2024-04-21 20:29:54
Uterine polyps should be removed if they are causing unexplained abnormal bleeding
Endometrial polyps are benign tumors caused by excessive growth of endometrial cells and are one of the common gynecological diseases. Li Runting, a specialist in obstetrics and gynecology, said the cause of uterine polyps is unknown or may be related to high estrogen levels in the body. Most polyps are benign, but in cases of abnormal vaginal bleeding, it is recommended. perform a polypectomy to determine the cause and exclude the possibility of cancer.
Li Runting reminded that endometrial polyps can be asymptomatic.
high risk factors
Endometrial polyps are located on the inner wall of the uterine cavity, varying in number and in size ranging from half a centimeter to several centimeters. The cause is unknown or may be related to excessive estrogen levels in the body. High risk factors include: obesity, breast cancer patients receiving hormone therapy (tamoxifen), and patients on long-term hormone replacement therapy.
Li Runting reminded that endometrial polyps may have no symptoms. Common symptoms include heavy periods, prolonged menstrual days, non-menstrual vaginal bleeding, postmenopausal bleeding, and excessive vaginal discharge. Endometrial polyps can also prevent embryo implantation and reduce the chance of pregnancy.
If symptoms are present and endometrial polyps are suspected, a pelvic ultrasound may be performed. Those who are sexually experienced usually use vaginal ultrasound. The ideal time is a few days following your period ends. The endometrium is thinner and the image will be clearer.
hysteroscopic polypectomy
Endometrial polyps will not go away on their own. If the ultrasound detects abnormalities in the endometrium or the patient has abnormal vaginal bleeding, the polyps can be diagnosed by hysteroscopy and treated.
Hysteroscopy is a type of endoscope that enters the uterine cavity through the vagina and cervix to examine the uterine cavity and diagnose endometrial polyps. Once the polyps are diagnosed, they can be removed with instruments and sent to the pathology department for testing. During this period, tissue biopsies will also be taken. Hysteroscopic polypectomy is usually performed under general anesthesia and takes regarding half an hour to an hour, depending on the size and number of polyps. After the operation, you may experience menstrual pain and light vaginal bleeding, which will last for one to two weeks and then stop. If the condition is stable, you only need to rest for a few hours following the operation and you can be discharged from the hospital the same day.
Hysteroscopic polypectomy is a minor surgical procedure. Since the hysteroscope is inserted into the uterine cavity through the vagina, there is no wound on the abdomen, so the risk is lower and the recovery speed is faster. However, hysteroscopy also carries surgical risks, including risks of general anesthesia, bleeding, pelvic infection, uterine adhesions, etc. Serious complications include uterine perforation and risk of damage to nearby organs, but they are rare.
There are a variety of instruments used to remove endometrial polyps, including traditional hysteroscopic resection and the new technology hysteroscopic cold knife-razor system, both of which can be used to remove endometrial polyps . The hysteroscope identifies the location of the polyp and removes it.
Electrosurgery uses electricity to reach high temperatures to cauterize and remove polyps. However, high temperatures can damage nearby healthy endometrial tissue and increase the risk of intrauterine adhesions. The new planing system uses a spiral blade to penetrate the uterine cavity through the hysteroscope, rotate and chop the polyps and suction them out. The principle is similar to that of an electric razor. The planing system does not use electric current, which avoids damage to the endometrium caused by heat generated by the current. This is why it is called cold knife technology. It can also reduce the risk of intrauterine adhesions. is generally longer than that of short electroresection.
The medicinal uterine ring can reduce the risk of recurrence.
There is a possibility of recurrence
There is also a risk of recurrence following polypectomy. If abnormal vaginal bleeding occurs once more following a uterine polypectomy, you should see a doctor as soon as possible. If there is a recurrence and there is no need for fertility, a medicated intrauterine ring may be considered. The progesterone it releases may reduce excessive growth of endometrial cells and reduce the risk of recurrence.
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