What causes uterine polyps?

Jul 19, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
1. Gynecological infections: these are mostly complications arising from certain gynecological inflammations that have not been treated promptly; 2. Residual materials in the body: these occur when residual tissues are not completely cleared after induced abortion surgery; 3. Specific infections: when pathogenic microorganisms invade a localized area and do not receive timely treatment, they may continue to multiply.

In general, uterine polyps may be caused by factors such as genetics, age, hormonal changes, endometriosis, and uterine fibroids. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Genetics

Certain genetic variations may increase susceptibility to uterine polyps, leading to abnormal endometrial hyperplasia. Special treatment is usually not required; regular check-ups and early intervention are advised to reduce the risk of complications.

2. Age

With advancing age, fluctuations in hormone levels—particularly the decline in estrogen during menopause—may lead to abnormal endometrial proliferation, resulting in polyp formation. No specific treatment is generally needed; attention should be paid to dietary adjustments, avoiding spicy and irritating foods.

3. Hormonal Changes

During the menstrual cycle, estrogen causes the endometrium to thicken in preparation for possible pregnancy. If endometrial tissue proliferates abnormally and does not fully shed, it may gradually develop into polyps. Usually no special treatment is required; maintaining personal hygiene and regular作息 (daily routines) is recommended.

4. Endometriosis

Endometriosis may be caused by factors such as immune dysfunction and retrograde menstruation. The displaced endometrial tissue responds to hormonal changes, causing cyclic bleeding, inflammation, and fibrosis, which may eventually lead to polyp-like lesions, possibly accompanied by symptoms such as dysmenorrhea and painful intercourse. Treatment may include medications such as ibuprofen sustained-release capsules, danazol capsules, or gestrinone capsules, as prescribed by a doctor.

5. Uterine Fibroids

Uterine fibroids may result from factors such as sex hormone levels and genetics. Fibroids can compress the endometrium, altering its microenvironment and blood flow distribution; local hypoxia and inflammatory responses may contribute to polyp development. Symptoms may include lower abdominal pressure, frequent urination, and constipation due to compression. Medications such as mifepristone tablets, Guizhi Fuling capsules, or leuprolide acetate for injection may be used under medical supervision.

Regular moderate exercise can help enhance immunity. However, after surgery, strenuous physical activity and heavy labor should be avoided to prevent interference with recovery. Additionally, maintain proper perineal hygiene by keeping the area clean and dry to reduce the risk of infection.

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