The endometrial polyp is a benign growth that forms from the basal layer of the endometrium. This kind of pathology is diagnosed in women of any age. The largest percentage of cases occur in an age exceeding 35 years.
According to the results of various studies, uterine polyps are diagnosed in 7-34 percent of women. In women of reproductive age, profuse menstruation, blood discharge after intercourse in 30% are uterine polyps.
However, this does not mean that the above described diagnosis cannot be made for girls. In addition, a uterus polyp can be delivered to a woman who has given birth.
With regard to the pathogenesis of the disease, it is different ambiguity due to the lack of a clear understanding of the mechanism and nature of the development process. However, scientists were able to identify a number of factors that lead to the formation of polyps.
The factors that increase the risk of polyps are as follows:
- Hormonal imbalance.
- Aborted pregnancy, miscarriages.
- Endocrine diseases (diabetes).
- Extragenital pathology.
No wonder scientists in the first place put hormonal disorders. They are the main provoking factor leading to the formation of polyps.
In most cases, abnormal growths in the uterus are detected randomly, during an ultrasound scan of the uterus. A feature of this disease is the absence of symptoms in the initial stage of the disease. The endometrial polyp is manifested only when the polyps have acquired large sizes, and the process has reached a global scale. So to say, the secrecy of the disease greatly complicates diagnosis and treatment.
How and what to treat?
In most cases, the endometrial polyp is treated surgically. However, individual cases (taking into account the type of polyp) can be cured in a medical way.
With regard to further treatment tactics, then it affects the type of education and age of the woman. In the event that a woman is diagnosed with a fibrous structure, then hormone therapy is not prescribed. When the glandular structure shows hormonal therapy of the endometrium.
When growing in the uterus, women are prescribed suppositories, hormones, in particular, estrogens, progesterones, gestagens. One of the representatives of the last group of drugs is Duphaston.
Duphaston is an analogue of the female hormone and allows you to carefully make changes in reproductive processes.
In some cases, women are prescribed progesterone and estrogen at the same time. This combination is accompanied by a small risk, which is taken into account by the attending physician. Before prescribing, the doctor examines and examines the history. This kind of caution occurs because of the presence of side effects, which leads to changes in the mammary glands.
It is worth noting that self-treatment in this case is dangerous, since it is likely that a woman’s condition will deteriorate.
Important drug information
Duphaston is prescribed not only to treat a polyp in the uterus, but also to clean up the menstrual cycle and maintain pregnancy. Today, this practice is held in high esteem by many gynecologists. The effectiveness of the above drug depends solely on the specifics of the female body.
Despite the effectiveness of the above medication, Duphaston acts as a hormonal drug and is prescribed exclusively by gynecologists.
In what cases is the remedy used?
This hormonal agent is prescribed by the gynecologist for a uterine polyp and if the tumor is caused by a shortage of progesterone in the body of a woman. As a rule, tumors have a glandular and fibrous nature. Duphaston is widely used in uterine polyp as a prophylaxis of new formations. In addition, this drug is characterized as an alternative to surgical intervention. He is written out to not giving birth to girls and in case of impossibility of carrying out the operation.
Another progestogen is Utrozhestan. This drug has an identical principle of action with Duphaston. However, unlike Utrogestan, Duphaston is a purely synthetic means. Candles Chistobolin possess an analgesic effect.
As mentioned above, to restore hormonal processes, using different methods. The attending physician selects oral contraceptives, installs hormonal agents inside the uterus.
Take this medication is necessary in the second phase of the menstrual cycle. The course of treatment is about 3.5 months. In some treatment is stretched for six months.
Unlike candle tablets, it is necessary to apply 10 days. However, candles are prohibited to use during pregnancy. There was no such restriction beyond DuFaston.
The above drug belongs to the list of artificial hormonal drugs. The composition of Duphaston is close to the structure of the female hormone. Compared with other similar drugs, Duphaston is not characterized by the development of side effects, which takes the form of secondary male sexual manifestations (excessive body hair).
The drug is available only in pill form. Therefore, the method of taking the drug for uterine polyp is oral. The highest level of concentration in the blood is noted a few hours after admission. This drug is combined with almost any drug.
