How to regulate endometrial polyps

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on March 31, 2025
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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.

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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 Yue Hua
Obstetrics and Gynecology
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Can endometrial polyps be misdiagnosed?

Endometrial polyps can be misdiagnosed as they are caused by excessive proliferation of the endometrial lining. Clinically, the thickness of the endometrium varies throughout the menstrual cycle. Typically, just before menstruation, the endometrium is quite thick. As a result, some women might notice that their endometrium appears thick, resembling a polyp. If such a condition is observed, it is advisable to wait until after a menstrual period when the endometrium has shed before undergoing an ultrasound examination. If it is indeed an endometrial polyp, it will not shed with the menstrual flow. If it’s just thickened endometrium, it will resolve after menstruation. Therefore, it is essential to perform an ultrasound after menstruation to confirm if it is an endometrial polyp. If the polyp persists after a clean menstrual cycle, it can be diagnosed definitively.

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Written by Yue Hua
Obstetrics and Gynecology
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Can endometrial polyps cause bleeding?

Endometrial polyps can bleed, which is due to the proliferation of the endometrium resulting in a polyp-like tissue formation. This tissue sticks to the endometrium and thus has blood vessels on it. If women experience this, clinical symptoms will present as irregular vaginal bleeding. Such bleeding mostly occurs after menstruation has ended, followed by renewed vaginal bleeding, and the amount of bleeding can increase after physical activity. If this condition occurs, it is necessary to go to the hospital for an ultrasound to first rule out if it is caused by endometrial polyps.

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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.