Polyps in the uterus: types, consequences, diagnosis, removal

Polyps in the uterus are increasingly found in modern gynecology. This is a problem that worries women, forcing to see a doctor, or a pathology that is completely asymptomatic. Often found by chance as a result of inspection. There are different types of polyps. One of them is expedient to observe without taking any measures, while others need to be urgently removed. There are both single and multiple polyps.

There are many reasons that a polyp can form. One of the main - hormonal disorders, disorders of the immune system, age changes. Clinical manifestations are usually not observed. They can manifest only if a secondary infection has joined. There is a possibility of transformation of a polyp into a malignant tumor. Polyps require constant observation or treatment, because they can cause various complications, including bleeding, serous discharge, inflammation and infertility.

[1], [2]

Epidemiology

As statistics show, about 4% of all gynecological diseases are polyps. Typically, a woman first encounter this pathology at the age of 45 years. This is due to the development of postmenopause. But there are also exceptional data on the formation of polyps, even in children. Cases of diagnosis in girls aged 9 years were recorded. The threat of cancerous degeneration of polyps occurs in approximately 2% of patients.1-2% of the pathology results in a transformation into a cancerous tumor (cancer of the uterus develops). Therefore, most doctors share the tactics of an early ectomy of similar tumors. The most common cancerous transformation is susceptible to recurrent polyps, which repeatedly grew again after removal. Relapses of such polyps are observed in 50% of cases, and this happens in the first half of the year after the operation. Therefore, even after the end of treatment, constant monitoring of specialists is necessary.

[3], [4], [5], [6]

Pathogenesis

Psychosomatics is a science that studies the peculiarities of the influence of psychological problems and conditions on the physical condition of a person and the development of diseases. It is based on the assumption that the basis of any pathology is a psychological problem, a nervous situation. Psychosomatic diseases are more often observed in women, because they are more emotional than men.

Many researchers studied the causes and circumstances of polyps in women, and concluded that in most cases they arise as a result of an inadequate attitude of a woman to herself. Often a woman simply can not accept and realize herself as she is, does not recognize in herself some things. Polyps often suffer from women who are unhappy with their appearance, position in society, other qualities. This leads to the fact that a woman is nervous, subjected to a stressful condition, which entails hormonal disorders.

Many problems arise after many unsuccessful attempts to become pregnant, as a result of which a woman loses self-confidence, a belief in her own strengths and attractiveness. This only exacerbates pathology, leads to disruption of the hormonal state, menstrual cycle, inflammation, infections and neoplasms in the field of reproductive organs. This is due to the fact that they are most sensitive to the effects of any stress and hormonal failure.

Against the background of hormonal disorders and may develop frigidity, infertility. The status of the uterus is affected even by minor negative emotions, anger, irritability, causing spasm, impaired blood circulation, hormonal background. Negative emotions directed at men are especially negative. The more a tumor, the more negative emotions and grievances have accumulated in a woman. Polyps appear in almost 100% of cases in single women who reached 40-45 years of age. Pathology conceals in itself unplaited tears of self-pity, combined with anger at others, especially men.

Usually such women only regret themselves and blame others, without attempting to find out the cause of its failures and eliminate it. This is the root cause of the pathology. Often, it is sufficient to eliminate the psychological cause of the pathology, as the condition is normalized. Polyps can even self-resolve if the woman decides to radically change her inner world, her life, and also learn to forgive, love and take responsibility for her life in her own hands, instead of blaming others for misunderstanding and inaction.

[7], [8], [9], [10], [11], [12], [13], [14], [15]

Stages

There are several stages. First, surface foci of infection are formed, which gradually degenerate into areas of tissue hyperplasia. The next stage is the formation of various areas of pathology, the generalization of the site of hyperplasia.

In the third stage, a protrusion is formed, a skin growth that is considered as a benign neoplasm. It can be of fibrous, glandular and adenomatous type. There is an expansion of the endometrium, the formation of the polyp in the leg, its isolation. Forms own system of blood circulation, innervation. At this stage, it is necessary to conduct treatment. The prognosis may be different: either recovery will come, or the fourth stage will begin: the growth of the polyp. Perhaps its transformation into an oncology.

