Endometrial Polyps may have a different structure, corresponding to different layers of the mucous membrane of the uterus. It is assumed that the structure of glandular polyp corresponds to a young age, connective tissue (fibrous) - the elderly, and glandular-fibrous polyps can develop at any age.
What is glandular and fibrous polyp as it grows in the lining of the uterus
Polyp - a tumor-like formation, which develops from the stroma (basis) of the mucous membrane of the uterus. The mucous membrane of the uterus is composed of stroma (mostly connective tissue) and epithelium, composed and cancer. A polyp begins to grow from the stroma, but then it woven and cancer, if the iron a lot, a polyp is considered glandular (developed mainly in women of childbearing age), and if less than connective tissue - glandular-fibrous (such polyps can develop in any age). There are also fibrous polyps that develop in old age.
Glandular-fibrous polyp is a smooth pink education, which is isolated from the body and leg sprouting inside blood vessels.
In some cases, the appearance of the glands change, and then talk about adenomatous polyps - it is considered a precancerous condition. Sometimes this formation are found cells, unlike the rest of the (atypical) - this is a sign of cancer.
Polyps may be small, there may be several or one large polyp, which can be seen in the cervix during a gynecological examination.
Why develop fibrous glandular endometrial polyps
The disease may be the hormone, so non-hormonal basis. In the first case it is developed on the background of hyperplasia
Hyperplasia - do not be afraid
(growths), endometrium during the menstrual cycle, that is, when hormonal crash. Causes of non-hormonal polyps is not well established, but it is known that there are predisposing factors that may cause the development of polyps.
Factors contributing to the development of hormonal polyps are irregularities in the hormonal system to ensure the menstrual cycle, resulting in a lot begins to produce the female sex hormones estrogen and few other female sex hormones (progesterone). Hormonal disorders may occur with prolonged stress after abortion (both artificial and spontaneous), childbirth, various gynecological operations, and in the presence of endocrine disease (thyroid, diabetes, obesity, and so on) and inflammatory processes in the female genital bodies.
Factors contributing to the development of non-hormonal abortion include any traumatic uterine wall effects: abortion, obstructed labor, diagnostic studies, intrauterine devices. Often these violations occur and long flowing inflammatory processes in the wall of the uterus (endometritis).
Signs
Small non-hormonal polyps often does not occur by chance, and are identified in the survey of women, such as infertility. But infertility in these polyps do not always occur, sometimes pregnancy can occur even successfully completed. They may not even cause menstrual irregularities. In some cases, small polyps may cause spotting in the intermenstrual period.
Large growing polyps are diminished, which leads to their necrosis (tissue necrosis) and serious complications of bleeding and infection.
Hormonal polyps appear in the form of inter-menstrual and menstrual bleeding and infertility - in this case the pregnancy is impossible, because of the hormonal disturbances are not ovulating
Ovulation - How to determine as accurately as possible?
And the mucous membrane of the uterus is not prepared for the introduction of the embryo.
Diagnostics
Found a large polyp can be even with gynecological examination
Gynecological examination: an important component of women's health
In some cases it looks from the outer cervix. Small polyps often detected during ultrasound of the uterus. Simultaneously, a blood test for hormones and detected (or not detected, it is also a diagnostic feature) hormonal disorders.
After this is done, or separate diagnostic curettage
Scraping - heavy and unsafe procedure
(uterus and cervical canal), followed by histological examination of the contents, or diagnostic hysteroscopy, during which you can not just take a piece of tissue for research, but also go to the medical treatment and aiming to remove a polyp, carefully "stripping" the place where grow it leg.
Hormone therapy is administered after polyp removal and only if detected hormonal disorders.
Galina Romanenko