Patient's question:
Today, a vaginal ultrasound was performed to assess the position of the uterus; it was found to be anterior, with clear margins and normal morphology, and the muscle layer showed uniform echoes. The endometrium was clearly visible, measuring approximately 15 mm in thickness, with slightly uneven echoes and a disrupted continuity of the endometrial line. An elliptical hyperechoic mass measuring 107 mm was observed within the uterine cavity, with clear boundaries compared to the normal endometrium. No significant masses were detected in the bilateral adnexal regions. Diagnosis: Endometrial thickening with uneven echoes. Abnormal intrauterine echo mass, suggestive of endometrial polyps. At Guangdong Houjie Hospital.Doctor's answer:
Hello, the differential diagnosis methods for uterine polyps include; white blood cell differential count and erythrocyte sedimentation rate, which can provide some help in diagnosis. A total white blood cell count of 20-25×10^9/L, with neutrophils above 0.8-0.85 and toxic granules, suggests the presence of an abscess. If the total white blood cell count is 10-15×10^9/L, an abscess may not yet be present, and repeated tests should be performed, as a single test may not be accurate enough. An erythrocyte sedimentation rate exceeding 20-30 mm/h is also often a clue to the formation of an abscess. However, it is still advisable to combine clinical manifestations and local examinations for a comprehensive analysis and judgment. Certain mucous membranes of reproductive organs, such as those of the fallopian tubes and cervical canal, can produce a type of amylase different from that produced by the pancreas. This reproductive amylase is difficult to distinguish from salivary amylase. It is recommended to seek professional medical advice for diagnosis.Before undergoing cervical polyp surgery, please pay attention to the following points:
1. Avoid sexual activity for 48 hours before the examination.
2. Do not use a vaginal douching device for at least 3 days before the examination.
3. Do not use tampons, birth control pills, or related products for 48 hours before the examination.
4. If you have previously been exposed to human papillomavirus (HPV), inform your doctor promptly.
5. Avoid bubble baths or other tub baths for two days before the examination and opt for a standing shower instead.
6. Abstain from sexual activity for 3 days before surgery and for 2 weeks after surgery, as this may lead to ascending infection and cause endometritis.
After cervical polyp removal, pay attention to maintaining good hygiene and avoid sexual activity for one month. In daily life, try to avoid consuming cold, spicy, or pungent foods that may irritate the body.
After cervical polyp surgery, it is also necessary to undergo regular follow-up examinations at the hospital. The first check-up should be around 3 months after surgery, and subsequent check-ups should be performed every 6 to 12 months.
I hope this information is helpful to you. Wishing you good health.