Endometrial polyps in the uterus: the causes of the onset, signs

Under the polyps are meant neoplasms, which are benign in origin. Formed on the walls and in the uterine cavity, are a consequence of the growth of the endometrium. Usually they are mounted on a special foot. Polyps in the uterus are very variable, ranging from miniature (1-2 mm) to large (3-4 cm). They are very diverse, are found both plural and single. The danger is that they are capable of sufficiently intensive growth. Sometimes go far beyond even the vagina. The formation of polyps is subject to absolutely all women: from adolescence, and ending with postmenopausal.

Is the polyp dangerous in the uterus?

He is dangerous in itself, and also those complications that he can cause are dangerous. Often lead to infertility, hormonal imbalances and shifts. Significantly impaired functions of hormone release. The greatest danger is that the polyp can develop into a malignant tumor and cause cancer of the cervix.

Less dangerous complications are the inability to conceive, the development of uterine bleeding. This is due to the fact that if left untreated and not removed in time, he develops his own vessels, which will lead to the fact that gradually it will grow into a cancer tumor. The increased risk of blood effusion leads to the development of anemia, anemia, a violation of normal functioning, a shift in the leukocyte formula. Constantly increase. Large contribute to the emergence of increased bleeding, which is unable to stop on its own, and requires surgical intervention.

In addition, the polyp often undergoes inflammation, an active infectious process develops, which extends to the entire reproductive system. Foci of a chronic inflammatory process are formed, since the polyp is unable to independently resist the infection.

Causes of the polyps in the uterus

The reasons why the uterus is subjected to the formation of polyps, are still completely unexplored. Most researchers believe that polyps are formed due to the fact that the body is a violation of the hormonal background and nervous regulation. In the course of numerous studies, it has been found that sprouting has an increased sensitivity to hormonal substances, especially of the estrogenic series. The increase in the content and activity of estrogen contributes to the increased growth of the neoplasm. A regularity is established: the level of estrogen determines the growth rate of the polyp. The higher it is, the larger the size of the neoplasm.

[1],

Risk factors

Women at risk are those most susceptible to various endocrine disorders, with a genetic predisposition to dysfunction of various glands. The risk of developing polyps increases in women who have a history of structural and functional disorders of the endocrine glands that are in a state of genetic rearrangement of the body. Also, the risk of developing polyps in those women who are exposed to stress and neuropsychic stress, which work in a busy schedule, does not observe the regime of the day, rest, labor.

Also, careful attention is required by women with various metabolic disorders: obesity, dystrophy, diabetes mellitus. There is an increased risk of taking a drug such as tamoxifen, which works against breast cancer. But as a side effect, the polyp in the uterus can develop. Also, women with high blood pressure and reduced immune status should be closely treated with their health.

[2], [3], [4], [5]

Pathogenesis

At the heart of pathogenesis is a violation of the hormonal background, as a result of which structural and functional disorders occur in the endothelium - the inner layer of the uterus. The mucous membrane is affected, as a result of hormonal disorders it becomes denser. This leads to the formation of areas of increased density, in the place of which subsequently formed polyps - neoplasms, formed from a thickened and overgrown mucosa. They have a tendency to further growth and can spread throughout the uterus, multiply. In them, over time, an independent system of blood supply, nutrition, formed its own genetic apparatus. This, in the opinion of most researchers, is the most dangerous in the appearance of polyps. The establishment of autonomy entails transformation into one form of cancer, uncontrolled growth and reproduction.

[6], [7], [8], [9], [10]

Symptoms of the polyps in the uterus

Often develop asymptomatically, absolutely without disturbing the person. They show up when they have already reached a certain level of development and independence: at a later stage in the form of violations of the menstrual cycle. The regularity changes drastically. There may be bleeding. Also, the occurrence of sudden bleeding during menopause, prolonged infertility, may indicate the development of polyps in the uterus.

The first signs, which, although indirectly, but can indicate the development of polyps, are irregular menstruation, which are accompanied by bleeding. There is an increase in tissue, a gradual opening of the uterus. She tries to push the structure out. In it, intensive necrosis develops, blood circulation is disturbed. It is manifested by painful and spastic sensations, which can resemble easy contractions.

Indirectly, the formation of polyps indicates prolonged infertility or lack of menstruation in the absence of pregnancy. Always remember that most polyps develop completely asymptomatic. Often they are discovered during the inspection. Therefore, the slightest sign that indicates a possible pathology or a violation should be the reason for contacting a specialist.