With a polyp of the uterus, the therapeutic result from this drug takes place without suppressing ovulation and making corrections to the menstrual cycle. This drug is not a barrier to conception and allows you to save pregnancy during treatment.
Contraindications and side effects
According to laboratory tests, this drug is not recommended for the following groups of women:
- The first group is represented by Rotor Syndrome.
- The second group includes the disease Dabin - Johnson.
In addition to the above contraindications, this list can add hypersensitivity to the composition of the drug.
It is taken with caution in the presence of non-inflammatory renal pathologies.
It is not recommended to combine the drug with alcohol. Such drinks reduce the effect of the drug.
At the moment, the side effects of this medication are minor. From the side of the central nervous system there is a headache and migraine. In some cases, there is a skin rash, itching and burning.
You can prevent any disease. To prevent growth in the uterus, it is recommended to adhere to the following prescriptions:
- Regularly visit a gynecologist.
- Normalize hormonal imbalance.
- Time to respond to changes in the body.
- If you detect bleeding from the genitals, immediately contact a gynecologist.
- Correction of defects after childbirth.
- Avoid unwanted pregnancy.
- To be protected during sex with an unfamiliar partner.
All of the above manipulations can reduce the formation of not only polyps, but also other gynecological problems.
Can and why use duphaston with a polyp in the uterus?
Polyps in the uterus are formations that are characterized by a glandular or fibrous-glandular type. To prevent excessive division of these cells and need hormones. Duphaston in this case is prescribed for progesterone deficiency. That is, if the cause of the formation of polyps is the lack of this particular hormone. This is determined by laboratory analysis.
Most often, endometrial polyps are treated surgically. This method is more effective. But the medicine is usually prescribed after the operation as a preventive therapy. That is, to prevent the manifestation of new polyps. Hormone therapy with this medicine is indicated for women who have not yet given birth, or if there is a complete contraindication for the operation.
The composition of the drug
One tablet Duphaston contains 10 mg of active ingredient. It is didrogesterone, which is a synthetic hormone, but it is closest to the natural hormone produced by the body. Additionally, the drug includes such substances:
- magnesium stearate,
- lactose monohydrate,
The positive effect of the drug
Duphaston has a positive effect in the absence or violation of ovulation. Since it normalizes the duration of ovulation and contributes to the modulation of the phase of the cycle after it. When polyps are formed, a permanent symptom is a brown spotting. Taking this medicine stops them.
Unlike many drugs, this drug does not provoke a violation of the menstrual cycle and its use does not suppress the reproductive function of the ovaries.
The drug is prescribed to pregnant women, if there are difficulties in carrying a fetus. Namely, if there is a threat of miscarriage, bleeding in early pregnancy.
Additionally Duphaston prescribed after surgical operations to remove polyps, uterus removal, with endometriosis, etc.
After removing the polyp
Duphaston after removal of the endometrial polyp is prescribed for a rather long period of 6 to 7 months. The drug is taken in cycles, that is, therapy begins on the 16th day of the menstrual cycle. This cycle lasts about 10 days. Throughout the cycle, taking medication daily.
Duphaston can be purchased at any pharmacy. Its cost is:
- 513 rub. for 20 tablets,
- 722 rub. for 28 tablets.
Duphaston is a hormonal drug that, when properly prescribed treatment regimen, has only a positive effect. This is especially observed during therapy after surgical treatment. Today, polyps are increasingly being treated with drugs in combination with other drugs of the new generation.
Description and characteristics
Duphaston is a synthetic analogue of progesterone synthesized in a woman's body. With this medicine, you can not only get rid of polyps in the uterus, but also correct the hormonal balance that causes such pathologies as miscarriage, the threat of miscarriage in the early period, infertility, and endometriosis cure. He is able to establish the menstrual cycle, if the absence of critical days for several months is caused by hormonal disruption.
If the polyp has a fibrous structure, then it should only be removed surgically. Treatment Duphaston in this case will not work. And if the tumor is glandular, then hormone therapy will bring good results.
Therapy with this tool is not always effective. The doctor prescribes it, taking into account the history of each individual woman.
Dosing and Administration
This hormonal agent is prescribed to women with various pathologies associated with a lack of progesterone. The doctor registers the treatment in each case individually. On average, a single dose is 5-10 mg, daily - 10-30 mg.
