How to treat malignant endometrial polyps?

Written by Zhang Chun Yun
Obstetrics and Gynecology
Updated on May 27, 2025
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Endometrial polyps rarely become malignant, but there is indeed the possibility of cancerous changes, so it is generally best to visit the hospital once diagnosed with endometrial polyps for accurate diagnosis and to receive appropriate, correct, and standardized treatment under the guidance of a doctor.

If the condition unfortunately turns cancerous, the treatment approach will depend on several factors including the size of the uterus, whether the muscle layer is infiltrated by cancerous tissue, whether the cervical canal is involved, the differentiation of cancer cells, and the overall condition of the patient. The doctor will make a comprehensive analysis to determine the treatment plan.

Main treatment options include surgery, radiation therapy, and medication, which can be used individually or in combination. Specific treatment plans will be provided by the doctor, and it is essential to follow the doctor's instructions, cooperate with the doctor for appropriate and correct treatment to improve the five-year survival rate. After completing the treatment, regular follow-ups should be scheduled to timely determine if there is any recurrence, and it is generally best to strictly adhere to the doctor’s advice and accurate diagnosis.

Other Voices

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Causes of endometrial polyps

There are many causes of endometrial polyps. One is the excessive secretion of estrogen in the body, leading to an uneven distribution of hormone levels. Furthermore, long-term use of health products and hormone medications can stimulate their development, as can gynecological inflammations from events like abortion, childbirth, or surgical procedures, all of which can lead to the formation of endometrial polyps. Additionally, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, it’s crucial to carry out a timely hysteroscopic examination once endometrial polyps are detected. This examination should take place three to seven days after menstruation at a hospital. If the polyps are larger than one centimeter in diameter, or if there is continuous vaginal bleeding, an immediate hysteroscopic polypectomy is necessary.

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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 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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Difference between endometrial polyps and cervical polyps

Endometrial polyps and cervical polyps are two types of reproductive system polyps that are relatively common in women. Their differences lie in the following aspects: First, the location of the polyps is different. Endometrial polyps are located inside the uterine cavity, whereas cervical polyps grow in the cervical canal or on the external cervix. Second, the symptoms caused by each are different. Cervical polyps may cause symptoms or tend to cause abnormal vaginal bleeding outside of menstruation. In contrast, endometrial polyps typically lead to increased menstrual flow and generally do not cause bleeding outside of menstruation. Third, the examination methods are not completely the same. Endometrial polyps are primarily diagnosed through ultrasound, while cervical polyps are mainly checked through gynecological examination.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Symptoms of endometrial polyp malignancy

When endometrial polyps in women undergo malignant transformation, it can lead to a large amount of vaginal discharge. This discharge may be accompanied by a foul odor, which could possibly be due to an associated infection. Additionally, when endometrial polyps undergo malignant transformation and form tumors, their growth rate accelerates, and the blood supply may not meet the growth needs of the polyps. This may lead to localized ulceration and bleeding, causing women to experience irregular vaginal bleeding. This bleeding can manifest as blood streaks in vaginal discharge or as persistent vaginal bleeding. As the tumor gradually enlarges, it increases the pressure in the uterine cavity, leading to abdominal pain in some women.