Recurrence after polyp removal

We all know that the body is the capital of revolution. With a body, we have everything. However, in life, some people do not pay attention to their living habits, which may cause diseases in their bodies. For example, some people may develop polyps, which may cause abnormal functions of some organs. So let’s take a look at whether polyps will recur after being removed.

1. Prevention

This disease can occur at any age after puberty, but is more common in women over 35 years old. Single, small endometrial polyps often have no clinical symptoms and are often discovered during gross examination after hysterectomy due to other diseases, or diagnosed after diagnostic curettage. Patients with multiple diffuse type often have menorrhagia and prolonged menstruation, which are related to the increase in endometrial area and excessive endometrial hyperplasia. Large polyps or polyps that protrude into the cervical canal are prone to secondary infection and necrosis, causing irregular bleeding and foul-smelling bloody secretions. Endometrial polyps are a very common type of localized endometrial tumor that can occur at any age due to excessive proliferation of the endometrium. They are smooth and fleshy in hardness and protrude from the uterine cavity. The pedicles vary in length. Some may protrude outside the cervical os, while others may have shorter pedicles.

2. Complications

Excessive bleeding may lead to anemia; secondary infection and tissue necrosis.

Prognosis

Very few may become cancerous.

Pathogenesis

Polyps are composed of endometrial tissue and often have altered menstrual cycles that are synchronized with the endometrium. A small number of polyp cells lack hormone receptors and only show proliferative changes, which are called non-functional polyps. The histological characteristics of endometrial polyps diagnosed by curettage are that the tissue masses are surrounded by complete epithelium, the glands are arranged in disorder and may vary in size, while inflammatory polyps are accompanied by fibrous tissue hyperplasia and chronic inflammatory cell infiltration. Secretory endometrium is more easily identified when it is mixed with non-functional polyps. Polyps with more smooth muscle tissue are called adenomyoma-type polyps. Excessive endometrial hyperplasia may lead to the formation of polyps, and some late secretory endometrium may show polyp-like changes. Comprehensive consideration must be given to the clinical and overall histological manifestations.

5. Can you get pregnant with uterine polyps?

Women with cervical polyps must actively check and treat the disease when they discover it, to prevent the cervical polyps from becoming larger due to inflammatory stimulation, local tissue lesions or ascending infection, and eventually blocking the cervical opening. At this time, when men and women have sexual intercourse, the sperm will not be able to pass smoothly and cannot combine with the egg, eventually leading to serious phenomena such as infertility.