How to treat endometrial hyperplasia with polyps

Endometrial hyperplasia accompanied by polyps can be treated through drug treatment, hysteroscopic surgery, lifestyle conditioning, traditional Chinese medicine conditioning, and regular review. Endometrial hyperplasia accompanied by polyps may be related to endocrine disorders, inflammatory stimulation, genetic factors, obesity, long-term use of estrogen drugs and other factors. It usually presents with symptoms such as abnormal uterine bleeding, increased menstrual flow, and prolonged menstruation.

1. Drug treatment

If endometrial hyperplasia is accompanied by polyps, progesterone capsules, dydrogesterone tablets, levonorgestrel intrauterine sustained-release system and other drugs can be used to regulate hormone levels under the guidance of a doctor. Progesterone capsules are suitable for endometrial hyperplasia caused by insufficient progesterone. Dydrogesterone tablets can be used to treat diseases caused by insufficient endogenous progesterone. The levonorgestrel intrauterine sustained-release system can locally release progesterone to inhibit endometrial hyperplasia. Medication needs to be chosen based on the severity of the condition and the patient's reproductive needs.

2. Hysteroscopic surgery

Hysteroscopic polypectomy is an effective method for the treatment of endometrial polyps. The polyps can be removed under direct vision and samples can be sent for pathological examination. Endometrial ablation may be required in patients with atypical hyperplasia. Hysteroscopic surgery has the advantages of less trauma and quick recovery. Postoperative medication is required to prevent recurrence. Patients over 40 years old who have no desire to have children and whose pathology indicates a high risk of malignant transformation may consider hysterectomy.

3. Life conditioning

Maintain a regular schedule, avoid staying up late, and ensure adequate sleep to help regulate endocrine. Carry out appropriate aerobic exercise, such as brisk walking, swimming, etc., 3-5 times a week, 30-60 minutes each time, and control your weight within the normal range. Reduce the intake of high-fat and high-sugar foods, increase the intake of vegetables, fruits and whole grains, and limit the intake of alcohol and caffeine. Maintain a good attitude and avoid long-term mental stress and excessive stress.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine believes that endometrial hyperplasia accompanied by polyps is mostly related to qi stagnation, blood stasis, and phlegm-dampness blockage. It can be treated with Guizhi Fuling Capsules, Xuefu Zhuyu Capsules, Shaofu Zhuyu Granules and other proprietary Chinese medicines under the guidance of professional TCM doctors. For acupuncture treatment, you can choose acupuncture points such as Guanyuan, Uterus, Sanyinjiao, etc., 2-3 times a week, 10 times as a course of treatment. Moxibustion on Shenque, Qihai and other acupoints can also help improve pelvic blood circulation.

5. Regular review

No matter what kind of treatment is adopted, regular check-ups should be carried out as directed by the doctor. Ultrasound examination is required every 3-6 months during drug treatment to evaluate the endometrium, and re-examinations are required 3 months, 6 months, and 1 year after surgery. Postmenopausal women should seek medical attention promptly if they experience abnormal bleeding. Patients with high-risk factors for malignant transformation require long-term follow-up and diagnostic curettage if necessary. The review includes gynecological examination, ultrasound examination, and hysteroscopy when necessary.

Patients with endometrial hyperplasia and polyps should pay attention to keeping the vulva clean and avoid bathing and sexual intercourse until 2 weeks after the bleeding stops. Wear loose-fitting cotton underwear and wash them frequently. Record the menstrual cycle, menstrual volume and bleeding situation, and provide it to the doctor for reference during consultation. Avoid taking estrogen-containing health products or medicines without authorization. Patients with fertility needs should choose the appropriate treatment method and timing of pregnancy preparation under the guidance of a doctor. If you experience severe abdominal pain, fever, or a sudden increase in bleeding or other abnormal conditions, seek medical attention immediately.