If there are polyps in the uterus, you can live sexually, since they do not affect the sexual act in any way. After removal, you should abstain from sexual activity for at least a month.

Can the polyp of the uterus hurt?

In most cases, it develops asymptomatically and painlessly. But it can hurt when it has reached a sufficiently large size, it divides, the formation of multiple polyps. Pain can indicate the onset of transformation processes in which the polyp begins to turn into cancer if the uterus tries to extract it outward. She reveals herself, she pushes out with cuts. This is accompanied by pain, as its innervation, blood circulation is disturbed. Twisting, squeezing the legs also causes painful sensations. Such a condition can be life threatening and requires urgent surgical intervention.

[11]

Polyp in the uterus and pregnancy

If the size is small, a woman is able to conceive. But often, such a pregnancy proceeds with complications. The main complication is the placental abruption, which occurs as a result of the development of the polyp. This entails a threat of miscarriage or premature birth.

Another danger lies in the fact that during pregnancy and childbirth, damage to the polyp is possible. In case of damage, the risk of transformation into cancer always increases.

But not everyone has such unfortunate consequences. There are many cases when, during pregnancy, the polyps themselves, or under the influence of special therapy, completely resolved. Therefore, only one conclusion can be drawn: each case is individual, and it is only the attending physician, based on the results of analyzes and instrumental studies, that can predict how the pregnancy will proceed and how the polyp behaves in each particular situation. For her part, a woman should take even more care of her health, and if there are any worries or changes, consult a doctor.

Can I get pregnant with a polyp in the uterus?

Conception is possible. Especially when the polyp is small in size. But you need to understand that the polyp can become one of the causes of a complicated pregnancy, and there are many additional risks.

A slightly different picture will be observed if the polyp is large and blocks the entrance to the uterus. This significantly reduces the probability of penetration of the fertilized egg into the uterus, makes it difficult to implant it, increases the risk of developing an ectopic pregnancy.

[12], [13], [14], [15]

Polyps in the uterus after childbirth

If there was a small polyp before pregnancy, then it can dissolve during pregnancy, or after childbirth. This is due to a decrease in the level of estrogen in the blood. It is during this period that the level of estrogens decreases sharply, and the polyp, as is known, develops only with a high level of estrogens. Form the polyp after childbirth can only after 2-3 months. Often, polyps occur after a complicated pregnancy, caesarean section, against the background of a general imbalance of hormones in the body.

Forms

There are many varieties of polyps. They can be single and multiple. According to the type of tissue and the nature of the lesion, glandular, fibrous, glandular-fibrous, adenomatous and placental are isolated.

Endometrium is the inner layer of the uterus, its walls, cavity and mucous membrane. When polyps are formed, it becomes excessively densified, as a result of which the compacted area gradually separates. Individual blood vessels form, the polyp acquires its own innervation. This contributes to its further growth. The danger of this type of polyps is that they can grow very large in size. The shell can become so swollen that it gradually oversteps the uterus and fills even the vagina.

Moreover, the polyp in the endometrium is able to intensively divide and form multiple polyps that cover the entire uterine cavity. Such polyps require only curettage. Endometrial polyps are the most dangerous, since they have the maximum risk of developing into a malignant tumor. They acquire an independent system of innervation and circulation, become relatively autonomous. Gradually degenerate into malignant neoplasms, gaining the ability to uncontrolled division.

The uterine gland of the uterus

It is formed in adolescence and adolescence. At the heart of them are glandular cells. They represent a cyst that is filled with liquid. It is a consequence of endometrial hyperplasia. These types of polyps are considered the most dangerous, since they have the maximum risk of degeneration into a malignant tumor. In most cases, they are the cause of bleeding, a threat in pregnancy and often cause infertility. Very quickly grow and require surgical intervention.

[16], [17], [18]

Fibrous polyp in the uterus

The connective tissue underlies the formation of fibrotic polyps. Characterized by a sufficiently high density. Appear mainly in front of menopause and menopause, during the period of hormonal rearrangements.

[19], [20]

The glandular fibrous uterine polyp

It is formed by separate elements of endocrine glands, as well as connective tissue.

Adenomatous polyps of uterus

Such growths are called adenomas. The composition includes altered cells, often are harbingers of cancer. Such polyps quickly degenerate into cancerous tumors.