[16], [17]

Forms

The polyp is initially seen as a benign structure, which under the influence of various causes has the opportunity to degenerate into a cancerous tumor. The most common cancer of the endometrium. Definitely can be judged only by the results of a histological analysis of whether the tumor is benign, or malignant.

Hyperplastic polyp of uterus

By hyperplastic processes means an increase in the number of cells in the tissue. As a result of this process, the volume of the organ sharply increases. There are several types of hyperplastic processes: glandular, glandular-cystic, atypical. Polyps are called a local, limited area of the endometrium, which has undergone hyperplasia.

Accordingly, each element has its own type of predominant cells, which provide an increase in volume. As practice shows, basically atypical hyperplasia is a precancerous condition, whereas the first two types rarely transform into cancer.

Precancerous hyperplastic polyps are transformed into cancer tumors in 10% of cases, and most often occurs during the postmenopause. At the same time, most practitioners say that there is every reason to consider polyps that are constantly relapsing and do not lend themselves to hormone therapy as a precancerous condition.

Often, hyperplastic polyps develop in people who have a genetic predisposition to oncological and hyperplastic processes. Polyps develop against a background of metabolic disorders in the body, obesity, hypertension and atherosclerosis. At the same time, the risk of further development of metabolic disturbances in the whole body increases substantially, and the risk of heart and liver pathologies increases.

Such polyps almost never develop asymptomatically. They are manifested in the form of uterine bleeding, delays, infertility. When examined, neoplasms are found. Diagnosing polyps is easiest with transvaginal ultrasound. To establish a differential diagnosis, a histological study is performed to determine if the pathology is benign or malignant.

Treatment is determined by the results of histology. When diagnosing a malignant neoplasm, it must be removed as soon as possible surgically. If a benign neoplasm is found, treatment is determined by many factors. So, first try conservative treatment with hormonal therapy. After 3-6 months, depending on the severity of the pathology, the age of the patient, the attendant factors, repeat ultrasound, act according to the circumstances.

If the cause is polycystic ovary, a wedge-shaped resection of the gonads is performed, which helps to prevent the malignant degeneration of the tumor into a cancerous tumor.

[18], [19],

Recurrent polyp of uterus

Most often, hyperplastic polyps recur. This happens, mainly against the background of a previously removed polyp, as well as in the formation of adhesions and scars, inflammation of the endometrium. You can diagnose with ultrasound. It is also often required to take a biopsy for further histological examination and confirming or refuting the oncological process, or the likelihood of a malignant transformation of the polyp.

In order to avoid repeated relapse, as well as exclude the possibility of malignant transformation of the neoplasm, it is necessary to conduct a quality post-operative treatment. Prevent the occurrence of recurrence of polyps can be, prescribing the drug Buserelin. Given a low level of estrogen in the body, it is advisable to use contraceptive drugs.

Large polyp in the uterus

Polyps of large size indicate the presence of hyperplastic processes, in which there is an intensive growth of damaged tissue. The cause of intense growth can be an inflammatory process. It is advisable to subject it to histological examination.

Multiple polyps in the uterus

Indicates the development of a disease such as polyposis - a pathology, implying that the polyp is subjected to hyperplastic processes. There are mainly glandular or fibrous polyps. They tend to proliferate rather than transform into a malignant neoplasm. The polyp is fairly easy to recognize by its characteristic external features.

They arise mainly in connection with imbalance of metabolic processes, immune status, psychological factors, traumatism of the cavity. An important role is played by chronic inflammatory and infectious diseases of the reproductive organs. Often occur in nulliparous, after 27 years of age, because there is a violation of the natural hormonal cycle. It is not difficult to diagnose this pathology. They can be detected either in the course of a routine gynecological examination, or with the help of simple laboratory and instrumental methods. Among the main methods of treatment - can be called resection (remove the polyp, and his bed is cauterized). Warn pathology can be, observing the rules of personal hygiene, avoiding hypothermia. It is important to undergo regular routine examinations with a gynecologist, control your weight, and treat any pathologies that have been identified. These are reliable preventive measures.

