Any polyps in the uterine cavity should be promptly evaluated and treated. This applies to all glandular polyps that develop mainly in women of reproductive age. With long-term course of the disease tissue polyps can degenerate into a malignant tumor.
What is in the wall of the uterus
The wall of the uterus has three layers: the outer serous (perimeter), the average muscle (myometrium) and interior - in the form of mucous membrane (endometrium). The mucous membrane of the uterus smooth folds and submucosa has not and is connected directly to the muscle membrane.
The mucous membrane of the uterus consists of the surface epithelium and the basis (the stroma, or basal layer) to realize its glands. The stroma consists of a network of connective tissue fibers, among which are round and bright decidual lymphoid cells. The glands of the mucous membrane of the uterus body branch out depending on the phase of the menstrual cycle and emit a small amount of liquid secretions with an alkaline reaction.
During menses separates only an upper cover layer, a basal layer is separated and is further source of regeneration mucosa in the first half of the menstrual cycle.
Why and how can develop glandular endometrial polyp
Polyps are opuholevopodobnym changes. They can have different causes and develop differently. Most glandular polyps appear in the background of general glandular hyperplasia
Hyperplasia - do not be afraid
uterus, while initially appear focal (in small areas of the uterus) proliferation of the mucosa, and then they may be converted into the glandular polyps. This disease is closely associated with the menstrual cycle and its disorders when disrupted ratio in the hypothalamus - pituitary - ovary.
But there may be glandular polyps are not associated with the menstrual cycle and hormonal disorders
Hormonal disorders - oversupply and a lack of equally dangerous
. The reason for their appearance finally revealed. It is believed that they have a value of inflammatory diseases and injuries of the uterus, such as heavy labor and abortion. Obviously, there are other reasons for the development of such entities.
Glandular polyps occur in the stroma of the endometrium as a unit, which is located in the area often and bottom corners (places where moving away from the uterus the fallopian tubes) of the uterus and subsequently receiving digital or pear-shaped.
The polyp distinguished body and leg, which grows blood vessels. It is incomplete removal of the legs during operation causes the polyps that endometrium constantly recur.
In some cases, cancer in polyps alter your appearance, then talk about adenomatosis - disease, which is considered a precancerous condition.
Symptoms of glandular endometrial polyp
Small polyps may be non-hormonal nature does not manifest itself. Sometimes they appear as small intermenstrual spotting or a significant menstrual blood loss. In any case, may occur and symptoms of the disease, which caused the development of polyps, such as low-intensity inflammatory process.
When polyps hormonal nature on a background of endometrial hyperplasia
Hyperplasia endometrial cancer - requires timely detection and treatment
there are strong intermenstrual and menstrual bleeding (menorrhagia and metrorrhagia), that eventually leads to the development of iron deficiency anemia. It is difficult to say what causes bleeding, he polyp or endometrial hyperplasia.
When any kind of polyp, he could become the basis of infertility.
Diagnosis and treatment
Since this type of polyps lining of the uterus most often occur in women of childbearing age, including and not yet given birth, it requires special care in the diagnosis and treatment of this disease. Hormonal polyps are usually identified by the complaints of patients and are often non-hormonal accidental finding during an ultrasound examination of the uterus.
To clarify the diagnosis of polyps today often perform diagnostic hysteroscopy
Hysteroscopy - examination of the uterus inside
During which you can immediately spend, and removal of polyps.
Therapeutic hysteroscopy allows you to remove a polyp very carefully, along with sprouted in his blood vessels, which in the future would negate the risk of recurrence of polyps. Removal of polyps is required to be sent for histological examination. If, during the histological examination revealed signs of rebirth in polyp tissue malignant tumor, the disease is treated according to the rules prescribed for the treatment of cancer.
The blood analysis on hormones reveals hormonal disorders and conduct corrective hormonal therapy.
Glandular polyps uterine cavity should be promptly identified and removed.
Galina Romanenko
