Can uterine polyps disappear on their own?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on October 28, 2024
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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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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 Yue Hua
Obstetrics and Gynecology
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What are endometrial polyps?

Endometrial polyps refer to excessive proliferation of the endometrial lining, forming polyp-like tissues. Patients typically experience irregular vaginal bleeding, primarily manifesting as minor vaginal bleeding after menstrual periods have ended. Upon visiting the hospital and undergoing a vaginal ultrasound examination, a polyp-like tissue can be detected within the uterine cavity. Once identified, a hysteroscopy or diagnostic curettage is required to remove these tissues. Subsequently, a pathological examination must be conducted to clearly determine the cause and nature of the polyps.

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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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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 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.