In endometriosis or hyperplasia of the uterus, Duphaston is drunk 1 tablet 2–3 times a day from the 5th to the 25th day of the cycle.
In the case of a combination of overgrown endometrium with uterine myoma, 10 mg of the drug per day is prescribed, which should be divided into 2-3 doses.
If there is a threat of termination of pregnancy in the early stages, then appoint 1 tablet 2 times a day. The course of treatment continues until the 20th week, then gradually the dosage is reduced.
For signs of spontaneous abortion, the doctor recommends drinking 4 tablets at a time. Next - one every 8 hours until the symptoms disappear. Duphaston is advisable to take until mid-term pregnancy.
To appoint such a serious hormonal drug can only the attending gynecologist, who is aware of all the features of the body of a particular woman.
With a polyp in the uterus
In some cases, Duphaston with a polyp in the uterus is used as a replacement for surgery. The doctor makes such a decision in a situation if a woman is planning a pregnancy in the near future or surgical interventions are contraindicated for her.
If the formation of a polyp was due to the lack of progesterone in the female body, then the hormones of the drug, as close as possible to natural ones, will correct the hormonal imbalance. Therefore, it is highly likely that during treatment, the growth inside the uterus will resolve.
Duphaston therapy is prescribed for the second half of the menstrual cycle. To combat neoplasms, it is taken in combination with other drugs. The action of such drugs is aimed at maintaining and restoring the hormonal balance in the body. The course of treatment can last up to six months.
How are polyps treated
In most situations, the neoplasm should be removed from the endometrial wall, but there are situations where only drug therapy is indicated. For example, the method of treatment is selected depending on the type of neoplasm in the body. If it has a fibrous structure, then hormone therapy is meaningless, and a woman should be operated on. In the presence of a glandular structure, a neoplasm requires treatment with hormonal drugs.
If the tumor actively grows, then candles, oral gestagens or estradiol can be prescribed. Duphaston belongs to gestagens and is a synthetic analogue of natural progesterone. In some cases, your doctor may prescribe a combination hormone treatment with estrogen and gestagens, depending on the specific situation. Before the selection of drugs carefully studied the disease of the patient.
You should know that using duphaston can get rid of not only polyps triggered by a strong decrease in progesterone in the body, but also correct the hormonal background in the right direction in many other gynecological diseases - amenorrhea, algomenorrhea, hormonal insufficiency, miscarriage, endometriosis, threatened miscarriage, some forms of infertility, an overabundance of estrogen and androgen. This drug is very popular with most gynecologists, because it is effective and rarely causes side effects.
In what specific cases is duphaston written out
Hormone therapy is an alternative surgical intervention. Since a neoplasm is often the result of a hormonal imbalance between the hormones of the first and second phases of the menstrual cycle, it is necessary to additionally take drugs based on progesterone to equalize the balance. Also, in some cases, the patient may have significant contraindications to surgical treatment.
In most cases, doctors do this: Duphaston is taken after the removal of an endometrial polyp as a prevention of the formation of new ones. The duration of the reception takes a long time, at least three cycles of reception. In most cases, dufaston is discharged for at least 6-7 consecutive months. The drug is undesirable to take in the first phase, so as not to disrupt the hormonal background even more. Often, the agent is prescribed for daily use starting from the 16th day of the monthly cycle, and the duration of therapy is 10 days in a row in the second phase. Regular intake can prevent the emergence of a new benign lesion, a previously removed polyp is unlikely to germinate in the same place.
Contraindications to the use of duphaston
You can not appoint dufaston patients in two cases:
- History of Rotor Disease
- A history of Dabin-Johnson syndrome.
Also to strict contraindications can be attributed to individual intolerance to any of the components of the drug and the presence of a hypersensitivity reaction with respect to the drug. During therapy, refrain from taking alcoholic beverages, because they reduce the effectiveness of the active ingredient, and create an additional burden on the liver. Also, this combination adversely affects the state of the blood vessels, causing further development of the propensity for varicose veins and deep vein thrombosis.
With caution progestogens are appointed in the presence of kidney disease with non-inflammatory course. The drug is good because it rarely causes side effects, but in rare cases, there may be changes on the part of the mammary glands - they sullen, there is also a migraine, daytime sleepiness, apathy, itching on the skin, burning or depressed mood.