[21], [22], [23]

Polyp on the wall of the uterus

This type of polyps is a neoplasm that appeared on the wall of the uterus from the mucous membrane. It is prone to active growth, since the mucosa is extensive, rich in blood vessels and nerves. There is a risk of cancer. Can affect the ability to fertilize. This largely depends on its location. If the polyp is located in the zone where the implantation of a fertilized egg should take place and the placenta develops further, fertilization is impossible. In this case, as the polyp develops, its introduction into the mucous membrane, infertility may develop.

Polyp in the uterus cavity

In the cavity of the uterus, the polyp can be dangerous, or it may not do any harm. Everything depends on the degree of its development and localization. If the polyp is large enough, it must be removed. If it is small, it is not necessary to delete it. The main thing is that it is not located in the cervical region. The polyp, located in the cavity, can dissolve on its own during pregnancy. This is due to a change in the hormonal background. The amount of estrogen decreases and the amount of progesterone increases.

The polyp in the uterus during pregnancy should be monitored all the time, as it can be twisted, damaged, which is fraught with serious consequences. There may be a bleeding, increased risk of malignant degeneration of cells.

Polyp of the endometrium at the bottom of the uterus

The polyp located on the bottom of the uterus is considered to be the most safe, since it is almost not exposed to any foreign influence and mechanical damage. The danger is that it can grow to large sizes, and then surgical intervention is required. If the polyp is small in size, it can independently dissolve with the help of conservative therapy.

Cervical polyps

Cervical polyps are the main cause of infertility and cervical cancer. Located in the region of the cervix, the polyp blocks the fertilized egg path to the uterus. As a result, its implantation into the mucosa and further development become impossible. The egg dies, or an ectopic pregnancy develops, which is a life-threatening condition for a woman.

The risk of developing a malignant tumor is also great, because with this arrangement the polyp is mobile, well supplied with blood and nutrients. Gradually, it acquires its own blood vessels and transforms into a cancerous tumor. Also in this place the polyp is constantly subjected to mechanical damages, movements, which also increases the risk of malignant degeneration.

There is a risk of bleeding, because in such a place the uterus has a high reflex sensitivity and contractile activity. She perceives the polyp as a foreign body, begins to push it outward, into the vagina. This can lead to serious injury to the polyp, damage to the blood vessels.

[24], [25], [26]

Polyp of the cervical canal

If the polyp occurs in the cervical canal, it should be removed as soon as possible. First, it will grow and cover the channel's lumen. Secondly, the probability of fertilization with the growth of the polyp is reduced to a minimum. The larger the polyp, the less likely to become pregnant, since the egg can not penetrate the uterine cavity. Even if it becomes possible to get pregnant, the risk of complications increases dramatically during childbirth. The pregnancy itself can also occur with complications. This is due to the fact that the polyp time is being traumatized. During childbirth, it can be damaged, and even come off completely, because it is located directly in the birth canal. It is dangerous to bleed, infectious and inflammatory.

Polyp of the body of the uterus

It develops directly in the body of the uterus. It is formed as a result of overgrowth of the endometrium. Typically, this polyp is held on a thin stalk, its size varies from a few millimeters to several centimeters. May cause profuse bleeding. Often become the cause of infertility and cancer.

Diagnostics of the polyps in the uterus

It is important to pass the diagnosis in time. It is always necessary to remember that the pathology is developing asymptomatically, not manifesting itself in any way. This is their danger. They can show themselves when it's too late. Often they appear only when bleeding opens, anemia develops or a malignant tumor develops. This indicates the importance of timely diagnosis and preventive examinations. Most polyps are found during a routine examination.

Applied gynecological examination, laboratory and instrumental methods of investigation. During the examination the doctor receives the necessary information on the structure and condition of the mucous membranes, on the morphology of the organs. Visually, it is possible to assess and suspect the presence of an inflammatory and infectious process, tumors. This is the basis for further assignment of necessary tests, setting a differential diagnosis, setting a clinical picture.

An important role is given to ultrasound research, in which the doctor assesses the condition of the mucosa, the degree of its development. You can notice flushing, swelling of the mucosa, a change in thickness. The altered areas of echogenicity visible on ultrasound may indicate the presence of a malignant or benign tumor. Also, it is possible to detect bulges and areas of compacted mucosa, which can subsequently be transformed into tumors. This makes it possible at an early stage to identify tumors and the prerequisites for their formation, and in a timely manner take the necessary preventive and preventive measures.

