Patient's question:
Pathological diagnosis: Intrauterine material, endometrial polyps with early secretory response, focal interstitial decidualization - what does this mean? Please help, will this situation occur again?Doctor's answer:
Disease Analysis: Any mass attached to the inner wall of the uterine cavity by a slender stalk can be clinically referred to as a uterine polyp. Therefore, polypoid masses within the uterine cavity may include stalked submucosal fibroids, endometrial polyps, adenomyoma-like polyps, and malignant polyps (cancer or sarcoma). The formation of endometrial polyps may be related to inflammation, endocrine disorders, particularly excessively high estrogen levels. Most scholars believe that polyps originate from immature endometrium, especially at the base.Treatment Suggestions: Dilating the cervix, removing polyps, followed by scraping the entire uterine cavity, can remove diffuse small polyps and send them for pathological examination. Postoperative follow-up should be conducted regularly to monitor recurrence and malignant transformation, with timely intervention. Later, some have successfully used hysteroscopic surgery or laser treatment to remove small polyps. Endometrial polyps can cause infertility, and certain specific causes leading to endometrial polyps may even progress to adenomatous hyperplasia and cancer. Therefore, early treatment is essential for any detected cases to avoid lifelong regret. For patients over 40 with significant bleeding symptoms, if the above treatments are ineffective or frequently recur, total hysterectomy may be considered. If the patient is a young woman or has reproductive needs, Chinese herbal medicine patches such as "Tiao Gong Xiao Zhi Tie" can be chosen for treatment.