What department should I go to for endometrial polyps?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on December 24, 2024
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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.

Other Voices

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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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.

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Written by Zhang Lu
Obstetrics
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Do uterine polyps affect pregnancy?

Endometrial polyps refer to the hyperplasia of the endometrial lining due to inflammatory stimuli, resulting in many polypoid tissues. Whether endometrial polyps affect pregnancy mainly depends on the number and size of the polyps, and whether they cause clinical symptoms. First, if the polyps are small and few in number without causing an increase in menstrual flow, they generally do not affect pregnancy and do not require removal of the endometrial polyps, as removing them could instead easily damage the function of the endometrial lining. Second, if the polyps are large, over one centimeter, or there are multiple endometrial polyps, and they cause an increase in menstrual volume, this indicates that the endometrial polyps have impacted the woman's body. In such cases, it is necessary to use a hysteroscope to remove the endometrial polyps before trying to conceive.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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The difference between endometrial polyps and endometrial cancer

Endometrial polyps are a benign condition, while endometrial cancer is a malignant tumor. Endometrial polyps are caused by localized excessive growth of the endometrium and can be either solitary or multiple, ranging in diameter from a few millimeters to several centimeters, and can be categorized as pedunculated or sessile. Polyps consist of endometrial glandular tissue, stroma, and blood vessels. They are benign and can be treated with timely curettage or endometrial polyp electroresection, followed by a pathological examination. In cases of endometrial cancer, it is necessary to promptly perform a hysterectomy. Depending on the pathological analysis, further radiotherapy or chemotherapy may be required.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to regulate endometrial polyps

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.