What should I do if the endometrial polyp recurs?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on June 04, 2025
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 5sec home-news-image

What should I do about endometrial polyps?

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.

doctor image
home-news-image
Written by Sun Shan Shan
Obstetrics and Gynecology
44sec home-news-image

Endometrial polyp removal time

Endometrial polyps require hysteroscopic polypectomy, which is a type of minimally invasive surgery, performed under intravenous anesthesia or general anesthesia. If the polyp is small and the cervical opening is relaxed, the surgery typically concludes within about an hour. After the surgery, the patient can leave the operating room once they regain consciousness. However, if the polyp is located near the uterine corner and the cervix is relaxed, it can complicate the surgical procedure, extending the duration to about one and a half to two hours. Post-surgery, it is important to monitor the patient's bleeding levels.

doctor image
home-news-image
Written by Liu Jian Wei
Obstetrics and Gynecology
33sec home-news-image

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.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
56sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Xiu Rong
Obstetrics and Gynecology
1min 16sec home-news-image

Will uterine polyps cause bleeding during intercourse?

Endometrial polyps generally do not cause bleeding after sexual intercourse. However, bleeding after sexual intercourse can occur if there are polyps in the cervical canal. Clinically, endometrial polyps generally present with shorter menstrual cycles, occurring every 20-something days. The period duration is also typically longer; normally, a period lasts from three to seven days. In patients with endometrial polyps, the period can extend up to eight or nine days. Under such circumstances, endometrial polyps are generally suspected, and patients are often advised to visit a hospital for an ultrasound to examine the thickness of the endometrial lining and its echo characteristics, allowing for a definitive diagnosis of endometrial polyps. Endometrial polyps do not cause bleeding after sexual intercourse. Bleeding after intercourse is generally considered clinically if there are conditions such as cervical cancer, precancerous cervical conditions, cervical polyps, or other cervical alterations. Thus, if bleeding after intercourse occurs, it is crucial to undergo cervical cancer screening at a hospital.