrial polyps can occur during endometrial inflammation. The treatment for endometrial polyps generally requires hysteroscopic polypectomy at a hospital for symptomatic treatment. Patients with endometrial polyps generally experience menstrual disorders. Therefore, when managing, it is crucial to be aware that endometrial polyps can easily recur. Prevention of infection must be emphasized during management. Furthermore, endometrial polyps can lead to changes in menstruation. This generally affects fertility. Thus, after hysteroscopic polypectomy for endometrial polyps, it is essential to properly manage inflammation and provide appropriate treatment. Intercourse should be avoided within a month after the polyp removal surgery. If there are any abnormal conditions, it is necessary to seek hospital treatment for symptomatic management.

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Written by Du Rui Xia
Obstetrics
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Can you get pregnant with endometrial polyps?

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 Zhang Lu
Obstetrics
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Do uterine polyps affect pregnancy?

Endometrial polyps refer to the hyperplasia of the endometrial lining due to inflammatory stimuli, resulting in many polypoid tissues. Whether endometrial polyps affect pregnancy mainly depends on the number and size of the polyps, and whether they cause clinical symptoms. First, if the polyps are small and few in number without causing an increase in menstrual flow, they generally do not affect pregnancy and do not require removal of the endometrial polyps, as removing them could instead easily damage the function of the endometrial lining. Second, if the polyps are large, over one centimeter, or there are multiple endometrial polyps, and they cause an increase in menstrual volume, this indicates that the endometrial polyps have impacted the woman's body. In such cases, it is necessary to use a hysteroscope to remove the endometrial polyps before trying to conceive.

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Written by Yue Hua
Obstetrics and Gynecology
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Do uterine polyps require surgery?

Endometrial polyps require surgery. Patients with endometrial polyps generally have clinical symptoms, mainly characterized by irregular vaginal bleeding. This can be a small amount of bleeding after menstruation has ended, or extended periods during menstruation. In such cases, a hysteroscopy or diagnostic curettage is needed to remove these polyps. Relatively speaking, hysteroscopy is more accurate and has fewer side effects after surgery, but its disadvantage is the higher cost. The goal of both is to remove the endometrial polyps and then send them for pathological examination.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What should I do if the endometrial polyp recurs?

Endometrial polyps are polyp-like changes that occur due to overgrowth of the endometrial lining, primarily related to high levels of estrogen in the body and hormonal imbalances. Additionally, oral consumption of some health supplements containing hormonal medications can stimulate the formation of endometrial polyps. Patients with hypertension or obesity are among the high-risk groups for developing endometrial polyps. Since endometrial polyps are related to estrogen levels, there is a possibility of recurrence. Once endometrial polyps are suspected, it is crucial to undergo a hysteroscopic examination at a hospital for confirmation. If the polyp is larger than one centimeter or if there is continuous bleeding during menstruation, it is necessary to promptly undergo a hysteroscopic polypectomy. Post-surgery, medications are required to prevent the recurrence of endometrial polyps.