Once endometrial polyps are detected, surgical treatment is used whenever possible to remove them completely. The most common treatment is surgical treatment with hysteroscopy, which has the advantage of both diagnosing and doing the treatment.
For small polyps with no obvious symptoms or in postmenopausal patients, they can be temporarily observed and do not require treatment. A small number of polyps can fall off on their own with menstruation, or if there is no change in the polyp under close follow-up and the patient does not have any symptoms, they can be left untreated for the time being and can be observed and waited for.
For symptomatic patients, or patients who have fertility requirements but have not been able to get pregnant, or patients who have intermenstrual bleeding or excessive menstrual flow, treatment is needed, and the best means of treatment is hysteroscopy. During hysteroscopy, treatment can be performed simultaneously.
For small, focal or diffuse polyps, curettage can be used to remove the polyp. For some larger or more numerous polyps, hysteroscopic electrosurgery can also be considered to remove the polyps. The most effective way to prevent recurrence is to take oral short-acting contraceptives or to place Mannitol in the uterus. For patients with fertility requirements, it is important to prepare for pregnancy as soon as possible after treatment.
The method of eliminating uterine polyps depends on the severity of the individual’s condition, so please follow your doctor’s instructions.