How to remove polyps in the uterus

In the case of polyps in the uterus may require a small surgical intervention, which is separate diagnostic curettage. One of the first questions that occurs in women after revealing she had polyps, is how to remove polyps in the uterus. Curettage procedure causes some fear the majority of patients, so the doctor is important to the psychological preparation of women just before the procedure.

To remove uterine polyps apply two different procedures. Modern removal of polyps in the uterus - hysteroscopy, studies of the uterus using an optical device, a hysteroscope and, if necessary, followed by removal of polyps. The traditional method of removing polyps - scraping the walls of the uterus using a special metal tool.

Possibilities of the method of hysteroscopy

Recent advances in the development of medical technologies allow for removal of polyps without consequences for the health and in a professional manner. The ability to precisely remove the polyp under the supervision of a physician provides a hysteroscopy.

Hysteroscopy - a modern method of examination of the uterus and removal of uterine polyps, which allows to remove the education in the lining of the uterus with minimal complications. For inspection of the uterine cavity and determine the number, size and location of uterine polyps in the uterus through the vagina and cervix introduced optical instrument - hysteroscope, which is a thin, flexible tube with a camera that transmits images to the screen. After examination revealed polyps are removed with special tool attached to the hysteroscope. Generally, the hysteroscopy is from ten minutes to half an hour - depending on the purpose of the procedure. Removal of polyps in the uterus is performed under general or local anesthesia.

The risk of complications after removal of uterine polyps hysteroscopy through minimal. In rare cases, for a short time after hysteroscopy observed abdominal pain Abdominal pain: Types and Symptoms   spasmodic nature, similar to menstrual pain, as well as slight vaginal bleeding usually stops within a few days after the procedure. For six hours before hysteroscopy it is recommended to refuse food and drink - it reduces the risk of feeling nausea after the procedure.

Immediately seek medical attention necessary when after hysteroscopy observed:

• Prolonged, excessive vaginal bleeding
• Vaginal discharge or dark color with an unpleasant odor
• Acute pain or pain lasting for more than forty-eight hours
• High body temperature

To have a good visualization of the pathological education, it is recommended to hysteroscopy after the menstrual period, but not later than the tenth day of the cycle. These days, the cycle can be found in the background of the expansion of the local mucosa or polyps. Such education doctor is able to remove the sighting, which increases largely diagnostic value of the method and provides good therapeutic results. Almost every third case, polyps in the uterus may recur, so their elimination should be minimal trauma. During hysteroscopy can not only remove the polyp, as well as his leg, which is difficult with scraping. During the procedure, produce coagulation bed polyp special tools, thus allowing for a kind of prevention of possible recurrence.

When leaving the legs of a polyp in the uterus through a short period of time a polyp is formed again. In the course of hysteroscopy doctor is able to assess the condition of the mucosa, to determine whether there are signs of inflammatory changes, aiming to take the material for laboratory testing, and remove the polyp. For the procedure does not require special inspection of the patient as it is necessary for preoperative preparation, allowing more extensive use of this method. In therapeutic hysteroscopy currently considered the best way to remove polyps in the uterus.

The need for diagnostic curettage

Not all hospitals have the equipment of a hysteroscope and specially trained staff, so separate scraping Scraping - heavy and unsafe procedure   the uterus is used by removing the polyps. This intervention should be carried out under anesthesia, so it is best to do the procedure itself in a small operating room or inpatient. Matters day of the cycle, which must be made scraping. The best conditions are created when polyposis endometrium a few days before the expected menstruation.

The procedure curettage (scraping) involves scraping the walls of the uterus or tissue samples for later study, or endometrium growths (polyps). The procedure involves several stages: first inserted into the vagina speculum Speculum: the main tool gynecologist Fixing the wall of the vagina, and then to expand the uterus uses a special metal rod, and only then is performed using the actual scraping curette - a metal loop on a long handle. Curettage to remove polyps in the uterus is performed under general or local anesthesia.

A situation may arise when scraping the polyps when there is an urgent statement. In the case of metrorrhagia it is performed to stop the bleeding (heavy spotting on a background of endometrial hyperplasia Hyperplasia endometrial cancer - requires timely detection and treatment   or polyps). Scraping in this situation provides a hemostatic effect, helps prevent copious hemorrhage. Polyps disrupt the rejection of the mucosa, there may be a violation of the contractile ability. After removal of polyps and a course of hormone therapy is a restoration of the mucosa, it normalizes the reproductive health of women. Procedure separate diagnostic curettage provides the following:

• removal of polyps and hyperplastic mucosa
• the possibility of obtaining the material for histology
• control of cure after the course of hormone therapy polyposis
• timely diagnosis of malignant diseases that may develop on the background of polyps

Given that polyps in some cases have an inflammatory nature, it is impossible to forget administered prophylactically short courses of anti-inflammatory therapy after the procedure is complete.

