How are uterine polyps treated?

Treatment may not be necessary if the polyps do not cause any symptoms. However, polyps should be treated if they cause heavy bleeding during menstrual periods, or if they are suspected to be precancerous or cancerous. They should be removed if they cause problems during pregnancy, such as a miscarriage, or result in infertility in women who want to become pregnant. If a polyp is discovered after menopause, it should be removed.

Methods of treatment include the following:

  • Medications: Drugs that help regulate the hormonal balance, such as progestins or gonadotropin-releasing hormone agonists, may be used as a temporary treatment. These medications help to relieve symptoms. However, the symptoms will usually return after the medications are stopped.
  • Hysteroscopy: (see above) This may also be used as a treatment method. In treatment, the doctor will insert surgical instruments through the hysteroscope to remove any polyps that are found.
  • Curettage: (see above) This may be performed along with hysteroscopy. While using the hysteroscope to look at the interior of the uterus, the doctor uses a curette to scrape the lining and remove any polyps. The polyps may be sent to a laboratory to determine whether they are benign or cancerous. This technique is effective for smaller polyps.
  • Additional surgery may be necessary if a polyp cannot be removed using other methods, or if the polyps are cancerous. A hysterectomy, a surgical procedure in which the entire uterus is removed, may be necessary in cases where cancer cells are found in the uterine polyps.

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