Can ultrasound detect Endometrial polyp? Four examination methods can confirm the diagnosis

Endometrial polyp is a common gynecological disease, and its appearance also brings many symptoms to female friends. After our body is abnormal, we must check it immediately.

What is Endometrial polyp

Endometrial polyp are common gynecological diseases. Endometrial polyp are Neoplasm formed by the excessive growth of local endometrium. The number can be single or multiple, with diameters ranging from several millimeters to several centimeters. The length of pedicles is different.

Endometrial polyp can occur at any age. Women from childbearing age to postmenopausal age are the high risk population of Endometrial polyp. Small polyps generally have no clinical symptoms, but after amenorrhea, polyp bleeding often indicates the possibility of malignancy.

Symptoms of Endometrial polyp

1. Irregular menstruation: Excessive and prolonged menstruation are commonly associated with increased endometrial area and excessive endometrial hyperplasia.

2. Abnormal vaginal discharge: A few people with large polyps have increased vaginal discharge. Or there may be a slight blood lineage in the center of the vaginal discharge, with a small amount of vaginal bleeding, namely bloody vaginal discharge or contact bleeding. Especially in terms of sex. After delivery, it is easy to bleed when squatting down and defecating forcefully.

3. Irregular uterine bleeding: Large polyps or polyps protruding into the cervical canal are prone to secondary infection and necrosis, leading to irregular uterine bleeding and foul smelling blood secretions.

4. Dysmenorrhea: It is a relatively common symptom, mostly secondary. In the past, there was no pain during menstruation, but it began to appear at a certain period.

5. Stool bloating, bladder symptoms: Stool bloating, usually occurs during the pre menstrual period or after menstruation. Patients feel unbearable pain when their feces pass through the rectum, while they do not feel this sensation at other times; Periodic hematuria can occur when there are symptoms of frequent urination and painful urination, and when the bladder mucosa is invaded.

Examination of Endometrial polyp

1. Hysterosalpingography: filling defect is visible.

2. Ultrasound examination: There are substantial strong echogenic light masses or filling defects, and the uterine cavity morphology is abnormal, with irregular endometrial lines.

3. Hysteroscopy examination: Gray red, fleshy endometrial mass protruding from the uterine cavity, with different pedicle lengths and thicknesses, and a diameter of mostly 0.5-2cm. Endometrial polyp with large and multiple pedicles can fill the uterine cavity, and masses can be seen or touched at the mouth of the cervix.

4. Endometrial biopsy: Immature epithelium of the endometrium can be seen, showing proliferative changes. There is a complete upper skin wrapping around the polyp tissue mass, without secretion. Sometimes it includes adenomatous cystic hyperplasia, disordered arrangement, different sizes, and adenomatous changes.