For the timely detection of pathologies it is recommended not to skip the preventive examinations of the gynecologist.
Again, an endometrial polyp and a whole bunch (((((((
In October 2016, an endometrial polyp was found. No problems with health in a woman had never happened, came to the doctor, because they decided to plan a pregnancy. The doctor said that with a polyp the probability of pregnancy is reduced to zero. Hysteroscopy done. The result is a glandular fibrous polyp and chronic endometritis. Далее была полугодовая гормональная терапия для исключения рецидива.Then endless hormonal ointments to increase the endometrium, which refused to grow as expected (apparently due to endometritis). Maximum thickness - 8 mm. All stimulations were meaningless.
A year passed in such hormonal support, then they decided to take a break from the pills with a gynecologist and plan IVF. After 3 months of rest, I scored on trying to get pregnant, let go of thoughts away, went with my husband to Diveevo, bought vouchers to Thailand for October. She came to the gynecologist for a routine examination and found out that she was pregnant. Like this. I regard this as a miracle and a gift from heaven. The 3rd month will end very soon and I pray to God that everything will be fine with the baby)
The main thing to believe, girls, everything will definitely work out! And with chronic endometritis (with which, as they say, it is very difficult to get pregnant) and with other sores. The main thing is not to get stuck in love, to love a husband, to make love (and not because it is NECESSARY, but because you want to) and have a rest more.
And God forbid health and early pregnancy to all who really want this!
I was diagnosed with endometriosis + sterility two and a half years ago at the age of 25.
The doctor until the last struggled so as not to send me (not giving birth and never doing abortions) for cleaning. The thickness of the endometrium was 24.6 mm with a norm of 11-12 mm.
I took hormonal pills, and injected with hydroxy hydroxy 12.5%.
The shots are very painful, but health was more important.
After a couple of months, we still managed to achieve results, the endometrium returned to normal, and was already 6 mm.
And after 2 years I became pregnant.
So do not give up, you still have everything ahead.
I also had an endometrial polyp removed. That was in June 2017. I had bleeding in the middle of the cycle. Removed, drank antibiotics, hormones. Everything seemed okay. And in April 2018, blood discharge in the middle of the cycle returned. I run to the doctors. Both ultrasound and pipel did a biopsy and everything that was possible, I passed a bunch of tests ... and nothing was found. Type of ovulation such.
Gynecologists told me that these polyp can return 100 times. And each rep is a hister (
Although I have friends who have a polyp B. and everything was ok.
I have already been the 7th month of planning.
Surgical removal of polypous formation
The surgical method is a fairly effective way of dealing with polyposis, which makes it possible to eliminate a polyp relatively easily and painlessly. Mostly used method of hysteroscopy.
The polyp is cut, and the bed on which it is located is subject to the curettage procedure using a special curette. The procedure takes place at the visual observation of a specialist, carried out through a special hysteroscope (camera, which is inserted into the uterine cavity).
If the specificity of the formation of a polyp suggests the presence of a tissue leg, the polyp is removed by specific “unscrewing”. The procedure is called polypectomy, performed using special forceps. After removal of the polypous formation, its attachment to the endometrium is treated with nitrogen, or cauterized with the help of an electric current. This is a preventive measure that helps to avoid recurrence.
Surgery takes place under general anesthesia, it does not last long. After the operation, the patient may experience mild painful manifestations localized in the groin, and the presence of minor bleeding anovulatory character is possible. These symptoms are present no further than 10 days after removal of the polyp.
If after the expiration of this period of manifestation, the patient’s disturbances do not pass, additional diagnostics and the use of appropriate medicinal measures are necessary.
In order to avoid the development of infectious processes, the patient may be prescribed broad-spectrum antibiotics.
On the third day after hysteroscopy, ultrasound diagnostics are performed to analyze the dynamics of healing and to determine further therapeutic measures.
Usually, with the fibrous form of a polyp, when the menstrual cycle proceeds without delay, the treatment ends. However, as a result of preventive measures, systematic gynecological monitoring and close monitoring of the patient's condition of the body is recommended.
The polypous material removed as a result of the operation is sent to histology in order to identify the risk of proliferation - that is, possible transformation into a malignant form.
