Update: December 2018
Uterine polyps are benign neoplasms or
focal hyperplasia of the endometrium. Due to the growth of the mucous
shells in the uterus can appear both single and
multiple polyps (polyposis) on a thin stalk or on a wide
basis. The most serious symptoms of polyps in the uterus are
uterine bleeding, as well as education can cause
infertility or recurrent pain in a woman. Treatment
consists in its surgical removal by various methods.
The disease is diagnosed using ultrasound, gynecological
inspection, hysteroscopy, histology. The size of the neoplasms can
be from sesame seeds to golf balls. Often
endometrial polyps in the uterus are combined with cervical polyps.
Doctors see the causes of polyp formation in hormonal disorders and
endometrial inflammatory processes, which is possible at any age,
therefore, their occurrence is also found in young girls and
women in the period before menopause (see the first signs of menopause),
clinical cases of development of such tumors make up 6-20%
all gynecological pathologies. Since polyps in gynecology
considered as the initial stage of cancer, they are anyway
subject to removal.
What are the most dangerous uterine polyps?
According to their morphological structure, polyps are divided into:
- Glandular – they are composed of endometrial tissue, consisting of
glands and the largest number is found in women in young
- Fibrous – consist of dense connective tissue with rare
single glands occur in women after 40 years
- Ferro-fibrous – a mixture of glands and connective tissue,
occur in women over 35
- Adenomatous – the most dangerous types of polyps, because
the glandular epithelium in this case has signs of proliferation, then
there is a beginning of the nucleation of cancer cells, which requires special
careful monitoring and in fact is a precancerous condition.
(see signs of cervical cancer)
Uterine polyps have the following structure – the central vascular
canal, endometrial glands and stroma. The leg consists of
thick-walled vessels and fibrous stroma, and the surface
neoplasms covered with epithelium. With a long existence
polyps, they can infect, ulcerate, necrotize, and
cellular changes may also occur in them
one tissue to another, i.e. malignant.
Particularly should be noted such types of them as placentals, which
are formed from elements of the placenta, which may remain after
severe childbirth, complicated abortions, and after miscarriage or
missed abortion. With this type of polyp in the uterus, symptoms
manifested by severe and prolonged bleeding leading to
infection and even infertility.
Why polyps appear in the uterus
The main causes of growths in the basal layer of the endometrium
are inflammatory changes and hormonal
- Hormonal disorders
Hormone production disorder, namely increased secretion
estrogen and ovarian dysfunction lead to focal
hyperplasia of the inner layer of the uterus, so the endometrium thickens
and polyps occur. Since such violations may result in
only to polyposis, in women with ovarian dysfunction and estrogen
there are mastopathy, uterine fibroma, polycystic ovary, glandular
- Inflammatory processes of the female genital organs
Any chronic diseases of the female reproductive system,
such as adnexitis, (salpingoophoritis, oophoritis, see inflammation
appendages: symptoms, treatment), endometritis, and other infections
sexually transmitted diseases, especially chronic diseases, also
are causes of polyps in the uterus.
- Mechanical injury
Any gynecological manipulations, unsuccessful surgical
abortion, frequent abortions, diagnostic curettage, long
the use of the intrauterine device, etc., also refers to
risk groups for the development of benign tumors.
- Other systemic diseases
Women with signs of diabetes, obesity,
hypertension, immune disorders, mental
diseases, diseases of the thyroid gland also belong to
at risk of polyps.
Signs and symptoms
Whatever the type and structure of the polyp in the uterus, the symptoms are similar.
in all cases. First, at its small size, the presence of
neoplasm does not manifest itself, as it increases, and
also durations of existence, the following may occur
- Abundant menstruation, brown discharge before menstruation, and
also painful periods
- Uterine hemorrhages, which may be acyclic,
- Blood discharge between menstruation
- Painful intercourse and bleeding after
- Bleeding in women in menopause
- With frequent uterine bleeding, women may suffer.
anemia, therefore, dizziness, pale skin
- For large polyps, symptoms can be supplemented
the appearance of pain in the lower abdomen, the release of pathological whiter
mucous character, cramping pains and pains during sexual
- Young women with persistent
infertility or the onset of pregnancy is a threat of termination, and
also the risk of preterm delivery.
Symptoms of polyps resemble signs of uterine fibroids, endometriosis,
so for any discomfort, irregular menstruation,
heavy months should be thoroughly examined
How to identify polyps?
Before prescribing diagnostic procedures gynecologist
collects the patient’s history of reproductive and
gynecological, then conducts vaginal examination, sends to
Ultrasound, metrography and hysteroscopy, diagnostic curettage with
endometrial examination histologically.
- Gynecological vaginal examination allows you to determine only
cervical polyps, in the uterus they cannot be palpated or
visually inspect, for this other methods are used. But,
in the presence of polyps of a neck, the probability of development is great
tumors and in the uterus itself.
- Ultrasound also should be targeted, attention is paid
expansion of the uterus, with polyps, the endometrium thickens and is visible
четкие разрастания слизистой, причем они однородной
- The most informative study is hysteroscopy, when
inspection of the uterine cavity is a flexible thin device with
video camera, it is introduced through the cervical canal into the uterine cavity.
