October 18, 2021

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What are endometrial polyps and will endometrial polyps affect pregnancy?

What are endometrial polyps and will endometrial polyps affect pregnancy?

What are endometrial polyps and will endometrial polyps affect pregnancy?

 

 


What are endometrial polyps and will endometrial polyps affect pregnancy?    Some women ask: “What should I do if I find endometrial polyps during pregnancy?” Today, let’s  talk about endometrial polyps and pregnancy-related topics.

 

 

What are endometrial polyps?

Endometrial polyps are a common disease in gynecology. They are caused by local overgrowth of the endometrium and manifest as single or multiple smooth masses protruding from the uterine cavity. Endometrial polyps are one of the main causes of female infertility. one. At present, the cause of the disease is unknown. Research suggests that it may be related to endocrine disorders and endometrial inflammation. Endometrial polyps may occur in women from childbearing age to postmenopausal.

 

 

 

What are the symptoms?

Single small polyps do not have any symptoms. Depending on the size and location of the polyps, clinical manifestations may include increased vaginal discharge, bleeding between menstrual periods, menorrhagia, prolonged menstruation, and irregular bleeding; larger polyps or prominent cervical canal , Can cause secondary infection, necrosis, and produce foul-smelling bloody secretions.

 

 

How is it diagnosed?

Generally through comprehensive evaluation of clinical symptoms, gynecological examinations, B-ultrasound and imaging examinations, B-ultrasound often prompts uneven endometrial echo or intrauterine hyperechoic masses, but hysteroscopy is the “gold standard” for diagnosis.

 

 

What is the impact on pregnancy?

In recent years, clinical statistical studies have found that among infertile women, the incidence of endometrial polyps is about 15.6-32%, and it is generally considered to be one of the factors that cause infertility.

When endometrial polyps fill the uterine cavity, it hinders the survival and retention of sperm in the uterus, interferes with the normal implantation of the fertilized egg, and leads to infertility.

The multiple polyps located in the corner of the uterus will not only affect the blood supply of the local inner membrane, interfere with the implantation and development of the fertilized egg, but also block the fallopian tube and affect the combination and transportation of sperm and egg.

If endometrial polyps are combined with infection, it will change the environment in the uterine cavity, which is not conducive to sperm survival and implantation of fertilized eggs, which can eventually cause infertility.

Endometrial polyps affect placental implantation and embryonic development and can also lead to female miscarriage.

Endometrial polyps cause irregular vaginal bleeding, long-term vaginal bleeding will affect the quality of sexual life, thereby reducing the chance of pregnancy.

 

 

How to treat?

Smaller polyps generally have no clinical symptoms and can be temporarily observed for follow-up. Among patients with endometrial polyps less than 1 cm, 25% can undergo spontaneous regression. However, polyps and multiple polyps with a diameter greater than 1 cm, especially those with fertility requirements, are recommended to be actively treated.

Hysteroscopic endometrial polypectomy is the best way to treat endometrial polyps. Some patients worry that polypectomy will affect pregnancy. Studies have shown that the natural pregnancy rate of patients with endometrial polyps after hysteroscopy is significantly increased, and the younger the age, the postoperative pregnancy rate or the pregnancy rate of assisted reproductive assistance are improved. For patients with unexplained infertility, endometrial polyp removal surgery can improve pregnancy outcomes, relieve the pressure of infertility, and increase the success rate of assisted reproductive technology. Therefore, if you are infertile or considering assisted reproductive technology, if you find endometrial polyps, you can consider hysteroscopy regardless of the size of the polyp. The polyps can be removed while checking the shape of the uterine cavity.

 

(source:internet, reference only)


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