Hormone therapy after removal
A course of hormonal therapy after removal of a polyp is not prescribed in all cases, but when treating such forms of polypous formation as glandular and glandular-fibrous.
The course of hormonal therapy after hysteroscopy depends on the patient's age characteristics, reproductive plans and individual clinical indicators. Treatment may include the following measures:
- taking combined oral contraceptives (yarin, regulon, zhanin),
- use in the treatment of gestagens (duphaston, norcolute, urozhestan),
- the use of a hormone-containing helix (like Mirena).
One of the most effective means from the first category is janin, which is well combined with preparations of reducing effect.
Janine is prescribed to patients in reproductive age (from 35 to 40 years), the use of Zhanin is regulated by the attending physician. Janine has a good effect on stabilizing the level of progesterone in the body, contributes to a more rapid recovery of the patient's body. The use of Zhanin allows you to save reproductive function, a beneficial effect on a wide range of medical indicators, the normalization of endocrine function.
The use of Duphaston after removal of the endometrial polyp is characterized by a spectrum of features.
Duphaston after the removal of the polyp is prescribed to women over 40 years of age, the course of treatment is not longer than six months.
It is well combined with almost all medicines, has no side effects. At the same time, the dynamics of hormone therapy should be monitored by the attending gynecologist and related specialists.
Alternative Drug Treatment
The possibilities of interaction between the endometrial polyp and duphaston are not excluded by the use of the drug as a component of hormonal therapy in postoperative rehabilitation.
In some cases, duphaston with a polyp in the uterus is used as the basis for alternative medical therapy, without surgical intervention.
The reasons for such a decision by the doctor may be reproductive plans of the patient, or the presence of serious contraindications to surgical intervention.
Due to the unique structure, as close as possible to the natural female hormone progesterone, Duphaston helps to stabilize the hormonal level, increase the production of progesterone, if the formation of a polyp is due to its deficiency. In general, the effectiveness of the drug in the fight against polyps is quite high, the tool is intensively used for the prevention of recurrence of polyposis.
The drug can be used not only to combat polyps, but also as a supportive means for carrying a fetus, as well as to stabilize the menstrual cycle.
Treatment Duphaston prescribed in the second phase of menstruation, combining it with drugs supporting and restorative action, as well as means to stimulate the destruction of alien formations. Apply the drug orally, in accordance with the medical appointment. Reception course - up to 6 months.
Contraindications for admission
In some cases, taking Duphaston is not recommended. Namely, Duphaston should be avoided:
- if the patient has Rotor Syndrome,
- with Dabin-Johnson disease,
- with individual intolerance to any of the components of the drug.
Side effects Duphaston laboratory studies have been identified.
Starting to receive the drug, you should definitely consult with your doctor. In no case can not self-medicate and ignore professional medical care.
Drug and surgical treatment of polyps
Endometrial polyp is diagnosed, usually on ultrasound or during a routine gynecological examination. Depending on the nature of education, its structure and size, the reasons for occurrence, the specialist will prescribe adequate therapy. The most effective solution will be the removal of education, followed by drug treatment.
The operation to remove polyps is called polypectomy. It is carried out under the control of an optical device. The tension is unscrewed, and the bed is burned with liquid nitrogen, a laser or an electric current. Additionally, you may need to clean the uterus.
Duphaston after the removal of the endometrial polyp is prescribed to restore the menstrual cycle, hormonal and reproductive function. The duration of the therapeutic program is 6-7 months. Cases of recurrence of the disease amount to 10-15%.
Sometimes the drug is prescribed before surgery. This decision is made if the education is of a single character and has a diameter of no more than 2-3 mm. Also, drug therapy is used when the patient has serious contraindications for the operation.
To appoint Duphaston with a polyp in the uterus can only be a doctor. It is the gynecologist who, on the basis of the diagnostic tests carried out, will establish the dosage and duration of the course, and also develop a general scheme of therapy. Do not self-medicate!
Contraindications when taking Duphaston
Treatment of endometrial polyps Duphaston is unacceptable in the presence of compelling contraindications. Taking the drug is prohibited when:
- kidney and liver failure
- malignant tumors,
- individual intolerance to the components of the drug,
- uterine bleeding,
In no case can not deviate from the prescribed scheme and exceed the recommended dosage of the drug. Duphaston is forbidden to take simultaneously with the use of alcohol.
