May
03
23:00
Gynecology

Endometrial polyps: symptoms, diagnosis, treatment

endometrial polyps - benign, which is formed from the basal layer of the endometrium.Polyposis of endometrial hyperplastic processes referred to.The disease can occur at any age, but most cases of endometrial polyps are found in women over the age of 35 years.

Causes of these formations in the uterus is not completely clear, but identifies a number of factors that may increase the risk of disease:

With small size of the polyp disease manifestations may be absent.Education in the uterus is often a random finding during an ultrasound study of the pelvic organs.But if a large endometrial polyp or more, there may appear certain symptoms of polyposis.

The main feature of the disease - a violation of the menstrual cycle, which is reflected in the periodic appearance of scanty spotting between periods.This spotting is usually not associated with menstruation.Many young women endometrial polyposis manifests itself in the form of excessively heavy menstrual bleeding.In postmenopausal women may be one-time

allocation of blood from the genital tract.

Some women with endometrial polyp, complain of cramping abdominal pain, which may increase during intercourse.

Beli - abundant whitish discharge from the genital tract in women, which can indicate the presence of a polyp larger.

so-called contact bleeding - sukrovichnye discharge from the genital tract after intercourse.

In women of reproductive age in many cases, infertility is registered.Some doctors do not see a clear link between the presence of endometrial polyps and trouble conceiving a child, however, it proved that the removal of education increases a woman's chances of getting pregnant.

The above symptoms are very similar to the symptoms of uterine fibroids, endometriosis, or threat of miscarriage in early pregnancy.Therefore, the emergence of such symptoms should immediately contact your gynecologist.

Diagnosis of the disease is usually not difficult for the doctor.During the ultrasound the doctor can visualize the uterine cavity and identify the presence of endometrial polyps.

main method of treatment of endometrial polyps - operational, removal of these structures of the uterus is called hysteroscopy.Manipulation is done using a special optical instrument - hysteroscope introduced into the uterine cavity.During the operation, carried out a survey of the uterus and removal of endometrial polyps.Scrapings from the walls of the uterus, resulting in manipulation, necessarily sent to histological examination to determine the type of polyp.

further tactics of treatment depends on the type of polyp, and the woman's age.If the result of histological examination revealed polyps fibrous structure, in subsequent hormone therapy is not necessary.When iron-fibrotic and glandular endometrial polyps is a hormone therapy for the normalization of the menstrual cycle and hormonal balance in the body.

hormones women appointed for a term of 3 to 6 months:

radical approach in the treatment requires identification of adenomatous polyposis, endometrial form, as this form of the disease is considered a precancerous condition.Women over 45 years shows removal of the uterus, and the combination of diseases with endocrine disorders and oncology increased vigilance recommended removal of the uterus with appendages.Women of reproductive age may appointment of hormone therapy after curettage, but in postmenopausal need to revisit the question of surgical treatment.