What are the treatments for endometrial polyps?

Many patients with endometrial polyps have undergone systemic removal surgery, but during the treatment process, the inflammation was not eliminated in time and the bacterial infection still exists. Therefore, even if the surgical treatment is effective, it will recur after a period of time. In order to avoid the recurrence of endometrial polyps, in addition to choosing surgical removal of the polyps, it is also necessary to use antibiotics according to the condition, and go to the hospital for follow-up examinations on time after treatment.

There are many ways to treat endometrial polyps, such as dilating the cervix, removing the polyps, and then scraping the entire uterine cavity. Diffuse small polyps can be scraped out and sent for pathological examination. Regular follow-up should be conducted after surgery to pay attention to recurrence and malignant transformation and to deal with them in a timely manner. Later, some people successfully used hysteroscopic surgery to remove or laser treat small polyps.

For example, 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.

It is best for patients with endometrial polyps to undergo ultrasound examination: there are substantial strong echogenic masses or filling defects in the uterine cavity, and the uterine cavity morphology is abnormal, the endometrial lines are irregular, and filling defects appear in the uterus on HSG. Experts recommend that active and effective treatment should be adopted. After the inflammation is controlled, the polyp should be removed by hysteroscopy or surgery and curettage should be performed at the same time, and the tissue should be sent for examination to rule out malignant transformation.

The 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.

In addition, patients with endometrial polyps need to continue to undergo microscopic examinations, which can reveal the specific composition of endometrial polyps, such as finding that the surface of the polyp is composed of columnar epithelium and that there are fibrous changes inside the polyp. This disease is an important cause of female infertility. Even if pregnant, the probability of miscarriage or premature birth is very high, and it can even lead to stillbirth.