In case of violation of the basic requirements of the drug, the patient will have side effects in the form of:
- migraine headache
- bouts of vertigo,
- abundant vaginal discharge,
- pain and breast augmentation
- skin rashes,
- bloating and flatulence, abdominal discomfort.
In some cases, the gynecologist may prescribe a combination treatment that includes Duphaston and drugs containing estrogen. Auxiliary agents are vitamin-mineral complexes, drugs that increase immunity, antibiotics.
To better understand how Duphaston works with endometrial polyps, and whether the drug is effective, you need to examine the comments and feedback of those who have encountered polyposis and have experience in treating a disease with this drug:
"I am 35 years old. A large polyp was discovered in the uterus a year ago. I had a comprehensive examination and surgery. Polypectomy was performed. The procedure is almost painless, quick and not scary. The very next day I was at home. This was followed by a short rehabilitation period. But then I drank Duphaston for another six months, as prescribed by the gynecologist. Not so long ago I went through a routine examination, everything turned out to be normal, there was no relapse. ”
“I was prescribed Duphaston before polypectomy. The gynecologist insisted that the formation of a small size, and will be able to cure it in a conservative way. Three months later I had another polyp. I changed the doctor. The new specialist removed the formations and appointed a complex treatment regimen, which also included the drug. This time everything went well. Two years have passed, new polyps do not arise. ”
“I was diagnosed at 29 years old. The doctor noted that at this age of education are rare. It was caused by hormonal imbalances, as shown by tests. In the hospital I was removed by a minimally invasive growth. I recovered quickly, but it took another 4 months to drink Duphaston to prevent and eliminate relapses. Everything went great, but now I am 34 years old, and when I visited the doctor, education was again found. Share your opinion, can it be better to carry out a full cleaning, and not a polypectomy? ”.
Endometrial polyp - what is it
Endometrial polyp is the proliferation of uterine lining cells. Can be observed from one to several polyps ranging in size from 1 millimeter to 5 centimeters. Most often they appear in women aged 40 to 50 years. The structure of a polyp consists of the body and the vascular pedicle, with which it is attached to the wall of the uterus. It has a complex internal structure, which can be represented by glands and fibrous tissue. In the event that atypical cells are present in the composition, the polyp is considered adenomatous (precancerous). Depending on the structure, 4 types of endometrial polyps are distinguished:
There are also functional endometrial polyp, consisting of epithelial cells and changing during the menstrual cycle, and the basal type of polyps, arising from a pathologically changed basal layer of the uterus. It is possible to determine the exact structure of the formation using histological analysis of the removed element. Most often, polyps remain inside the uterus, in rare cases they expand into the cervix or vagina. The method of treatment is chosen depending on the age of the patient and the features of pathological changes. Surgery is the main method of struggle if an endometrial polyp is found. Treatment without surgery with medication is possible if the patient refuses the operation.
There are different versions of the origin of the endometrial polyp. The main one is hormonal disorders caused by excessive estrogen levels in progesterone deficiency. This conclusion was made on the basis of a study of the response of endometrial polyps to estrogen stimulation. It also does not exclude the likelihood of pathology due to infectious diseases of the inner layer of the uterus, as well as mechanical damage to the endometrium due to artificial interruption of pregnancy, abortion, miscarriages, scraping, wearing the IUD for a long time, incomplete removal of the placenta during labor, resulting in fibrin overgrow with connective tissue and turn into a polyp. Do not discount the probability of polyp proliferation due to increased vascular growth in the uterus. Endocrine processes in the body of a woman associated with diabetes, metabolic disorders, hypertension, and thyroid gland functioning affect the increase in the risk of developing the disease. Mental disorders, depression, feelings, stressful situations, as well as reduced immunity and a lack of vitamins in the body can provoke hormonal disorders.
