Post Date August, 11 2023
Endometrial polyp is a common gynecological disease, which can occur at any age. After our abnormal performance, we need to conduct reasonable examination and diagnosis in time.
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 trace of blood in the center of the vaginal discharge, to 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 and polyps protruding into the cervical canal are prone to secondary infection and necrosis, causing irregular uterine bleeding and foul smelling blood secretions.
4. Physiological pain: It is a relatively common symptom, mostly secondary. There was no pain during menstruation before, and physiological pain began 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, 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 it includes adenomatous cystic hyperplasia, disordered arrangement, different sizes, and adenomatous changes.
Treatment of Endometrial polyp
1. For small, Asymptomatic Endometrial polyp, you can temporarily not participate. 25% of Endometrial polyp (especially polyps with a diameter of less than 1cm) can resolve by themselves.
2. Currently, medication treatment for polyps is not recommended.
3. Endometrial polyp with obvious clinical symptoms are mainly treated by surgery. When the polyp is large or accompanied by severe inflammation, partial or total hysterectomy must also be considered.