Polyps in the uterus and pregnancy

The problem of polyps in the uterus is most often experienced by women who have a variety of abnormalities in hormonal activity. The development of polyps occurs against a menstrual cycle that is characterized by anovulation. Due to lack of ovulation pregnancy can not occur on their own, so it is advisable for every woman to be screened before planning pregnancy. Polyps in the uterus and pregnancy have a favorable course, with great importance the proper management of the pregnant woman.

Although uterine polyps - benign education, unable to trigger cancer of the uterus, growth of polyps in the uterus due to a number fairly unpleasant consequences. One of these effects is considered infertility - the inability to conceive, which in some cases is one of the main symptoms of polyps in the uterus.

Between the growth of polyps in the uterus, and a woman's ability to become pregnant and bear a child, there is a direct relationship - polyps affect the mucous membrane of the uterus. The endometrium (uterine mucosa) plays a very important role in the implantation of a fertilized egg - if the polyps in the uterus caused the destruction of the mucosa, which may prevent or hinder the attachment of the egg to the uterine wall, thereby causing infertility or increase the risk of miscarriage during pregnancy.

Most polyps in the uterus has very small dimensions, from a few millimeters to a few centimeters, and therefore poses no threat to the reproductive ability of an organism. However, uterine polyps can not be considered harmless - large, multiple polyps disrupt the normal operation of the body and can lead to infertility.

Influence of hormonal dysfunction

Polyps in the uterus presented local growth of endometrium. After the process of fertilization occurs important moment implantation of the egg in the prepared mucous. If there is no appropriate conditions for implantation, the pregnancy can not develop because the state has the value of the mucosa and the absence of the pathological changes. Having a hormonal dysfunction in polyps aggravates the clinical picture and the cause of the lack of a full ovulation Ovulation - How to determine as accurately as possible? That prevents pregnancy.

Pregnancy is recommended to plan after the completion of the full course of treatment, which is an average of three months.

If possible, the best procedure to conduct the removal of polyps by hysteroscopy. This method allows you to largely avoid relapse polyps, since it is possible to remove the abnormal formation of the sighting, completely remove the polyp with the foot, which is difficult to separate during curettage.

As polyps in the uterus affect pregnancy?

Grows into the uterine lining polyps interfere with the normal flow of blood to the tissues, and thus may prevent attachment of a fertilized egg to the uterus. Even after the successful implantation of a fertilized egg in the uterus growth of polyps can lead to miscarriage in the future.

Numerous studies prove that the timely removal of polyps in the uterus helps in the treatment of infertility Infertility Treatment - What principles are priority Thus, for example, according to one study, sixty-three percent of women after removal of uterine polyps could become pregnant through intrauterine insemination procedures - intrauterine insemination and in the presence of polyps in the uterus was successful only twenty-eight percent of cases. Thus, it appears that the removal of polyps in the uterus - in some cases a prerequisite bail and normal pregnancy.

The growth of polyps in the uterus increases the risk of miscarriage in pregnant women. Removal of polyps in the uterus - a requirement before the procedure in vitro fertilization (fertilization in vitro), as these can significantly hinder the formation process of attachment of a fertilized egg to the uterine wall, and significantly increase the risk of miscarriage.

As a pregnant woman watching

Polyps can be detected in the uterine cavity after pregnancy. This situation deserves attention, because this pregnancy is threatened by nurturing. Endometrial polyps is the reason for termination of pregnancy in the short term, due to hormonal disorders. In this connection, it is recommended to carry out dynamic control of hormonal parameters, on the basis of which it is possible to give an opinion on the course of pregnancy. Estimated increase in progesterone levels Progesterone - norm and pathology   or human chorionic gonadotropin (hCG), for ten days.

Severe polyposis or endometrial hyperplastic processes combine well with polyps of the cervical canal. This pathological condition is detected in the initial examination of the pregnant woman on a gynecological chair. Education in the cervix can be a source of infection (ascending route of infection of the uterus), so you should monitor the purity of the vagina on the basis of the result of microscopic discharge. Local anti-inflammatory therapy should be administered at the first signs of inflammation or vaginal dysbiosis. Regarding the removal of this type of polyps, there are several views:

• do not remove polyps of the cervical canal to carry out preventive treatment of miscarriage Miscarriage - why you lose the most precious thing?   during critical periods
• to remove a polyp, histological examination of education

One of the first symptoms of the presence of polyps is the appearance of bleeding smearing character. Particularly unfavorable appearance of secretions in the early stages, as it can be a manifestation of developing pregnancy.

Deal with issues of treatment of polyps in the uterus is recommended after childbirth. During this period, they can be surgically removed, it is not possible during pregnancy. The resulting material is subject to scraping at histological examination followed by appropriate treatment (hormone replacement therapy or anti-inflammatory).

Marina Solovyov