Should uterine polyps require surgery?

Patient's question:

Before your friend had children, her menstrual cycle was very regular, and the amount of her menstruation was normal. After giving birth, her menstrual cycle became irregular. When she went to the hospital for a thorough examination, it was said that she had uterine polyps. So, she wants to ask if uterine polyps must be surgically treated?

Doctor's answer:

Uterine polyps are not one-size-fits-all; they need to be confirmed based on the size, shape, and specific conditions of the patient. If they are large and can be seen or felt below the uterus, they must be removed through cervical polypectomy, and the removed tissue must be sent to the pathology lab for thorough examination. If they are small, they can be scraped off using a D&C procedure. If the polyps have severe erosion and the aforementioned methods are ineffective, and if they frequently recur, the consideration of hysterectomy may be necessary.
Uterine polyps can still recur, so the treatment should focus on taking Chinese herbal medicine internally and using external treatments to completely eliminate the symptoms. Since uterine polyps are prone to recurring, it is important to regularly visit the hospital for follow-up checks, avoid spicy foods that may aggravate the condition, and maintain a light diet. Always follow the doctor's advice.

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