How should uterine polyps be treated?

Patient's question:

The vagina frequently experiences irregular bleeding, sometimes with a large amount that lasts for a long time, and it often has inflammation. After examination, the doctor said there are polyps in the uterus.

Doctor's answer:

Hello, uterine polyps, also known as cervical polyps, are a common gynecological condition and a type of chronic cervical inflammation. They are caused by inflammatory stimulation leading to the hyperplasia of the endometrial tissue of the cervix. The uterus has a tendency to expel foreign objects, causing the hyperplastic mucosa to gradually protrude from its base toward the external cervical os, forming polypoid changes. Therefore, they are also referred to as cervical endometrial polyps. Most are benign, but larger polyps may occasionally cause slight vaginal bleeding or bleeding during sexual intercourse or when straining during a bowel movement.
If accompanied by inflammation, infection must be controlled first. If bleeding occurs, the primary focus should be on stopping the bleeding, and surgery should be performed only after the inflammation is under control. For women experiencing cervical polyps around menopause, the polyps should be sent for pathological examination after surgical removal. If any signs of malignancy are detected, early treatment measures should be taken.
This condition is prone to recurrence, so regular follow-up examinations should be scheduled every three months after surgery. Pay attention to hygiene and promptly treat endometrial inflammation. Early diagnosis, active treatment, and proper follow-up are essential for managing this condition.

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