Polyps in the uterus in menopause and postmenopause

Often, polyps occur during the postmenopause, as there is a decline in the function of the ovaries, significantly reducing the concentration of sex hormones. Usually begin to grow after 40 years, and the peak incidence falls on the age of 45-50 years. The presence of other pathologies is an important predisposing factor. Significantly affects stress, infectious diseases, reduced immunity.

They may be troubled by discharge of a different nature: purulent, mucous, watery. In this case, hospitalization is required for further examination and treatment. Surgical treatment is most often used, especially if the polyps are bleeding.

Complications and consequences

If the polyps are not treated and not removed, they can have serious consequences for the body. Often they are the cause of uterine bleeding, prolonged and profuse menstruation. Blood loss leads to the development of anemia. The most dangerous complications are infertility and endometrial cancer.

[20],

Can polyps dissolve in the uterus?

In most cases, the polyps themselves do not resolve. They consist of a completely independent tissue, which has formed into a specific structure and does not show a response to external influences. Moreover, they usually do not dissolve even with the use of special treatment, but require surgical removal. Usually even strong hormone therapy only slows the growth of polyps, without stopping it completely.

But, nevertheless, gynecological practice is known for cases when the polyp has resolved itself. This arose on the background of normalization of the hormonal background, pregnancy, during childbirth. Scientific basis for this phenomenon is not found. Perhaps this is due to the impact of internal causes. Nevertheless, despite the presence of such facts, it is not worth counting on the fact that the polyp will independently resolve itself. It is necessary to take all necessary measures to cure it and prevent malignant degeneration.

[21], [22]

Polyp of the uterus was released himself

This happens quite rarely. Nevertheless, it is impossible to deny such a possibility. Sometimes polyps go out on their own during menstruation. There were recorded cases when polyps disappeared on their own, but in 20% of cases they recurred again, so there is no need to be reassured. Since any polyp always entails multiple risks, it is necessary to treat it or remove it as soon as possible surgically.

The polyp in the uterus disappeared

In 9% of cases the polyps in the uterus disappeared independently, without any treatment. Usually this happened against the background of changes in hormonal status and pregnancy. In 8% of cases the polyps disappeared under the action of hormones and special physiotherapy procedures. In other cases, polyps do not disappear and require surgical treatment.

Growth of polyps in the uterus

Polyps can grow. This especially applies to hyperplastic and recurrent polyps. The exact reasons that provoke growth are not fully known. Presumably, the main cause is the lack of progesterone and an increase in estrogen, as well as stress and neuropsychic overstrain. It is no accident, this disease is considered as a psychosomatic pathology, which occurs against the background of psychological problems and negative emotions. Polyps can be a consequence of increased tissue regeneration, so women who have undergone abortions and scraping are at risk.

Polyp in the uterus

The main place of localization of pathology is the cervix. Bleeding increases on the background of erosion or mechanical damage. Often there is a combination of several facets.

A biopsy is performed, as this may be a sign of cancer or a precancerous condition. This pathology can be called hidden, because often the disease is asymptomatic. It is found only at the stage of bleeding. Urgent diagnosis is needed to determine the causes of pathology. Only finding the reason, you can choose the best treatment. As methods of diagnosis, colposcopy, gynecological examination is most often used. Usually this is enough to make the correct diagnosis and eliminate the pathology.

Various methods are used for treatment, for example, laser exposure. The bottom line is that the affected areas are cut out, and the remaining parts remain untouched. This is the optimal method of treatment, because it is characterized by high accuracy and efficiency. There are almost no complications, healing occurs within 5-6 weeks. You can apply even to nulliparous women.

