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Treatment after removal of endometrial polyp: recovery, recommendations
Last reviewed: 04.07.2025
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The endometrium is the inner layer of the uterus and includes its walls, mucous membranes, and cavity. Like any tissue, it can be subject to various inflammatory processes, damage, and cells can degenerate. A common pathology encountered in gynecology is the formation of polyps and other neoplasms. As practice shows, removal of an endometrial polyp is the most rational way to treat it.
The fact that polyps need to be removed is confirmed by statistics that show that polyps tend to multiply and transform into a malignant tumor. The danger is that polyps can grow quite significantly in size, up to the point of exiting the uterus and filling the entire vagina with overgrown tissue.
In general, it is a very independent formation, represented by a compacted area of the endometrium, which over time acquires its own circulatory and innervation system, becomes relatively isolated and begins to grow, or exist and develop independently.
Some doctors try to treat polyps with medications, but this is often ineffective. Therefore, in the end, they still resort to surgical methods. Other doctors are inclined to believe that surgical treatment should be used as soon as the polyp is detected. Removal at early stages prevents further development of the polyp, prevents the formation of multiple polyps, and also significantly reduces the risk of malignant degeneration of cells.
Ultrasound after endometrial polyp removal
It is used to control how well the polyp has been removed. It is important that not the smallest piece of tissue remains, otherwise the polyp will begin to develop again. An endometrial polyp can also be diagnosed using abdominal ultrasound, but the transvaginal method will be more informative, which will allow the polyp to be visualized more accurately, bypassing the resistance of the peritoneum. Also, when a polyp is detected, the degree of its development and growth rate can be determined.
Recommendations after removal of endometrial polyp
After the polyp is removed, you need to follow some recommendations. It is necessary to abstain from sexual activity for three to four weeks. Basically, the recovery period is determined by how long the cervix takes to heal. If it does not heal for a long time, this period can be extended. Therefore, it is important to visit routine check-ups in a timely manner after the operation.
It is important to stick to the daily routine and proper nutrition. Food should be dietary: boiled, steamed. A specially designed diet is needed, which should be discussed with a doctor, or a special visit to a nutritionist. Alcohol is completely excluded. Food should contain the required amount of vitamins, nutrients. The main task is to maintain normal metabolism, restore the body, regenerate tissues, restore the normal state of the mucous membrane and microflora. Physical exercise and an optimal level of motor activity should increase the body's endurance, its resistance to various diseases, help improve immunity, prevent the development of inflammatory and infectious processes. Seasonings, spices, marinades, fatty foods should be completely excluded.
It is necessary to observe personal hygiene and hygiene of the genitals, not to lead a promiscuous sex life. It is also important to treat chronic diseases in a timely manner, you cannot overcool and sit on a cold surface.
During the recovery period, physiotherapy may be required, which will help increase the regenerative capacity of soft tissues and mucous membranes. The main methods used during the recovery period are magnetic therapy and ultrasound. Electrophoresis is also used to administer various medications, which penetrate directly into the inflamed tissues faster and have a therapeutic effect there.
Often additional hormone therapy is required, which will be aimed at normalizing the activity of the ovaries and endometrium. Hormones should eliminate excess estrogen and add missing progesterone, which is the only reliable method of preventing polyps.
Recovery after endometrial polyp removal
The duration of the recovery period depends on the extent of the surgical intervention, as well as the severity of the pathological process, the method of surgery and the general current condition of the patient, the presence of concomitant and chronic diseases.
Recovery usually lasts up to 5 days for hysteroscopy, from several weeks to several months for curettage and abdominal surgeries. During the recovery period, non-purulent discharge and small blood leaks are possible in the first days. Blood clots may come out. During this period, postoperative treatment is carried out, aimed at restoring the mucous membrane, endometrium.
Therapy aimed at preventing the recurrence of polyps is also indicated. It is necessary to follow the doctor's recommendations, limit yourself in some actions, for example, do not take a hot bath, do not visit saunas and baths. For several days, sports, heavy physical work, and sexual activity are excluded. It is necessary to follow a diet.
