How should patients with uterine polyps be treated?

Patient's question:

I had a physical examination at the Women's Health Hospital in our county on April 24, 2013, and discovered that my uterus had grown polyps. I didn't know how big they were. The doctor said that applying some anti-inflammatory medication to the uterus and then performing a removal surgery would be sufficient.

Doctor's answer:

Hello, polyps that are long and narrow and attached to the inner wall of the uterine cavity can all be clinically referred to as uterine polyps. Different treatment methods are adopted based on the size, location, shape of the polyps, and the patient's age. For larger polyps with stalks, which can be seen or felt in the lower segment of the uterus, the polyps can be removed by dilating the cervix, followed by cervical and uterine scraping to remove the remaining polyps and send them for pathological examination. Small focal or diffuse polyps undergo curettage, with attention paid to thorough scraping, especially at the fundus and cornual areas of the uterus. After uterine cavity surgery, anti-infection treatment should be administered.
Guidance:
Clinical symptoms of uterine polyps include abnormal vaginal discharge and vaginal bleeding.
Treatment Methods:
Dilate the cervix, remove the polyps, and then scrape the entire uterine cavity to remove diffuse small polyps, which should be sent for pathological examination. Postoperative follow-up should be scheduled regularly to monitor for recurrence and malignant transformation, with timely intervention. In recent years, some have successfully used hysteroscopic surgery or laser treatment for small polyps.
For patients over 40 years old with significant bleeding symptoms, if the above treatments cannot completely eliminate the condition or if it frequently recurs, total hysterectomy may be considered.

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