Symptoms of endometrial polyp
In the event that epithelium growths take on small forms, then the signs of an endometrial polyp are most often absent. Therefore, they are diagnosed, as a rule, with a pelvic ultrasound. When a significant size is achieved, the following clinical picture is observed:
• the number of pathological whitish secretions (whiter) increases,
• the menstrual cycle is broken,
• abundant menstrual flow,
• acute pains in the form of contractions, when the polyp reaches the cervical canal,
• bleeding occurs during the intermenstrual period,
• discomfort and pain during sexual intercourse,
• infertility in young reproductive age,
• failures during IVF,
• appearance of bloody discharge at the onset of menopause. Therefore, most often prescribed for such symptoms of endometrial pathology removal of the polyp. Patient reviews after surgeries suggest that surgical treatment contributes to the disappearance of symptoms completely and women feel significant relief.
During the examination, the gynecologist may see a functional polyp of the endometrium that extends into the cervix and vagina. Therefore, the main method of research is an ultrasound. In the event that the polyp is not clearly visualized, a hysterosonography is performed, which is the same ultrasound, but with the introduction of saline into the uterus by means of a catheter. This technique allows for a more detailed study of the polyp, its size and shape. For more detailed diagnostics, hysteroscopy is carried out, during which it is possible to accurately determine the location of the polyp, and also using this method, it is possible to remove the polyp with the leg. The technology of its implementation is a minimally invasive technique. An optical instrument of a small cross-sectional diameter is introduced into the uterine cavity, which allows the collection of bioptic material, as well as curettage of the endometrium. After removal of the polyp, it is sent for histological examination, which allows to identify structural features, the presence of atypical cells and prescribe further treatment. When detecting the presence of cancer cells, an examination by a specialist in gynecological oncology is appointed.
There are two main methods of treatment: surgical intervention and non-invasive techniques.
• Из оперативных методик наиболее эффективной является гистероскопия, которая благодаря оптическому прибору (гистероскопу, содержащему микроинструменты в тубусе), позволяет более детально рассмотреть местоположение полипа и точно его удалить и имеет большее предпочтение по сравнению с выскабливанием вслепую. The operation can be carried out without anesthesia and anesthesia and does not take much time - 5-20 minutes depending on the nature of the pathological changes.
• Hysteroresectoscopy - is a complete surgical operation. The only way out in case of serious endometrial pathology is the removal of a polyp. Reviews of patients undergoing surgery, say that the operation is painless, as it takes place under general anesthesia.
• Surgery is not the only option if an endometrial polyp is diagnosed, treatment without surgery is possible in various ways, primarily with hormonal drugs.
• Antibacterial treatment in the presence of genital infections.
In the event that an endometrial polyp is detected, treatment without surgery is indicated by the following hormonal drugs:
• Progestogens, progesterone content (means "Utrozhestan", "Duphaston"). Drugs are prescribed for a period of 3-6 months in the 2nd phase of the menstrual cycle.
• Comprehensive oral contraceptives are prescribed for women under the age of 35 who have a uterine endometrial polyp. Treatment lasts for 21 days.
• Gonadotropin releasing hormone agonists
Non-surgical Chinese Tampons
If it is impossible to perform a surgical procedure in order to remove the endometrial polyp, treatment without surgery is carried out using conservative methods - Chinese tampons. They are also used as relapse prevention. The most famous tampons are Clean Point, Beauty Life. For the course of treatment, 10-12 tampons will be needed, for prophylaxis - 2 tampons per month. They consist of natural plant components of a wide spectrum of action, normalize hormonal levels and fight against infectious diseases. Folk remedies, along with medical methods, there are also non-traditional methods to remove the endometrial polyp, folk remedies show low treatment effectiveness. One way is to use garlic - you need to crush it, wrap it in a bandage, form a tampon and tie it with a thread. The tampon is injected overnight into the vagina for one month. Many who have tried this method criticize the popular treatment of endometrial fibrous polyp, reviews show that it is very difficult to withstand even four hours, not to mention the whole night. In this way, the vaginal mucosa can be burned.
Endometrial polyp prevention
As prevention of endometrial polyp, the following recommendations should be followed:
• Carefully treat infectious and inflammatory diseases of the female genital organs and carry out effective treatment.
• Regularly undergo examination by a gynecologist.
• When the first symptoms appear, consult a doctor.
• To normalize hormonal levels
Relapses of endometrial pathologies occur if it is not completely removed during surgery. As a preventive measure for recurring diseases, hormone therapy is used, stress situations, abortions should be avoided, food should be eaten properly and health and immune systems should be monitored.