Endometrial polyp: how to overcome the problem
Increasingly doctors tell women about an unpleasant diagnosis - endometrial polyp. What is a polyp, what threats does it cause, and how should women overcome this problem?
What is an endometrial polyp? Who exhibit this problem more often?
Endometrial polyp is a formation on the inner surface of the uterus. Mostly benign, the polyp is composed of body and crus. As derived from the endometrium, it has the same structure - glands and fibrous tissue. There may be various types of polyps - glandular, glandular and fibrotic, etc. Statistics show that they occur most often after 30-35 years. Also polyposis risk increases several times up to 50 years.
Why do the polyps occur?
They occur due to numerous reasons. Both single and multiple, endometrial polyps develop when a woman has disturbed hormonal condition. Typically it occurs when a woman has an increased content of estrogens and lack of progesterone. The risk increases if a woman has underwent intrauterine manipulations: scraping or using a spiral for a long time. Polyps occur if there were complex and acute inflammations. An abortion, miscarriages or complicated births have great influence.
What threats does this disease bring?
The major complication is development of infertility. Menstrual cycle can also be disrupted; large amounts of blood are lost. Also this can result in anemia. In addition, relapses can occur: polyp grows again, developing polyposis. In some cases endometrial polyps may become cancerous tumors: cancer of the endometrium, of the inner lining of the uterus. But it mostly happens when the polyp is adenomatous.
How to make sure that this is polyp and not something else?
To clarify the diagnosis, one has to undergo the pelvic ultrasound. The doctor can see expansion of the uterus and the formation with clear contours. Hysteroscopy may be useful: special device with camera and optics shall be injected into the uterus under anesthesia. Physicians visually identify polyps and are able to remove it.
So, is polyp diagnosed and removed at once?
Yes. The very presence of a polyp is a direct testimony to its removal. A polyp can be removed in course of hysteroscopy, and a uterine region where it was located, is scraped by a curette controlled by camera. The surgery is performed quickly under general anesthesia. In order to avoid infection, broad-spectrum antibiotics are prescribed after surgery. On the third day after the surgery an ultrasound testing shall be carried out in order to determine which further therapy would be more useful.