1.What is endometrial polyp? Clinical endometrial polyp is a superfluous organism attached to the inner wall of the uterine cavity by a slender tip, which is a common gynecological disease that can occur at any age after puberty and is common in women over 35 years old. Smaller solitary polyps have no obvious clinical symptoms, while larger endometrial polyps are oval, triangular or irregular in shape. Large polyps or polyps protruding into the cervical canal are prone to secondary infection, necrosis, and cause irregular bleeding and foul-smelling bloody discharge. They are usually found unintentionally such as during ultrasound. Some polyps have no tip. Polyps have endometrial glands, interstitial and vascular composition. 2.What are the causes of endometrial polyps? (1) Inflammatory factors: women with long-term gynecological inflammation are prone to uterine polyps. Usually caused by childbirth, miscarriage, puerperal infection, surgical operations or mechanical stimulation, sexual intercourse damage to the cervix, pathogens invade and cause infection. (2) Endocrine disorders: usually high estrogen levels. (3) High risk factors for its occurrence include age, hypertension, obesity and tamoxifen use. 3.What are the symptoms of endometrial polyps? 1.Menstrual disorders: excessive menstruation and prolonged menstruation are common in multiple diffuse cases, which are related to the increase of endometrial area and endometrial hyperplasia. 2, abnormal leucorrhea: A few polyps are larger than others and show an increase in leucorrhea, or a trace of blood in the center of the leucorrhea, or bloody leucorrhea or contact bleeding. 3.Irregular bleeding: polyp infection or necrosis can cause irregular vaginal bleeding. 4.How to deal with endometrial polyp found? 1, conservative treatment: endometrial polyp malignancy is not common, but with age, vaginal bleeding after menopause often indicates the possibility of malignancy. Through conservative treatment, up to 25% of endometrial polyps can subside, especially those less than 1cm in diameter. Asymptomatic polyps after menopause have a low rate of malignancy and can be treated conservatively by observation after discussion and information with the patient. 2.The commonly used treatment for endometrial polyps is surgery, including diagnostic scraping or hysteroscopic excision. Hysteroscopic polypectomy is the main modality of treatment. Patients with symptomatic postmenopausal polyps require pathological sampling for evaluation, and removal of endometrial polyps in infertility can improve fertility. Endometrial polypectomy under guided manipulation is recommended and blind scraping is not recommended. Blind examination may also result in fragmentation of the polyp and make it difficult to diagnose histologically. The risks associated with hysteroscopic excision of polyps are low. 3. Total hysterectomy is a radical surgical treatment with no possibility of polyp recurrence or malignancy. However, it is an important surgical procedure with a high cost and some potential morbidity. The procedure needs to be discussed with the patient and the risks need to be clarified before applying the procedure appropriately. 5.What is the prognosis of endometrial polyps? 1, endometrial polyp malignancy rate is about 1-3%, there is still a possibility of recurrence after surgical removal. 2, Pre- or post-menopausal women should have symptomatic polyps removed because there is evidence that hysteroscopic polypectomy improves the symptoms of abnormal uterine bleeding in 75100% of cases. Because postmenopausal women with bleeding have a high risk of precancerous and malignant lesions, it is particularly important to rule out a histologic diagnosis. 3, polypectomy can effectively improve the fertility of women with low fertility.