Endometrial polyp is a gynecological disease, and its occurrence also has a serious impact on women. After our body is abnormal, we must pay attention to it and go to the regular hospital for reasonable examination in time.
Symptoms of Endometrial polyp
1. Irregular vaginal bleeding: symptoms such as increased menstrual volume, irregular menstruation, and intermittent bleeding during menstruation. The clinical symptoms can be manifested as long menstrual period without omission, a small amount of vaginal bleeding 3 to 4 days after the clean menstruation, frequent bleeding in the middle of the menstruation, bloody leucorrhea, the total clinical manifestations are different, and there are no clinical symptoms. At this time, the auxiliary examination can show the presence of Endometrial polyp.
2. Infertility: Endometrial polyp occupy the uterine cavity, affect Uterine contraction as a foreign body, and abnormal bleeding affects the implantation and development of Zygote, or polyps in front of the cervical tube and oviduct orifice affect the passage of sperm, affect the rise of sperm, leading to infertility. In addition, endometrial polyps lack receptors for pregnancy hormone, and respond to pregnancy hormone
3. Malignant transformation: The malignant transformation rate of polyps in reproductive age is only 4.8%, but can increase to 10% after amenorrhea. According to different studies, 13.2% of endometrial cancer originates from endometrial polyps, which serve as a precursor to endometrial cancer.
4. Dysmenorrhea: The clinical feature is progressive dysmenorrhea, mostly secondary, some severe dysmenorrhea, which requires bed rest or medication to relieve pain. Dysmenorrhea worsens with the Menstrual cycle, and disappears at the end of menstruation.
5. Symptoms of periodic rectal irritation: swelling, pain, severe sensation after internal urgency, and increased frequency of bowel movements in the rectum, anus, and external genitalia.
6. Irregular menstruation: the Menstrual cycle is shortened, the amount of menstruation is increased, and menstruation is prolonged, indicating that the patient has ovarian dysfunction
7. Sexual intercourse pain: sexual intercourse pain may occur when ectopic endometrial nodules, rectal hollow nodules or adhesions at the top of the Vaginal fornix or ovarian adhesions at the pelvic floor.
Examination of Endometrial polyp
1. Gynecological examination: Acute inflammation can cause congestion, swelling, erosion, and purulent discharge of the cervix through the White House cervical canal. There is pain when touching the cervix. Chronic Cervicitis can be seen that the cervix has erosion, hypertrophy, polyps, glandular cysts, ectropion and other manifestations to varying degrees, or there is purulent secretion at the mouth of the cervix, which contacts the cervix hard. If it is cervical erosion or polyp, there may be contact bleeding.
2. Microscopic examination: Endometrial polyp are composed of endometrium, and the surface is covered with cuboidal epithelium or low columnar epithelium. The middle part of the polyp forms a fibrous longitudinal axis, which contains blood vessels. Due to the narrow pedicle and reduced blood supply, polyps are prone to degeneration. Polyp blood vessels become blood clots within polyp blood vessels, which become deep purple due to congestion. They often begin to necrosis at the top and may eventually decay and fall off.