How to perform surgery on endometrial polyps

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on March 24, 2025
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Currently, most hospitals require hospitalization for further examinations for endometrial polyps, followed by surgery in the operating room. Generally, anesthesia is administered to the patient before surgery, usually in the form of spinal anesthesia. After the anesthesia, the patient remains conscious, but feels no pain from the lower abdomen to the legs. Under these conditions, the surgery to remove the endometrial polyp is performed. Under the exploration of a hysteroscope, the polyps are removed sequentially with an electrosurgical loop, and the removed tissue is sent for pathological examination.

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Written by Liu Wei Jie
Obstetrics
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Endometrial polyp pain sensation

Do endometrial polyps feel painful? Generally, endometrial polyps do not cause any pain unless there is malignant transformation. In such cases, one might experience discomfort or a dragging pain in the lower abdomen. How are endometrial polyps typically diagnosed? They are diagnosed due to clear changes such as excessively heavy menstrual flow. An ultrasound can reveal polyps, or if the menstrual flow is too heavy, a dilation and curettage (D&C) procedure is performed, and the material removed is sent for pathological examination to confirm the presence of endometrial polyps. If the polyp is small, it can be left alone as 27% of them resolve on their own. However, if the polyp is large and causes changes in menstruation or affects fertility, a hysteroscopy is necessary.

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Written by Hou Jie
Obstetrics and Gynecology
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How to treat endometrial polyps?

The treatment of endometrial polyps is primarily surgical in clinical practice. The widespread use of hysteroscopy greatly aids in the diagnosis and treatment of endometrial polyps. It is recommended that the surgery for endometrial polyps be scheduled within a week after the end of menstruation, when the endometrium is thinner, allowing for clearer visibility during surgery and more precise identification of lesions. Moreover, there is typically less bleeding during surgery at this time. Post-surgery, it is advisable to prescribe regular oral medication based on whether the patient has fertility requirements, to promote the recovery of the endometrium and to prevent postoperative recurrence. It is suggested to take a short course of oral contraceptives for about three to six months, and follow-up visits should be scheduled according to the intraoperative conditions and the doctor's advice.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How long will endometrial polyps recur?

The recurrence time of endometrial polyps varies from person to person, and not all patients with endometrial polyps will experience recurrence. Therefore, the majority of women need not worry excessively about the recurrence of endometrial polyps. However, it should be noted that in some women, endometrial polyps are more likely to recur. For these patients, strict follow-up after endometrial resection is key to early detection of the recurrence of endometrial polyps.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to perform surgery on endometrial polyps

Currently, most hospitals require hospitalization for further examinations for endometrial polyps, followed by surgery in the operating room. Generally, anesthesia is administered to the patient before surgery, usually in the form of spinal anesthesia. After the anesthesia, the patient remains conscious, but feels no pain from the lower abdomen to the legs. Under these conditions, the surgery to remove the endometrial polyp is performed. Under the exploration of a hysteroscope, the polyps are removed sequentially with an electrosurgical loop, and the removed tissue is sent for pathological examination.

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Written by Wang Jing Hua
Obstetrics and Gynecology
34sec home-news-image

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.