Also, a positive effect can be achieved through diathermocaogulation, by means of which the bleeding area is cauterized with an electric current of high frequency. This method can be used only in relation to giving birth to patients, as it leaves scars on the uterus. Suffice it painful method, requiring a long rehabilitation, up to 10-12 weeks.

Cryodestruction is a method by which a bleeding area is cauterized with liquid nitrogen. The essence is that nitrogen, located at ultra-low temperatures, contributes to the crystallization of water and the destruction of pathological areas. The recovery of the body takes about 10 weeks.

Radio wave treatment and conization are also used, the entrance of which amputates affected areas. Such methods are most often used if precancerous conditions have already developed. There are also more gentle methods for treating uterine bleeding, but they are not always effective. Applied hyaluronic acid, various plant extracts and essential oils. These substances not only contribute to the recovery of the mucous membrane, but also have an antifungal and antibacterial effect, which allows to remove the inflammation and prevent the further spread of the infected cells.

Polyp of the uterus and abdominal pain

Pain in the abdomen is natural, as the envelopes of the endometrium grow. In addition, inflammation can develop. The onset of pain is often a signal of growth, treatment is required. Surgical treatment is most often used. If there is an infection, there is a risk of infection and even generalization of the inflammatory process.

Sometimes it indicates the development of a recurrent polyp, which grows again, its reproduction occurs, as a result, the development of multiple polyposis.

Polyp of the uterus and temperature

Indicates the development of inflammation, hyperplasia, further progression (it increases in size, or multiplies to multiple polyps). It is considered dangerous to defeat the polyp with an internal infection (conditioned by a conditionally pathogenic flora), or that has got into the body from the outside.

Inflammation of the cervix polyp

It is caused both by infection, and by usual pathological processes occurring in the body. Often occurs as a result of hyperplasia, growth, transformation.

Diagnostics of the polyp in uterus

A number of tests are required. This is before a general analysis: it shows the essence of the main reactions occurring in the body. He can point to the development of the inflammatory process. This is evidenced by a decrease in the number of leukocytes, in particular lymphocytes.

An increase in the number of eosinophils indicates allergic processes, mucosal dystrophy. Can indicate the development of parasitic and hidden infections. Very informative can be the number of platelets. They indicate the condition of the circulatory system, the characteristics of blood clotting, can indicate latent bleeding and the presence of an active inflammatory process.

Reducing the number of red blood cells can indicate the degree and stage of the disease, suggests the presence of intrauterine bleeding, which is observed for a fairly long time.

The fact that the oncological process has already begun, indicates a decrease in the number of leukocytes. But it can also be a sign of other pathologies: immunodeficiencies, immunity. To clarify the diagnosis may require a detailed immunogram, which will show the main processes occurring in the body and the state of its protective forces. According to the immunogram, you can make predictions of how the polyp will behave. If blood is found in the urine, this indicates bleeding from the uterus.

If you suspect a cancer, a histology is performed. The test material is a tissue sample obtained by targeted biopsy. In the course of the study, tissue samples are sown on a nutrient medium intended for growing tissue samples. Incubate in thermostat conditions from 10 days to 3 weeks, then do the reseeding on artificial nutrient media and incubate some more time.

According to the results of sowing, the character of growth is evaluated. Determine the degree, stage of the disease, the nature of the tumor (malignant, benign), predict the nature and direction of the further course. It has a significant significance: knowing the nature of the pathology, it is possible to select the optimal treatment in a timely manner, to reduce the likelihood of further progression of the disease. If adenomatous polyps are found, it is recommended that they be removed as soon as possible.

Bacteriological examination may be required if there is a suspicion of the infectious nature of polyposis. A smear from the vagina and cervix is mandatory, it is taken during a gynecological examination. The aim is to determine the causative agent of the disease and determine the prevalent composition of the microflora. You can also identify the presence of a chronic infection.

If necessary, together with a bacteriological study, an antibiotic susceptibility test is performed, which makes it possible to select the optimal antimicrobial agent, which will have the greatest effect on the isolated pathogen. The necessary dosage of the drug is also determined.

