What tests are done for endometrial polyps?

Written by Zhang Lu
Obstetrics
Updated on June 23, 2025
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Endometrial polyps are common among women, and the size and number of these polyps vary from person to person. Small polyps can range from 1 to 2 mm, while large polyps can range from 1 to 2 cm. The number of polyps can be one or two, or about ten. The following methods are mainly used to examine endometrial polyps: First, it is important to inquire about symptoms. Most endometrial polyps do not present clinical symptoms, but some can cause increased menstrual flow or abnormal vaginal discharge. Second, the most important method to examine endometrial polyps is to perform an ultrasound. By observing the echo of the endometrium through ultrasound, a judgment can be made. Third, endometrial polyps can be examined through hysteroscopy. This method allows for direct visualization of the endometrium, providing a definitive role in diagnosing endometrial polyps. After confirmation, electrosurgical resection can be performed for treatment at any time.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What department should I go to for endometrial polyps?

Endometrial polyps can typically be diagnosed and treated at the gynecology department of a hospital. Patients should register at the gynecology department, and the doctor will schedule a hysteroscopy. Under hysteroscopy, the surgery to remove the endometrial polyp can be performed. This surgery is generally done within three to seven days after the end of menstrual bleeding. After the removal, the polyp can be sent for pathology to check if there is any tendency towards malignancy. Normally, most polyps are benign. After the removal, oral anti-inflammatory medications are usually prescribed as symptomatic treatment. Sexual intercourse should be avoided for one month, and oral anti-inflammatory medications can be taken within the first week. Patients who have had a polyp removed should seek re-examination if excessive bleeding occurs, and since endometrial polyps are prone to recurrence, annual check-ups are essential.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Are uterine polyps the same as cervical polyps?

Firstly, endometrial polyps are caused by localized excessive growth of the endometrium. Endometrial polyps can be multiple or single. Polyps consist of endometrial glands, stroma, or blood vessels, and are closely related to an excessively high distribution of estrogen levels. Furthermore, long-term use of hormonal medications and health supplements can lead to the development of endometrial polyps. Once endometrial polyps occur, it is advised to undergo a hysteroscopic examination at a hospital within three to seven days after the end of menstruation, and if necessary, proceed with hysteroscopic polypectomy surgery of the cervical endometrium. Cervical polyps are caused by inflammation of the cervix, resulting from localized polypoid hyperplasia of the cervix. Once cervical polyps are detected, further cervical cancer screening is needed. If the cervical cancer screening shows no abnormalities, cervical polypectomy should be performed, followed by a pathological examination after the surgery.

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Written by Yue Hua
Obstetrics and Gynecology
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How to investigate endometrial polyps?

Endometrial polyps require an ultrasound examination to be detected, as they are located within the uterine cavity and cannot be seen by a gynecological examination alone. Under ultrasound, one can see a polyp-like object in the uterine cavity, which usually measures only a few millimeters, although some may be about ten or more millimeters in size. Certainly, if possible, a hysteroscopy can also identify them. However, generally, an ultrasound is conducted first to observe the endometrial polyps, followed by a hysteroscopy to remove them.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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ultrasonographic appearance of endometrial polyps

Under normal circumstances, the diagnosis of endometrial polyps is usually determined clearly by performing an ultrasound at the hospital. Normally, the endometrial line is continuous. There is a specific thickness to the endometrium. Typically, a thickness of 3-4mm in the endometrium at the end of menstruation is considered normal. During ovulation, the thickness of the endometrium is 8mm. Before menstruation starts, the endometrial thickness is generally more than 10mm. If it is within this range, it is generally considered normal. If there is an increase in endometrial thickness and the echo of the endometrium is not continuous, and the endometrial echo is uneven, in most cases, endometrial polyps are suspected. The diagnosis of endometrial polyps can generally be clearly determined through color Doppler ultrasound. This diagnosis is not difficult. Once endometrial polyps are clearly diagnosed by ultrasound, they can be removed by hysteroscopic polypectomy at the hospital.