What should I do about endometrial polyps?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 22, 2024
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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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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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Can endometrial polyps heal by themselves?

Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.

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Can endometrial polyps be cured?

Endometrial polyps are a common gynecological condition clinically, and most of the time, they are not very harmful. Clinically, once endometrial polyps are discovered, it is recommended to assess with the local hospital's gynecology department whether surgical removal is necessary. Most endometrial polyps can be cured through surgical removal and will not affect the patient's daily life or future. However, it is important to note that endometrial polyps are very prone to recurrence.

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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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Do uterine polyps require hospitalization?

Women with endometrial polyps sometimes require hospital treatment, especially in certain cases. For instance, women with smaller and fewer polyps, limited by economic conditions, can undergo diagnostic curettage in outpatient settings. This is followed by a pathological histological examination to rule out the possibility of malignancy. However, this method carries a risk of missed diagnosis. If the women's endometrial polyps are larger and more numerous, or if economic conditions allow, they can be hospitalized for hysteroscopic polypectomy under anesthesia. This procedure offers accurate localization and minimal damage to surrounding tissues. Post surgery, a pathological histological examination can also be performed to determine the type of lesion.