Endometrial polyps are the most common type of intrauterine growths, which are inflammatory endometrial blood vessels and connective tissue that protrude into the uterine cavity and vary in size and number. Small uterine polyps can be asymptomatic, but after a certain size, they often lead to irregular vaginal bleeding, prolonged menstruation and increased menstrual flow, and combined with infection, they can also lead to vaginal discharge and fever. 1.Can endometrial polyps be treated conservatively? Does IUD have a therapeutic effect? Generally speaking, a clear diagnosis of endometrial polyp needs to be made by diagnostic scraping or pathological diagnosis after hysteroscopy, so that the polyp is completely removed during this process. From the perspective of recurrence prevention, if the polyp is caused by endometrial hyperplasia, it is possible to inhibit endometrial hyperplasia by using a contraceptive ring with progesterone (such as “Mannatech”) for the purpose of recurrence prevention. 2.When do endometrial polyps need surgery? Surgery is recommended for patients with prolonged menstruation, excessive menstrual flow, ultrasound findings of intrauterine cavity hyperplasia, or patients with intrauterine cavity hyperplasia that cannot be ruled out as malignant; in addition, patients with fertility requirements who find endometrial polyps may also be recommended to try to conceive after surgery. 3.Is there any difference in the surgical procedure for patients with and without fertility requirements? Patients with fertility requirements prefer hysteroscopic polyp removal, which can remove the polyps under direct vision and more thoroughly, and can find out whether there are other conditions affecting fertility in the uterine cavity; patients without fertility requirements can also choose diagnostic scraping for economic reasons, but the diagnostic scraping may not be complete, so it is necessary to perform hysteroscopic surgery again for removal. 4.Do I need to take any medicine after surgery? How to control and prevent inflammation? Generally, no special medication is needed after surgery, but the doctor may give some medications to promote uterine contraction, stop bleeding and oral antibiotics to prevent postoperative infection within a short period of time after surgery. 5.How long is normal bleeding after surgery? Do I need to pay special attention to the amount and color of bleeding? Under normal circumstances, the bleeding after surgery should not be heavy, light red or dark red in color, and the duration is usually less than one week. If bleeding significantly exceeds the amount of menstruation and lasts for more than a week, or if it is accompanied by fever and abdominal pain, please visit the hospital to find out the cause. 6.Is the presence of abdominal pain a symptom of uterine adhesions? How to avoid it? How to treat if it occurs? After any uterine operation, if symptoms such as abdominal pain during menstruation and reduced menstruation occur, consider the possibility of uterine adhesions. The best measure to prevent cervical adhesions is of course to reduce the number of cervical operations such as abortion and uterine evacuation, and it is also best to choose a more regular hospital for treatment, as a standardized operation will help to reduce the chance of cervical adhesions. In case of adhesions, minor cases can be solved by means of dilation, but more serious cases should be removed by means of hysteroscopic surgery, and certain measures (such as oral estrogen or IUD, etc.) should be taken after the surgery to prevent re-occurrence of adhesions. 7.Will endometrial polyps recur after treatment? Can surgical treatment reduce the recurrence rate? The recurrence of endometrial polyp is related to the cause of its occurrence. The most important point of surgical treatment is to clearly diagnose the nature of the polyp and to relieve the clinical symptoms associated with it, therefore it has nothing to do with reducing the recurrence rate. Nowadays, the main treatment for endometrial polyps is surgery.