Instrumental diagnostics

The main and most informative method for detecting polyps in the uterus is hysteroscopy. This is a method during which a hysteroscope is inserted into the body - a thin and flexible enough device, at the end of which there is a video camera. With the help of this method, it is possible to examine from the inside the walls of the uterus, the state of the mucous membrane and to detect the polyp in its presence. You can also make measurements, during which the doctor receives information about the size, volume and location of the polyp. You can also count the number of polyps: single or multiple.

A great advantage of the method is that during the procedure it is possible to take a biopsy. During this study, the doctor cuts off a small piece of mucosa for further histological examination. This is important in the case when areas of increased density or neoplasms of unknown origin are found. Histological analysis will show whether the tumor is benign or malignant.

Quite often resort to metrography. This method is one of the types of X-ray examination, during which a contrast medium is used which is poured into the uterus. Then the image is rendered. With this method, it is easy to detect bulges, structural changes, as well as intracavitary changes in the uterus.

To obtain diagnostic information, diagnostic scraping can be used, during which the stored material is removed from the uterus. Then it is subjected to study. In addition, a hysteroscope is used, which makes it possible to study the status of the uterus from the inside. Sometimes there are times when the hysteroscope is not used. In this case, the method is called blind scraping.

[27], [28]

Uterine polyps biopsy

The essence of the biopsy is that during the study, biological materials are sampled using special tools and methods. Then the material is subjected to further histological analysis, which makes it possible to differentiate the tumor and make a final diagnosis. This method determines whether the tumor is benign or malignant.

Histology of the uterine polyp

Histological examination is the study of a tissue sample obtained by biopsy using various biological methods. For a biopsy take a piece of the sample, subject it to a preliminary microscopy. For this, the preparation is dyed with a convenient method, which most closely corresponds to the requirements and conditions of the laboratory, the type of microscopy used. During this research, it is possible to detect changes in the cell that indicate various pathologies, such as cancer, inflammation, swelling.

Having received such preliminary information, the laboratory assistant develops further research tactics. Sowing of the sample is carried out on a special selective medium intended for the growth of tissue cultures. The crops are incubated in a thermostat at the temperature of the human body. According to whether the growth of tissue on the nutrient medium is manifested, it is determined whether the tumor is malignant or benign. Malignant, cancerous tumor gives an intensive growth on the medium, while a benign tumor does not grow.

Then, according to the nature, direction and rate of growth, the specificity of the tumor and its features are determined. It is possible to use the information obtained to further predict the rate of tumor development, to select the optimal method of treatment, to evaluate the effectiveness and to make the necessary adjustments.

Differential diagnosis

At the heart of differential diagnosis lies the precise delineation of diagnoses. It is necessary to highlight the signs of the disease that a person has and to distinguish them from diseases that have similar features. For example, you need to differentiate a normal polyp from an atypical one, which can later be transformed into a malignant tumor. This will help to understand a biopsy.

It is also important to differentiate the polyp from malignant changes in the endometrium, or from malignant tumors, such as sarcoma, carcinoma. Any type of cancer can be excluded only by biopsy and further histological examination. These are the most accurate methods, which are very informative.

It is important to differentiate a single polyp from multiple and expanding, because they can cause infertility, severe bleeding. For this, hysteroscopy is used.

[29], [30], [31], [32]

Treatment of the polyps in the uterus

The tactics of treatment depend on the results of the analyzes, histological and instrumental studies and is determined by the attending physician and other highly qualified specialists. Self-medication often ends in a fatal outcome.

Treatment of polyp uterus without surgery

Conservative treatment, without carrying out an operation is possible, but this is inappropriate. Cured by medical methods can only be when a single polyp is found of a small size. It can significantly decrease, or completely disappear under the action of special medications. In case the patient is young, or very young, it is worth trying first drug therapy. This is due to the high level of regeneration and recovery capabilities of the body. Immunity of a young girl is quite high and powerful and has all the necessary potential to overcome the disease on her own. Special drugs are used that help to increase immunity and resistance of the body. There is also a special therapy aimed at suppressing the activity of the polyp, preventing its growth and reproduction. If there is a risk of developing a malignant tumor, special drugs are used to prevent the development of cancerous tumors.

