Can uterine polyps disappear?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on May 09, 2025
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First, we need to determine whether the endometrial polyp is a true polyp or a pseudo-polyp. If the polyp appears before menstruation and possibly disappears after the menstrual period, it is actually a pseudo-polyp. If the polyp found before menstruation persists after the menstrual period, it is a true polyp. True endometrial polyps generally do not disappear. Therefore, for true endometrial polyps, it is necessary to decide whether treatment is needed based on the size of the polyp and whether the patient has any corresponding symptoms. For endometrial polyps smaller than one centimeter and without any clinical symptoms, follow-up observation may be sufficient. For those with clinical symptoms, or where the endometrial polyp is larger than one centimeter, early surgical treatment is generally recommended.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can endometrial polyps recur?

Endometrial polyps are a common gynecological condition. Generally, when detected, endometrial polyps need to be surgically removed. After treatment, there is still a chance of recurrence of endometrial polyps, although the chance is not particularly high. Some patients may have a higher chance of recurrence, which varies from person to person. If endometrial polyps recur, further surgical treatment may be necessary. Under normal circumstances, oral medication can be administered post-surgery to help possibly prevent the recurrence of endometrial polyps. (Please use medication under the guidance of a doctor.)

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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 Sun Shan Shan
Obstetrics and Gynecology
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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.

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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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Written by Fan Li Ping
Obstetrics and Gynecology
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Endometrial polyps in unmarried women, what to do?

What to do about endometrial polyps if unmarried? If endometrial polyps are discovered, the first thing to determine is whether they need to be treated. If your polyps are small and do not affect you, causing no issues like abnormal menstruation, then regular ultrasound rechecks are sufficient. However, if there are numerous or large polyps, or if they cause persistent abnormal menstrual bleeding, treatment is recommended. The primary treatment method would be endometrial polyp removal via hysteroscopy. Of course, if you really prefer not to have surgery, conservative treatment and observation for a couple of months could be considered first. If medication is ineffective, surgery might be necessary. With hysteroscopic surgery, instruments are inserted through the opening of your hymen, directly into the cervix to view and remove the polyps, which can be done without damaging the hymen or affecting you.