What should you not do after endometrial polyp removal?
You cannot go to a sauna, bathhouse, or take a hot bath. You should exclude sexual activity, heavy physical work, sports, and heavy loads. You should also avoid going to the pool and solarium, sunbathing, or swimming in open water. You should also not drink alcohol, eat fatty, fried, spicy foods, or non-dietary foods. On average, these restrictions should be observed for a month (sometimes longer, until the body has fully recovered).
Treatment after endometrial polyp removal
After removal, special treatment is carried out aimed at restoring the mucous membrane and preventing further development of polyps and relapses. Hormonal therapy and anti-inflammatory treatment are used for this purpose. Physiotherapy procedures are prescribed if necessary. Symptomatic therapy is aimed at eliminating the symptoms that bother a person. Often, folk and homeopathic remedies, as well as herbal medicine, are included in the complex postoperative therapy.
The treatment tactics depend on the results of tests, histological and instrumental studies and are determined by the attending physician and other highly qualified specialists. Self-medication should never be attempted, since most such cases end in death or serious metabolic and hormonal disorders.
Often used drugs that help 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. This prevents the repeated growth of the endometrium, the formation of new polyps.
Sometimes there is a need to prescribe probiotics and prebiotics, which normalize the colonization resistance of the mucous membranes. This helps to normalize the microflora, prevents infection with pathogenic microorganisms. As a result, the likelihood of developing infectious and inflammatory, purulent-septic processes, and other complications decreases.
Treatment in almost all cases includes hormonal therapy. This is due to the fact that the main cause of polyp development is high levels of estrogens and imbalance of other hormones. Therefore, drugs are taken that normalize the general hormonal background, reducing the level of estrogens. This helps to increase the level of progesterone, resulting in healing of the damaged mucous membrane.
The need for anti-inflammatory drugs arises if an inflammatory process has developed. If the inflammation is caused by an infection, antibacterial drugs are prescribed. Usually, antibiotic therapy is prescribed after a preliminary bacteriological study to determine sensitivity to the isolated pathogen. The optimal dosage of this drug is also selected.
Hormones after endometrial polyp removal
Hormonal therapy is in demand in almost all cases. Especially if the initial cause of polyp development was hormonal imbalance, lack of progesterone and excess of estrogen.
Prescribed are mainly progesterone preparations: progesterone, oxyprogesterone. They are taken 1-2 times during the menstrual cycle, 125-250 mg, according to a specially selected regimen. The treatment regimen is selected by the attending physician for each patient individually. It is impossible to provide any general recommendations and treatment regimens, since everything depends on the results of the examination and examination.
Of the antiestrogenic complexes, drugs such as clomiphene are used. Take 50 mg per day for 5 days. This drug is also not suitable for self-medication, since it is used under strict control using ultrasound. This makes it possible to control the effectiveness of treatment, and will allow you to control the likelihood of side effects.
Duphaston
For recovery in the period after surgery, Duphaston is often used. This is a hormonal agent aimed at correcting hormonal conditions. The active substance is a synthetic analogue of the female hormone progesterone. It helps to normalize hormonal levels, restores hormonal levels. During pregnancy, it prevents interruption and helps maintain it. It is an excellent preventive agent that prevents the development of polyps and tumors.
Before you start taking this medicine, you need to consult a doctor. It is not prescribed without anamnesis. It can be prescribed in case of progesterone deficiency in the body. However, if an excess of progesterone is detected in the blood, side effects may develop. If the polyps are small, therapy with Duphaston is an alternative to surgery, since it helps to maintain the polyps at the same level or their gradual resorption.
The drug should be used for a fairly long time. The course is designed for an average of 3-4 months. There are practically no side effects. In rare cases, headaches, migraines, skin reactions, and allergies may develop. The main dosage form is tablets. Prescribed by a doctor.