You may need an analysis for hormones, because it is the concentration of hormones in the body that determines the further growth of polyps. With the prevalence of estrogens and a lack of progesterone, the growth of polyps starts. Many endometrial diseases are also caused by the concentration of hormones. If a hormonal imbalance is detected, corrective therapy is prescribed.

Polyp of the uterus on ultrasound

Using ultrasound, you need to visualize the polyp. It is carried out by two methods. Using abdominal ultrasound, cavitary polyps can be diagnosed inside the uterus. The transvaginal method makes it possible to identify surface polyps, with a diameter of more than 1 cm. It is impossible to determine structures of smaller dimensions by this method, special equipment is required. Also with the help of ultrasound it is possible to calculate how quickly the polyp grows, to judge its susceptibility to malignancy.

[23], [24], [25], [26]

Uterine polyps on MRI

Using the method of magnetic resonance therapy, it is possible to obtain information and localization, features of polyp development, stage, ingrowth. It can be noted malignant tissue. The procedures are quite expensive, so they are used only if a cancer is suspected. It makes it possible to identify a cancerous tumor as soon as possible, even at the stage of its formation.

Colposcopy for uterine polyps

Colposcopy examines the cervical canal. A gynecological mirror is used, which makes it possible to study the surface, appearance and structure of polyps. The only drawback is the inability to determine the causes of pathology. This can be achieved after a histological examination.

[27], [28],

Differential diagnosis

Ovarian cyst or polyp uterus

The cyst is usually located posterior and lateral to the uterus, while the polyp is located directly in the uterine cavity or on its neck. In the cyst, spikes are formed, the adhesive walls are covered by the adhesive process, the cervix. In polyps, an adhesive process is not observed. The walls of the cyst are unevenly thickened, the contours are uneven. A characteristic specific feature of the ovarian cyst is the effect of uniform darkening. The form of the cyst is often round, oval, polyp - absolutely of any shape.

Polyps often develop long and asymptomatically, the cyst periodically makes itself felt by the pain in the lower abdomen. Also, with large cysts, it can exert a pressure on neighboring organs. Both pathologies are caused by a disturbance in the emotional background. The cyst is capable of self-dissolution, whereas for polyps this is extremely rare. The polyp can be twisted on the leg, and the cyst can break, causing bleeding.

Endometriosis and polyps in the uterus

Endometriosis is a serious disease in which the endometrium grows. Endometrial polyps are formed that have changed their cellular structure and, in fact, represent a precancerous state. If polyps are not formed in endometriosis, then it has the appearance of a protruding hyperplastic mucosa of the uterus, which, increasing in size, can extend far beyond the uterus, into the vagina.

When polyps are formed, they are also easily recognizable: fully localized endometrial sites that are strictly localized and located on the stem. For multiple endometriotic polyps, the formation of numerous nodules is characteristic.

The asymptomatic course prevails, therefore it is important to regularly undergo examinations. For a long time, doctors believed that endometriosis can develop only in women who already had childbirth, but now they have refused this idea, since this disease was also found in adolescent girls, and even in elderly women.

[29], [30], [31]

Cervical polyps or cancer

Polyp can be recognized by a dense structure, the formation of the foot. Cancer can be recognized by loose structure, loose fit of cells and the ability for unlimited growth.

The only accurate confirmation of the diagnosis is the histological examination, which allows the tissue culture to be grown from the sample. By type of growth determine the type of tumor: benign or malignant. With a malignant tumor, the type of tumor is determined, the nature of its growth, on the basis of which it is possible to put a specific diagnosis and choose a treatment.

Malignancy of the polyp can occur in several stages. First, the endometrium grows, then the epithelial tissue is transformed. At this stage, dysplasia appears - there is a risk of atypical cells, which will subsequently be transformed into cancerous cells. Under the influence of various factors there is a transformation of cells. They acquire the capacity for unlimited growth, are transformed into cancer.

