Post Date July, 25 2023
Endometrial polyp is a common gynecological disease. We must pay attention to its appearance, especially make timely judgments according to our own symptoms, so that we can treat it as soon as possible.
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, and women from childbearing age to post menopause are the high incidence 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. Infertility: About 50% of patients are accompanied by infertility, causing factors such as pelvic lumps.
2. 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.
3. 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.
4. Irregular menstruation: the Menstrual cycle is shortened, the amount of menstruation is increased, and menstruation is prolonged, indicating that the patient has ovarian dysfunction
5. 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. Hysterosalpingography: filling defects are visible.
2. Ultrasound examination: There are substantial strong echogenic light masses or filling defects, abnormal uterine cavity morphology, and 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. Most people with Endometrial polyp pedicle can fill the uterine cavity, and the cervical orifice can see or touch the mass.
4. Endometrial biopsy: The endometrium is immature and undergoes changes during the proliferative phase. The polyp tissue mass completely surrounds the epithelium without any secretion. Sometimes there is glandular hyperplasia in a cystic shape, arranged in disorder, of varying sizes, and presenting as adenomatous changes.
Diagnosis of Endometrial polyp
In the past, the diagnosis of Endometrial polyp was mainly based on hysterosalpingography, ultrasound and diagnostic curettage. However, too much contrast agent injected during contrast can hide polyps, which are easily confused with submucous myoma of uterus, intrauterine bubbles and other ultrasonic examinations. Under the influence of Menstrual cycle, too small polyps will leak.