Treatment includes hormone therapy. Since the main trigger mechanism for the development of the polyp is a high level of estrogen and an imbalance of other hormones, drugs are taken that normalize the overall hormonal background, reducing the level of estrogens. At the same time, the level of progesterone rises, because of what the polyp contracts, atrophies and is excreted during menstruation.

In the presence of polyps, women under 35 years of age need to take estrogen-progestative contraceptives, which restore the hormonal background. The scheme of treatment is selected by the doctor. Women older than 35 years should drink preparations of the group of gestagens, for example, dyufaston, morning. Women older than 35 years should take rhizome-hormones that prevent the undesirable effects of luteinizing hormones and estrogens.

In case of inflammation and the focus of infection, antibacterial drugs are additionally taken. Usually, antibiotic therapy is prescribed after preliminary bacteriological examination with determination of sensitivity to the isolated pathogen. This method makes it possible not only to isolate the main causative agent of the disease, but also to choose the antibiotic to which it will show maximum sensitivity. Also, the optimal dosage of this drug is selected. In addition, alternative methods are used, but they can be used only as part of complex therapy and after preliminary consultation with a doctor.

In the event that it was possible to completely get rid of the polyp, a long observation and regular examination of the gynecologist is required, since the polyps have the ability to self-repair and after a while there may be relapses of the disease.

Medications

Take medicine with caution and precaution. The main such measure is preliminary consultation with the doctor and preliminary laboratory and instrumental control. Almost all drugs are selected in accordance with the results of the tests, and after preliminary testing for efficacy and compatibility. In some cases, even a dosage is selected in the laboratory. This is due to the fact that the drug should be selected as accurately as possible and have an idea of how the polyp can respond to it. Any slightest wrong action can lead to the degeneration of the cell from normal to cancerous, which will trigger the oncological process. In addition, improper selection of the drug, its dosage or method of use can lead to severe bleeding, infertility.

If the development of the polyp is accompanied by pain (this is most often the case if it has reached a large size, as well as when the leg is twisted), you need to take painkillers, such as no-shpu. It is taken on 50 mg 2-3 times a day.

Sometimes polyps can be accompanied by reddening of the mucous membrane, swelling, pain and itching in the perineal region. After removal of polyps, postoperative edema may also occur. In this case, it is recommended to take suprastin (150 mg 1-2 times a day).

If suprastin has no effect for 2 days, it is advisable to take a stronger drug - loratodine. It is taken 1 tablet a day, because it is a prolonged-release preparation. The effectiveness is maintained for 24 hours.

Often against the background of changes in the hormonal state, severe headaches develop, migraines. It is recommended to use pyrocetam, 1 tablet 2-3 times a day.

Vitamins

With polyps, the body needs vitamins. It is necessary to take vitamins, both during treatment and during the recovery period after their removal. It is recommended to take vitamins in the following daily dosages:

• Vitamin PP - 60 mg
• Vitamin H - 150 μg
• Vitamin C - 500 mg
• Vitamin D - 45 mg
• Vitamin K - 360 mcg.

About treatment of polyps in the uterus by alternative means read in this article.

Hormones for uterine polyps

The main cause of their occurrence is a hormonal imbalance. They develop when the level of estrogen rises sharply. Often, hormones are prescribed to correct hormonal balance.

Prescribed primarily progesterone preparations. Progesterone, oxyprogesterone proved to be well established. They are taken 1-2 times during the menstrual cycle at 125-250 mg according to a specially selected scheme. The treatment scheme for each patient is chosen individually by the attending physician. Generalized recommendations and schemes do not exist, because everything depends on the results of the research.

Antiestrogenic complexes such as clomiphene are prescribed. Take 50 mg per day for 5 days. At the same time during the treatment you need to periodically undergo ultrasound, which will allow you to control the likelihood of side effects.

Physiotherapeutic treatment

With polyps, physiotherapy is performed. Various methods are used, but magnetotherapy, ultrasound therapy and electrophoresis have proved to be the best. Magnetotherapy is used to resolve inflammatory processes, eliminate scarring and post-operative sutures. Ultrasound is able to penetrate deeply into tissues and exert an effect on them. It has a warming effect, absorbs seals, restores damaged tissues, vessels, prevents the further development of polyps, their formation from the remaining tissues.

The basis of electrophoresis is the effect on the tissue of microcurrents. A bandage impregnated with a drug is applied to the mucous membranes or skin. The current acts on the body, as a result of which the action of the drug is intensified and its penetration into the tissues is ensured. Due to this, the drug penetrates deeply into the tissues and exerts the necessary effect there. This significantly reduces the need for medicines, their dosage. Accordingly, the probability of complications and side effects decreases.

