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《互联网药品信息服务资格证书》编号:(苏)-非经营性-2018-0040

Endometrial polyps

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[Abstract]:
Endometrial polyps (endometrial polyps) are common diseases of gynecology, caused by local hyperproliferation of the endometrium, manifested as single or multiple smooth masses protruding from the uterine cavity, and the length of the pedicle is different. Can cause irregular vaginal bleeding, infertility. Women from the childbearing age to postmenopausal are high-risk groups of endometrial polyps. At present, the cause is unknown, and it is believed to be related to endocrine disorders. Ultrasound diagnosis is the main method. The sensitivity of intrauterine contrast is higher. Hysteroscopy is the gold standard for diagnosing endometrial polyps. Hysteroscopic polypectomy is endometrium. The preferred treatment for polyps, but polyps are prone to recurrence. Endometrial polyps occasionally have malignant transformation, especially in postmenopausal vaginal bleeding. When polyps are atypical hyperplasia, they should be treated as precancerous lesions.

【Endometrial polyps (endometrial polyps) are common diseases of gynecology, caused by local hyperproliferation of the endometrium, manifested as single or multiple smooth masses protruding from the uterine cavity, and the length of the pedicle is different. Can cause irregular vaginal bleeding, infertility. Women from the childbearing age to postmenopausal are high-risk groups of endometrial polyps. At present, the cause is unknown, and it is believed to be related to endocrine disorders. Ultrasound diagnosis is the main method. The sensitivity of intrauterine contrast is higher. Hysteroscopy is the gold standard for diagnosing endometrial polyps. Hysteroscopic polypectomy is endometrium. The preferred treatment for polyps, but polyps are prone to recurrence. Endometrial polyps occasionally have malignant transformation, especially in postmenopausal vaginal bleeding. When polyps are atypical hyperplasia, they should be treated as precancerous lesions.】
 
1. Factors
 
1.1 Endocrine factor
【Because estrogen can promote endometrial hyperplasia and produce menstruation, the formation of endometrial polyps is closely related to the high level of estrogen. Peri-menopausal and postmenopausal hormone replacement therapy, often eat some hormone-based health care products, will increase the level of estrogen in women.】
 
1.2 Inflammatory factor
【Long-term gynecological inflammatory irritation, intrauterine foreign body (such as contraceptive ring) stimulation, childbirth, miscarriage, puerperal infection, surgical operation or mechanical stimulation may cause endometrial polyps, and long-term inflammatory stimuli will make polyps more and more Big.】
 
1.3 other
【Age, hypertension, obesity, diabetes, long-term use of tamoxifen after breast cancer surgery, are all high-risk factors of endometrial polyps.】。
 
2. Clinical manifestation
 
【The disease can occur at any age after puberty, but is common in women over the age of 35. Single-onset endometrial polyps often have no clinical symptoms, often found during major examinations after removal of the uterus from other diseases, or when diagnosed with curettage. Some patients may have more menorrhagia and prolonged menstruation, which is associated with increased endometrial area and hyperplasia of the intima. Large polyps or polyps that protrude into the neck tube are prone to secondary infections and necrosis, and cause bloody secretions of irregular bleeding and malodor.】
 
2.1 Irregular uterine bleeding
【Menorrhagia and prolonged menstruation or abnormal uterine bleeding before menopause, but the severity of symptoms is not related to the number, diameter and location of polyps.】
 
2.2 stomachache
【It often begins in the second half of the menstrual period, progressively worsening, and gradually disappears as the menstruation is clean. Mainly due to the obstruction of endometrial polyps, resulting in poor discharge of menstrual blood.】
 
2.3 Leucorrhea abnormal
【A small number of patients with large polyps may have increased vaginal discharge or bloodshot vaginal discharge, or contact bleeding, especially after sexual intercourse and squatting with heavy stools.】
 
2.4 Infertility
【If the endometrial polyps grow in the cervical canal, it may hinder sperm from entering the uterine cavity; if it grows in the uterine cavity, it will hinder the implantation of the fertilized egg or affect the development of the embryo, leading to infertility.】
Uterine fibroids
Endometrial polyps
Intrauterine adhesions (IUA)