Utrozhestan
Treatment with Utrozhestan is a hormonal therapy aimed at normalizing hormonal levels and restoring damaged mucous membranes. Prevents recurrence of polyps. Refers to progesterone preparations. The course dose for one menstrual cycle is 200-300 mg. It is taken in one or two doses during the day, strictly according to the scheme prescribed by the doctor. Only a doctor can select a treatment scheme, since this is determined by the results of tests, the condition of the mucous membrane.
Janine
It is a contraceptive action, which includes a complex of hormones estrogen + gestagen, as well as auxiliary substances. The main action is to normalize lipid metabolism, improve the lipid profile of the blood. It helps to normalize the hormonal cycle, eliminates the risk of developing inflammatory and hyperplastic processes. Due to the improvement of lipid indicators and other mechanisms of action, the drug prevents the risk of bleeding, is a reliable means of preventing anemia, eliminates the likelihood of recurrence of polyps and their malignant degeneration.
It is produced in the form of pills. One package contains 21 pills, which are designed for one course. Take for 21 days, then take a break for 7 days (at the time when menstruation begins or is supposed to begin).
Antibiotics after endometrial polyp removal
Antibiotic therapy may be required if an infectious process develops. This may be observed when infected with pathogenic microorganisms from the outside, or when a pathological process develops as a result of autoinfection. Thus, autoinfection may develop with hormonal imbalance and microflora disturbance, which is almost always observed during surgical interventions.
In this case, the activity and number of the main microflora (lactobacilli and bifidobacteria) decreases. This leads to the activation of opportunistic microflora, and an infectious process can develop. Most often, enterococcal, staphylococcal and streptococcal infections develop. Accordingly, either special antibiotics are prescribed to eliminate this type of infection. Broad-spectrum antibiotics can be prescribed, which have an effect against a large number of microorganisms that can cause infection.
Antibiotics are always prescribed to prevent complications if an open abdominal operation or curettage was performed. This is explained by the fact that with this type of intervention, the area of damage is quite large. Accordingly, the risk of infection is very high.
When prescribing antibacterial therapy, the sensitivity of the microflora is necessarily taken into account (the pathogen is isolated and its sensitivity spectrum to antibiotics is determined). Often, drugs aimed at preventing fungal infections, or probiotics, prebiotics are prescribed at the same time.
Usually, treatment begins with penicillin drugs. Synthetic drugs are often prescribed: oxacillin - 0.5-1 gram every 4 hours an hour before meals, methicillin - 0.5 - 1 gram every 4-6 hours intramuscularly, fusidin - 0.5 grams 3 times a day for 6 days, dicloxacillin - 0.5 grams 3 times a day for 7-10 days, erythromycin - 0.25 grams 4 times a day.
Antibiotics should be prescribed together with sulfanilamide drugs: sulfadimethoxine (madribon) - 1-2 grams per day for 7-10 days, sulfalene - 1 gram on the first day, and then 0.2 grams daily for 7 days. If there is no effect within 2-4 days after the appointment of antibiotics alone. They should be replaced with other drugs.
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Sex after endometrial polyp removal
After the operation, you should abstain from sexual activity for an average of a month. During this time, the mucous membrane usually recovers quickly. It is better to consult a doctor to make sure that the recovery has been complete, and only then can you begin to live a sexual life in the same rhythm.
Is it possible to masturbate after endometrial polyp removal?
Masturbation after polyp removal is not recommended for a month, since at this time the mucous membrane and damaged tissues have not yet recovered. Next, you need to make sure that all damage has recovered. You need to take care not to damage the mucous membrane during masturbation and not to cause the development of an infectious process, not to bring in an infection from the external environment.
Otherwise, it is recommended to have a permanent sexual partner, since sex has a positive effect on the female reproductive system. Endorphins and other hormones are released, which additionally stimulate receptors and promote healing of the mucous membrane. Sperm contains prostaglandins and other hormones and biologically active substances, activate the immune system and increase colonization resistance.
Is it possible to sunbathe after endometrial polyp removal?
If an endometrial polyp has been removed, the woman should not sunbathe for a month. Also, during this time, it is not recommended to take air, sun or thermal baths. You should not swim in open water or in pools. You should not take a hot bath or visit a solarium.