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 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 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 Zhang Xiu Rong
Obstetrics and Gynecology
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How to regulate endometrial polyps

Patients with endometrial polyps, if they want to manage their condition, the majority is due to an infection. This is because the recurrence of endometrial polyps can occur during endometrial inflammation. The treatment for endometrial polyps generally requires hysteroscopic polypectomy at a hospital for symptomatic treatment. Patients with endometrial polyps generally experience menstrual disorders. Therefore, when managing, it is crucial to be aware that endometrial polyps can easily recur. Prevention of infection must be emphasized during management. Furthermore, endometrial polyps can lead to changes in menstruation. This generally affects fertility. Thus, after hysteroscopic polypectomy for endometrial polyps, it is essential to properly manage inflammation and provide appropriate treatment. Intercourse should be avoided within a month after the polyp removal surgery. If there are any abnormal conditions, it is necessary to seek hospital treatment for symptomatic management.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Do uterine polyps require surgery?

Endometrial polyps are caused by excessive growth of the endometrial lining, and can be single or multiple, with diameters ranging from a few millimeters to several centimeters. They can be pedunculated or sessile. Endometrial polyps smaller than one centimeter in diameter, if asymptomatic, have a natural resolution rate of about 27% within a year and a low rate of malignancy. If the polyp is large, greater than one centimeter, it requires hysteroscopic endometrial polypectomy or curettage. However, curettage has disadvantages, as it can easily miss polyps, and there is a high chance of recurrence after the surgery. Therefore, once an endometrial polyp larger than one centimeter is identified, it is advisable to promptly visit a hospital for examination and treatment. Postoperative treatment should be guided based on the pathological findings.

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Written by Yue Hua
Obstetrics and Gynecology
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Can you have intercourse with endometrial polyps?

Endometrial polyps do not prevent sexual intercourse. This is because endometrial polyps are located within the uterine cavity, and sexual intercourse generally affects the vulva, vagina, and cervix. As long as these organs do not have any pathological changes, sexual intercourse is generally possible because the polyps inside the uterine cavity are not contacted during intercourse. Therefore, intercourse does not significantly affect the presence of polyps and can occur. However, if endometrial polyps are discovered, it is crucial to undergo early surgical treatment, which can be done through hysteroscopy or diagnostic curettage, as the polyps can grow larger over time.