Using this procedure, you can determine the location,
the number of polyps, sizes. They may be yellowish in color.
pale pink as well as dark purple, be single or
multiple, oblong or rounded. During this
procedures possible single-step removal of a single polyp under
control of the video camera and subsequent morphological research,
to establish an accurate diagnosis.
- Diagnostic curettage is also carried out to obtain
tissues for research.
- Metrography is an x-ray of the uterus, which is performed with
contrasting substance, with uneven outlines
cavities and polyps are visualized.
Treatment полипов в матке
The most modern and optimal way to treat polyps in the uterus
is today endoscopic polypectomy. it
the procedure occurs during hysteroscopy followed by
diagnostic curettage. If the polyp is on the leg, its method
unscrewing is removed, and the place of attachment is cauterized with liquid nitrogen
(cryogenic method) or electrocoagulation, this is done for
exclusion of recurrence. Then after such a procedure after 3-4 days
It is necessary to conduct a control histological ultrasound.
Before planning treatment for polyps, a woman should definitely
be examined for all genital infections – thrush in women,
chlamydia in women, gonorrhea, mycoplasmosis, trichomoniasis, and
микроскопическое, онкоцитологическое и бan actриологическое
examination of a vaginal smear and cervical canal.
Over the next 10 days after hysteroscopic removal
polyps a woman feels spasmodic pain in the lower abdomen, as well as
spotting from the vagina. In order to avoid complications
and penetration of infection, should refrain from taking a bath,
bathhouses, steam rooms, from sexual contacts, do not use tampons and
produce no separate procedures (for example
douching). Read more on the condition after hysteroscopy.
Subsequent treatment depends on histological examination.
removed material, as well as the degree of menstrual dysfunction
cycle, on the age of the woman. If a fibrous polyp has been removed, and
menstrual dysfunction did not occur, then with such a polyp
endometrial cancer treatment is limited only by polypectomy.
Women with glandular fibrous and glandular polyps in non
Depending on age, after removal, they need hormone replacement.
therapy, for this they are prescribed oral contraception (Yarin,
Регулон, Жанин, Джес, Димиа), терапию гестагенами — Дюфастон,
Urozhestan, Norkolut), installation of an intrauterine device is possible
When an adenomatous polyp is detected, women are shown
removal of the uterus, especially premenopausal women or
postmenopausal age. This is done extirpation or
Treatment народными facilitiesми
К сожалению, высокой эффективности лечение народными facilitiesми
with polyps in the uterus does not. A woman, especially after 40 years should
understand that without a histological examination of the tumor,
treat uterine neoplasms without surgery
self, by herbs, homeopathy, dangerous.
When detecting any neoplasms, be sure to
find out if there are changes, mutations in the cells, because if
polyps adenomatous, about any national method of treatment of speech to be
can not, it is essentially a matter of woman’s life. Nowadays
cancer tension increases the risk of rebirth any
neoplasms in oncology even in young women, so it’s not worth
pull time by giving up removal hoping for folk
Everyone knows that oncology is easier and more effective to treat
at zero or 1 degree of development than in a neglected state.
To delay the removal of a dangerous tumor is impossible. But after
removal, according to the recommendation of the doctor, phytotherapeutist
immunity, hormonal balance may use different
folk remedies, such as the Borovoy uterus, indications for use,
But it should also be remembered that herbal preparations are such
же лекарственные facilities, с массой побочных действий и
contraindications. In addition, herbs can cause allergies.
reaction no less than any drug. Before
применением любого facilities следует сдать анализы на гормональный
background and use herbs only according to the schemes proposed
- Golden mustache
Pour 50 joints of golden mustache 500 ml. vodka, let it brew
10 days. Reception to carry out 20 drops, diluting 1/3
water, 2 p / day for half an hour before meals. After a month of this
treatment, you should take a 10 day break, you can spend up to 5
- Treatment чистотелом
it очень известное с давних времен средство, которое используют
with various skin diseases, juice is also good
celandine from warts, but remember that this drug
grass is poisonous and its use must be extremely careful.
Celandine can be treated by douching (see how
do douching and do it at all), but most
gynecologists consider the procedure of washing out the vaginal mucosa by any
facilitiesми крайне не желательной и даже малоэффективной. In that
the issue, the decision to apply or not douching takes a woman
after consultation with your doctor. Recipe for infusion
for douching idle time – celandine is applied in a liter jar
and pour boiling water, cook only the water has cooled to normal
temperature, you can carry out the procedure. Irrigation is done 1 time.
a day in the evening for 2 weeks, then a 2 week break.
Read more about the beneficial properties and contraindications of celandine.
- Vitex is sacred
It is also called monk pepper or Abram wood, a glass of 70%
alcohol pour 50 grams. dry fruits, 2 weeks insist, regularly
shaking, then take 30 drops per 1/4 tbsp. water for 1 hour
before meals 3 r / day. Treatment проводится только во 2 фазе цикла,
while there is an increase in progesterone production. Reception
3-4 months is carried out.
- Lingonberry, nettle and wild rose
Nettle and rosehip 6 spoons, 4 tsp lingonberries,
it is necessary to chop it thoroughly before pouring the mixture 1
Art. boiling water, insisting 3 hours, drink infusion of 0.5 cups 3
p / day.