Women are often asked about whether it is possible to get pregnant in the presence of endometrial polyps
Endometrial polyps: the result of hormonal disruption
uterus. But the polyps can be different, and this is reflected in the ability to have a child. Thus, polyps associated with hormonal disturbances, pregnancy incompatible, non-hormonal origin in polyps in some cases, pregnancy may occur, in case of problems with childbearing usually happens.
Pregnancy and endometrial polyp on the background of hormonal disorders
Hormonal disorders can cause significant sprawl across the mucous membrane of the uterus (endometrial hyperplasia diffuse), against which over time there some parts of endometrial proliferation (focal hyperplasia of the endometrium), which over time grow polyps.
Such variations arise in the case where the body produces a large number of female hormones estrogen and an insufficient number of female sex hormone progesterone. Estrogens - hormones is the first half of the menstrual cycle. Under their influence occurs proliferation (increase in volume, proliferation) of the mucous membrane of the uterus, and the maturation of the egg cells in the follicle is under the influence of pituitary follicle-stimulating hormone (FSH).
Normally, when the egg matures, this information gets into the central nervous system, which is under the influence of hormonal changes. The pituitary gland begins to secrete luteinizing hormone (LH), which under the influence of the follicle bursts and the egg is released from the ovary (ovulation). At the site of the ruptured follicle is formed endocrine gland corpus luteum to produce progesterone
Progesterone - norm and pathology
. Progesterone inhibits the proliferation of the mucous membrane of the uterus and "makes" her secret to allocate necessary for the implementation of the embryo in the uterine wall (stage secretion).
When allocating a large amount of estrogen egg can not completely mature (follicular atresia), as produced little FSH (more estrogens, the lower FSH), the egg is retained in the ovary and follicle wall emit waves into the blood new portions of estrogens. This leads to a widening of long-term mucosal secretion of a phase, a slow, gradual rejection of the mucosa with a decrease in hormonal support and prolonged heavy bleeding.
Sometimes egg matures in the ovary, but get out of it can not be, because there is not enough LH. This condition is called persistence follicle and leads to the same results as atresia.
Thus, when endometrial polyps that developed on the background of hormonal disorders, pregnancy is not possible for two reasons: there is no ovulation (egg remains in the ovary) and the mucous membrane is not ready for the introduction of the embryo.
How to have a baby with the hormonal nature of endometrial polyps
Have a child in this disease is possible, but only after the treatment. A polyp is removed. In women after forty years of producing and curettage
Scraping - heavy and unsafe procedure
mucous membrane of the uterus. Young women as possible try not to do that.
After surgery, the results of blood tests carried out on hormones hormonal correction and restoration of a normal menstrual cycle, which is followed by ovulation
Ovulation - How to determine as accurately as possible?
. Carrying out such a comprehensive treatment allows women to give birth to a healthy baby.
Pregnancy and endometrial polyp without hormonal disorders
When endometrial polyps that develop without hormonal disorders, pregnancy in most cases also can not occur as a polyp prevents introduction into the uterine wall of a fertilized egg. But this often happens in the case where the polyp has sufficiently large dimensions.
In some cases, small polyps, the presence of which is a woman, as a rule, does not know pregnancy can occur. In this case, the polyp is often an unpleasant surprise for the woman after the first ultrasound. But afraid of in this case is that if pregnancy has already occurred, it tends to be uneventful. In such cases, the polyp is removed after delivery.
Rarely, if a polyp has a tendency to rapid growth (pregnancy can stimulate the growth of tissues of the polyp) and women's health allows you to carry out the operation, the polyp was removed and during pregnancy. But this is the exception and not the general practice.
The best option is a planned pregnancy, before which both spouses are full inspection. If endometrial polyp is detected and treated at this time, no problems with conception and childbearing will not.
Galina Romanenko