How Are Uterine Polyps Treated in Gynecology?

Uterine polyps are a relatively common condition, with multiple potential causes—most frequently associated with chronic inflammation. When this condition arises, prompt medical evaluation is essential to determine the appropriate treatment based on the specific clinical presentation. Additionally, preventive measures for endometrial polyps should be emphasized in daily life, particularly to prevent malignant transformation. So, how are gynecological uterine polyps treated? Below is a detailed explanation.

How Are Gynecological Uterine Polyps Treated?

1. Symptom-Based Management

Small, asymptomatic endometrial polyps may be managed conservatively without immediate intervention. Approximately 25% of endometrial polyps—particularly those measuring less than 1 cm in diameter—may spontaneously regress. Currently, pharmacologic therapy is not recommended for treating endometrial polyps. For symptomatic cases, surgical intervention is the primary treatment modality. In cases involving large polyps or severe concurrent inflammation, partial or total hysterectomy may be considered to safeguard overall health.

2. Regular Monitoring

Since the majority of endometrial polyps are prone to recurrence, regular follow-up examinations are crucial. Annual gynecological check-ups are strongly advised. Cervical cancer screening—including high-risk HPV testing and assessment for cervical epithelial abnormalities—should also be performed. Any abnormal findings warrant timely further evaluation and management. Moreover, for polyps smaller than 1 cm in diameter and in patients without overt symptoms, expectant management (i.e., close observation without active treatment) is generally recommended.

3. Daily Self-Care

During menstruation, women should maintain genital hygiene and change sanitary pads regularly; sexual intercourse and tub bathing should be avoided. Repeated induced abortions should also be avoided, as they can cause intrauterine trauma and subsequent inflammation, increasing the risk of various gynecological disorders. Furthermore, maintaining emotional well-being and a positive mental outlook is important; stress and negative emotions should be addressed promptly to prevent endocrine disturbances. Should symptoms such as pruritus vulvae or increased vaginal discharge occur, medical evaluation should be sought without delay.

The above outlines current approaches to the management of gynecological uterine polyps. We hope this information is helpful to you.