Surgery

At the heart of surgical treatment is the removal of polyps. Also this operation is called a polypectomy. The operation to remove the polyp uterus is quite simple. It can be performed by a conservative method, in which an open cavity operation is performed. But today there is an opportunity to conduct it by laparoscopic method - through special access by means of a laparoscope. Recovery after this method is slow, it is bloodless, the risk of complications is minimized.

Methods for removing the polyp in the uterus

There are three main methods by which they are removed: traditional, hysteroscopic, laparoscopic. With the help of the traditional method, a normal cavity operation is performed, in which the polyp is removed. This method is almost no one uses, it has long been obsolete. He is endangered by numerous complications, recovery takes a long time, the risk of bleeding increases. The operation is also quite complicated, it takes a very long time. The main difficulty is that you need to consistently cut all the overlying layers, right up to the uterus itself, make the necessary manipulations to remove the polyp, sew all layers.

Hysteroscopy is often used. Until recently, this was the main method. It is considered to be a minor trauma, sex is carried out with a slight anesthesia, it takes a little time. During this time, they manage to carry out all the necessary manipulations, remove the polyp. If this method is used, the recovery occurs quickly enough, within a day the patient can be discharged. The operation is performed through the opening of the cervix with special tools. When multiple polyps are found, scraping is performed under the control of the hysteroscope.

The most modern method is laparoscopic removal, which is performed with a special instrument - a laparoscope with a small laparoscopic access, which is done in the form of small incisions on the ventral side (in the lower abdomen). The method is low-traumatic. Recovery is very fast, there is almost no scarring. Postoperative pain also practically does not bother the patient. During the operation, an incision is made with a diameter of only 0.5-1.5 cm. If multiple polyps are found, or if there is a high probability of developing cancer, the uterus produces a uterine removal.

Removal of the polyp in the uterus

Most doctors try to resort to the laparoscopic method whenever possible, as it has several advantages over other methods. The main advantage is that the operation is performed not by the usual incision of the abdominal cavity, but by laparoscopic access. With this method, small incisions are made in the lower abdomen. A special device is inserted through these incisions-a laparoscope. The diameter of the incisions does not exceed 1.5 cm. This means that with this method there is almost no scar left, the seams heal quickly and recovery is also fast enough. The method allows to avoid postoperative pain, blood loss. The risk of complications is minimized.

After the incision is made, carbon dioxide is pumped into the uterus cavity. This makes it possible to expand the walls of the abdominal cavity, as a result of which the risk of damage to neighboring organs is excluded, it is convenient for the surgeon to make the necessary manipulations. The laparoscope is inserted into the cavity. At the end, it contains a small camera that visualizes the image on the screen.

The doctor examines in detail the polyps in the uterus, determines the tactics of further conducting the operation. Using a laparoscope and other special equipment, the doctor cuts out the polyp and takes it out. After that, the cavity is examined once more, the equipment is taken. Stitches are applied. Within a few hours the woman is transferred from the surgical department to the gynecological ward. Under supervision, the woman remains for 5-7 days. Approximately in 2 weeks there comes a full restoration of working capacity. The method is effective when the risk of developing a malignant tumor is high, since the probability of occurrence of metastases and tumors is practically excluded.

Prevention

Since the main cause of the development of polyps is the disruption of the ovaries and excess estrogen, prevention is reduced to preventing the development of ovarian dysfunction, as well as to the prevention of endocrine disorders. For this, it is necessary to regularly visit a gynecologist, an endocrinologist, and undergo regular examinations.

It is important to eat right, home food. Exclude fast foods, genetically modified foods. You need to observe personal hygiene and hygiene of the genitals, do not lead a promiscuous sexual life. It is also important to treat chronic diseases in a timely manner, to maintain immunity in a normal state. This is promoted by walking in the fresh air, playing sports and physical exercises. Do not overcool and sit on a cold surface.

[33], [34]

Forecast

If the polyps in the uterus are diagnosed in a timely manner and the necessary manipulations for their treatment or removal are made, the prognosis may be favorable. The forecast can be unfavorable if you do not take any measures, do not follow the doctor's recommendations. The most dangerous are large polyps and those that contain atypical cells in their structure. Such polyps can develop into a malignant tumor.

[35], [36], [37]