[32]

Clot or polyp in uterus

The polyp has the appearance of a neoplasm, with even, clearly defined walls. Often is on the foot. The clot is a structure of an unknown origin, which can be amorphous, change its shape. Often red, there may be a different consistency. In the middle, the clot can be filled with various contents. Often it varies widely: from light mucus to hemorrhagic fluid or a dense thick clot. As a rule, the clumps are quite large.

[33]

What is the difference between polyps and uterine fibroids?

Myoma is a node with clear boundaries and even, slightly hilly contours. A feature of myoma is the low intensity of the magnetic resonance signal with MRI. The signal is very similar to the signal of skeletal muscles. They have characteristic features of blood circulation and a high content of collagen. Quite small in size: on average 0.3-0.4 cm. They are much smaller in size than polyps, and they also do not have a pedicle.

Often during magnetic resonance imaging, large uterine vessels, large nodes, are noticeable. The appearance of heterogeneous areas indicates the development of degenerative processes in the node. Sometimes this may indicate a process of transformation of fibroids into a cyst, or a profuse hemorrhage into the myoma node.

Unlike polyps, which develop asymptomatically, myoma manifests itself as a strong weakness and malaise. You can identify numerous abnormalities, inflammation during gynecological examination. The main sign is severe abdominal pain. When menstruation develops severe blood loss. There is a feeling of pressure on the internal organs, anemia, frequent urination. Sometimes the pain can give to the inguinal region and other areas.

In more severe forms, secondary signs of fibroid develop: bowel disorders, obstruction, gastritis, dyspeptic disorders, manifested as diarrhea, vomiting. In this case, surgical intervention can not be avoided, since there is a risk of rupture of fibroids, bleeding, infection and development of sepsis.

Treatment of the polyp in uterus

Doctors can prescribe certain medicines for syringing. Sometimes alternative means are used. However, they can not be used without first consulting a doctor. So, for a long time used a solution of vinegar in water. Principle of action: vinegar changes the acidity of the vaginal environment, which leads to the cessation of growth. For syringing, you can use various solutions, herbal decoctions. Well proven herbs such as chamomile, sage, calendula, which additionally have an anti-inflammatory effect, restore the mucous membrane.

Suppositories from polyps in the uterus

From polyps prescribe suppositories containing progesterone preparations. This allows you to normalize the hormonal background. The suppository is fast, unlike progesterone in tablets. If the course of treatment with tablets can last from 3 months to a year and a half, then the treatment of the suppository is only 10 days. The only contraindication is pregnancy.

Dyufaston with polyp in the uterus

Dyufaston is a hormone used to treat hormonal disorders, normalize the menstrual cycle, and maintain a pregnancy. Prevents development of polyps, tumors. It is impossible to take this medication by itself, it is prescribed exclusively by a gynecologist, taking into account anamnesis, examination results and various studies. Can be prescribed in case of shortage of progesterone in the body. Can be used with polyp to prevent the formation of new polyps and prevent malignant transformation of existing ones. It is often an alternative to surgical intervention, because it helps to maintain polyps at the same level, or their gradual resorption. It is recommended for development of pathological process to nulliparous women. The course of treatment is approximately 3-4 months and is determined by the severity of the pathological process and the size of the polyps.

The active substance is a synthetic analog of the female hormone progesterone. It does not cause male secondary sexual characteristics. Produced in the form of tablets, can be combined with any other tablets. The drug is contraindicated in the presence of women such genetic abnormalities as Rotor syndrome, Dabin-Johnson syndrome. Also, it is contraindicated for hypersensitivity and individual intolerance of individual components of the drug. The drug is not compatible with alcohol. Caution should be taken to people with kidney disease.

There are practically no side effects. In rare cases, headache, migraine, skin reactions, allergies can develop.

[34], [35]

Chinese tampons from uterine polyps

Chinese medicine has accumulated a wealth of experience in the treatment of various diseases, including gynecological. Sometimes the methods are fundamentally different from European ones. If traditional medicine treats surgical methods as the main treatment method, then Chinese suggests first to try the treatment using Chinese tampons.

