Patient's question:
What are endometrial polyps and how serious are they?Doctor's answer:
1. Conservative TreatmentFor small, asymptomatic polyps, temporary non-intervention may be considered, as some polyps can spontaneously regress. Medication is not recommended for treating polyps.
2. Hysteroscopic Resection
Patients with significant clinical symptoms, those with sonographic findings of intracavitary lesions, or those with an uncertain possibility of malignancy should be recommended for surgical treatment. Additionally, patients with fertility requirements who suspect endometrial polyps are advised to attempt pregnancy after surgery. Hysteroscopic polypectomy is the primary treatment method, with relatively low risks, and the resected tissue is sent for pathological examination.
(1) The surgery is generally performed 3–7 days after the end of menstruation. Abstinence from sexual activity is recommended for 3 days before the procedure. Adequate bladder filling is advised before the surgery to facilitate intraoperative ultrasound monitoring.
(2) At least 1 week of rest is recommended after the surgery, and sexual activity and tub baths are prohibited for the first month.
(3) Monitor for changes in symptoms. A small amount of vaginal bleeding is normal within 2 months after hysteroscopic resection. If bleeding is excessive, seek medical attention promptly. Normal menstruation typically resumes by the third month.