Patient's question:
Vaginal examination. The uterus is anteverted, of normal size, with an irregular endometrial cavity line. The endometrium is about 1.08 cm thick, with heterogeneous internal echoes, showing a tendency for focal strong echo clusters, one of which is approximately 1.8/0.6 cm in size, with clear boundaries and no obvious blood flow signals. The uterine cavity is round, with an anteroposterior diameter of about 3.23 cm. The echo in the uterine area is uniform, with no obvious focal lesions. After careful examination, the conclusion is that the uterine cavity is prone to polyps. Can uterine polyps be left untreated without surgery?Doctor's answer:
No. The causes of polyps may be related to inflammation, endocrine disorders, especially excessively high estrogen levels. Treatment measures include dilating the cervix, removing the polyps, followed by scraping the entire uterine cavity, which can remove diffuse small polyps and send them for pathological examination. Postoperative follow-up should be irregular, paying attention to recurrence and malignant transformation, and timely intervention should be implemented. In recent years, some have adopted hysteroscopic surgery or laser treatment for small polyps, achieving success. For patients over 40 years old with obvious symptoms, if the above treatments cannot be completely eradicated or if they frequently recur, total hysterectomy can be considered. Life care.