What does "endometrial polypoid lesion" mean?

Jul 03, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Endometrial polypoid lesions refer to localized excessive growth of the endometrium, presenting morphological changes similar to polyps. These lesions are often caused by abnormally high estrogen levels stimulating abnormal endometrial proliferation and are commonly seen in perimenopausal or postmenopausal women. Ultrasound examination reveals localized endometrial thickening, heterogeneous echotexture, and in some cases, a stalk connecting the lesion to the uterine wall.

Generally, endometrial polypoid lesions refer to localized excessive growth of the endometrium, presenting morphological changes similar to polyps. These lesions may represent benign hyperplasia or carry a risk of pathology. Detailed analysis is as follows:

Endometrial polyps are typically caused by excessive estrogen levels stimulating abnormal endometrial hyperplasia. They commonly occur in perimenopausal or postmenopausal women. Ultrasound examination may reveal localized endometrial thickening with heterogeneous echotexture, sometimes with a stalk connecting to the uterine wall.

If the lesion is small and no obvious symptoms are present, such as abnormal vaginal bleeding or menstrual irregularities, it may represent a simple benign hyperplasia, which can sometimes regress spontaneously. However, if the lesion is large, grows rapidly, or is accompanied by symptoms such as heavy menstrual bleeding, prolonged menstruation, or postmenopausal bleeding, there may be a risk of malignancy. Further diagnostic evaluation via hysteroscopy and histopathological analysis of tissue samples is required to determine the nature of the lesion and guide appropriate treatment decisions.

Upon detection of endometrial polypoid lesions, it is important not to panic unnecessarily. Patients should seek timely medical evaluation to complete necessary investigations and establish a clear diagnosis. Based on the physician's recommendations, observation or treatment can be selected. Regular follow-up examinations are necessary after treatment. Maintaining a regular lifestyle and avoiding excessive intake of estrogen-containing foods or supplements can help reduce the risk of recurrence.

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What should I do if my period hasn't come ten days after stopping progesterone?

In general, if menstruation has not occurred within ten days after stopping progesterone, it may be due to insufficient dosage or short duration of medication, excessive mental stress, polycystic ovary syndrome, hyperprolactinemia, thin endometrium, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition through general measures, medication, or other treatments under a doctor's guidance.

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Why is the endometrium thin despite high estrogen levels?

In general, high estrogen levels accompanied by thin endometrium may be caused by factors such as irregular lifestyle, excessive mental stress, endometrial damage, polycystic ovary syndrome (PCOS), or hyperprolactinemia. When such conditions occur, it is recommended to seek medical attention promptly to identify the underlying cause and receive appropriate treatment. In daily life, it is important to maintain a regular作息 (sleep-wake cycle), avoid excessive fatigue, eat a balanced diet, and reduce intake of high-sugar and high-fat foods.

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Which wild vegetables can treat thickened endometrium?

Currently, there is no sufficient scientific evidence indicating that wild vegetables can treat thickened endometrium. While certain wild vegetables are traditionally believed to have mild regulatory effects, such as dandelion, which is considered cooling in nature and may help clear heat according to traditional beliefs, these effects are limited to general dietary regulation and cannot address the underlying pathological causes of endometrial thickening. Consumption should be moderate, and excessive intake should be avoided to prevent gastrointestinal discomfort.