Endometrial polyps, do I need treatment? Is the rate of malignant transformation high?

Endometrial polyps, a common benign gynecological diseasesmay occur in women of childbearing age and postmenopausal women more common in perimenopausal or postmenopausal women

Aging obesity hypertension

hormone replacement therapy taking tamoxifen

All risk factors for endometrial polyps

Clinical presentation:

with abnormal uterine bleeding It is the most common, such as menorrhagia, irregular menstruation, and intermenstrual bleeding after intercourse, and some may manifest as postmenopausal uterine bleeding.

endometrial polypscan cause infertility, so some young patients suffer from infertility Endometrial polyps were discovered only by examination, and a considerable number of patients were asymptomatic and discovered incidentally by imaging examinations


What to check to determine:

< p data-track="12">1. Transvaginal ultrasound

< span>Is the imaging method of choice for endometrial polyps

Unmarried women can use transanal or transabdominal ultrasonography

2. Hysteroscopy and Sampling< /span>

is the first choice for diagnosis and treatment of endometrial polyps

Whether treatment is needed should be judged from 4 aspects: strong>

1. Symptoms:

< p data-track="22">Abnormal uterine bleeding

2. Fertility effects:

whether it affects pregnancy

3, quantity and size :

Endometrial polyps can be single or multiple in any part of the uterus< /p>

According to statistics, the natural disappearance rate of polyps <1cm in diameter is about 27% within 1 year. %.

But if the number of polyps is multiple, or the diameter exceeds 1cm, the possibility of natural regression is relatively small, and treatment is still recommended.

4. Age: < /span>

Postmenopausal women are at higher risk of malignant transformation of polyps, and prompt treatment is recommended