They are a phytopreparation, the main effect of which is directed on the treatment and restoration of the mucous membrane after injuries, injuries, inflammations, infection. They act quickly and effectively, without causing pain and discomfort. They are used for recovery in the postoperative period, for elimination of hormonal dysfunction and disorders of the nervous system. Helps to completely get rid of neglected erosions and untreated inflammations, infections. Eliminates edema, stagnation.

The advantage compared with the traditional surgical method is that the tampons do not have any damage, do not disrupt the mucous membrane and skin, tissues. They act gently, there are almost no contraindications and side effects, there is no risk to life and health. Positively affects the reproductive function of women, increases the chance for a normal pregnancy and childbirth. In addition, eliminates the possibility of the appearance of repeated polyps, while in surgical operations in most cases the polyp develops repeatedly.

[36], [37], [38]

Red brush for uterine polyps

It is a herbal remedy used for resorption of polyps, tumors, elimination of inflammatory and infectious processes, normalization of the state of the endometrium. It is prescribed not only by phytotherapists and herbalists. Also used by gynecologists in everyday practice.

Can be used as a decoction for ingestion. Apply on an empty stomach for a glass. To prepare the broth requires 1-2 tablespoons of herbs. Pour a glass of boiling water, after which the agent is given the opportunity to settle. Also recommended for surface douches, syringing. It is necessary to be treated daily, without breaks.

Hysteroresectoscopy of the polyp uterus

It is a kind of hysteroscopy, in which surgical instruments and a mini video camera are used, which make it possible to perform surgical manipulations with high accuracy. It is a relatively easy operation, in which the hysteroscope is inserted into the uterine cavity through the cervical canal. Then through the inserted tube into the cavity of the channel comes a special contrast substance, through which it is possible to visualize the existing pathologies.

First, with the help of an integrated optical system, the cavity is examined, then the doctor assesses what the complexity of the operation will be, what the amount of surgical intervention is required. Then the doctor performs all the necessary manipulations, pulls out the tools. At the same time, there is practically no risk of damage, anesthesia is used for short periods. Such an intervention can be characterized as minimally invasive, so the risk of damage, bleeding, is virtually nonexistent. Restoration occurs quickly, as the abdominal incision is not done. The clinic can be left for several hours after the operation. The uterus does not leave a scar, so the operation does not affect the ability of a woman to bear and give birth to a healthy child.

Initially, the operation was developed as a special surgical technique aimed at removing nodes of myoma that had reached insignificant dimensions. Later it was used for other purposes, for example, for the removal of polyps, cysts, treatment of scars, malignant and benign formations, foreign objects. The operation is well tolerated by patients and can be performed even after abortions, childbirth. It is often used to remove the remnants of the fetal egg, the placenta.

The procedure is contraindicated in acute infectious and inflammatory processes. First you need to recover and recover. It is not carried out with severe pathologies of the heart, kidneys, liver, blood vessels, severe impairment of blood circulation and blood composition. It is not performed if there are chlamydia, trichomonads, gonococci in a smear, a large number of leukocytes. If there is inflammation of the cervical canal, you must first treat it.

The operation requires preliminary preparation. Before the procedure, you must pass the test for syphilis, hepatitis, HIV infection. It also requires a detailed general and biochemical blood test, a coagulation test. Then do urine analysis, colposcopy with taking a smear, ultrasound of the pelvic organs, ECG, FLG.

Radio wave removal of the uterine polyp

Frequently, radio wave therapy is used, in which high energy radio waves and their effect on damaged tissues are used. The procedure is fast enough, it is painless. It is impossible to get an electric burn, because the method of heat treatment is applied. Scars, folds, crusts do not remain. Changes in the uterus itself, its mucous membrane also does not occur. It takes 3 to 5 weeks for complete healing.

It is carried out mainly if polyps are found in the uterus, and also when it is confirmed that the neoplasm is not a malignant one. After the procedure, coagulation of the polyp bed is required. The whole procedure takes only 3-4 seconds. A great advantage is that anesthesia is not required, even with increased sensitivity.