Will endometrial polyps disappear on their own? Experts answer this way!

There are many diseases in the female uterus, and endometrial polyps are one of the most common ones. This is caused by excessive proliferation of the female endometrium. Once endometrial polyps appear, vaginal bleeding may occur, and severe cases can lead to infertility in women. Here we need to remind everyone that endometrial polyps generally do not disappear on their own, so scientific treatment methods are needed.

First, will endometrial polyps disappear on their own?

Endometrial polyps generally do not disappear on their own. They can be treated surgically through hysteroscopy. Also pay attention to whether there are diseases such as endometritis. It is recommended to go to a regular hospital's gynecology department for examination and treatment.

Endometrial polyps can recur. Once endometrial polyps are diagnosed, surgical removal of the polyps should be the main treatment. Since uterine polyps are a manifestation of chronic cervical inflammation, although the polyps are removed, the chronic inflammation of the uterus is not eliminated, and the pathogenic bacteria still lurk in the cervical tissue, which means that the cause of the disease still exists. Therefore, after removing uterine polyps, chronic inflammation of the uterus should also be treated to prevent recurrence of polyps.

Second, treatment

1. Conservative treatment

For small, asymptomatic polyps, no intervention is required temporarily. Some polyps may resolve spontaneously. Drug treatment of polyps is not recommended.

2. Hysteroscopic transurethral resection

For patients with obvious clinical symptoms, those who have been found to have growths in the uterine cavity by B-ultrasound, or those whose intrauterine growths cannot completely rule out the possibility of malignancy, surgical treatment is recommended. In addition, patients who want to have children and are found to have possible endometrial polyps are also recommended to try for pregnancy after surgery. Hysteroscopic polypectomy is the main treatment method with relatively low associated risks, and all removed tissues are sent for pathological examination.

(1) The surgery is usually performed 3 to 7 days after the end of menstruation. Sexual intercourse is prohibited 3 days before the surgery. Patients can hold their urine for a while before the surgery to facilitate B-ultrasound monitoring during the surgery.

(2) Rest for at least one week after surgery. Sexual intercourse and bathing are prohibited within one month after surgery.

(3) Pay attention to changes in the condition. There may be a small amount of vaginal bleeding within 2 months after hysteroscopic transurethral resection. If the bleeding is heavy, seek medical attention immediately. Normal menstruation can be resumed in the 3rd month.

3. Radical surgery

For patients over 40 years old, if the bleeding symptoms are obvious, the above treatment cannot eradicate them or they recur frequently, total hysterectomy may be considered.

Third, prognosis

25% of endometrial polyps (especially those less than 1 cm in diameter) can disappear on their own; hysteroscopic polypectomy can improve the symptoms of abnormal uterine bleeding in 75% to 100% of cases; removing endometrial polyps can improve fertility in infertile patients. This disease is prone to recurrence, and regular follow-up examinations should be conducted after surgery, once every 3 months. However, for those asymptomatic, repeated surgical treatment is not necessary.