There are many options available for treating uterine polyps. The choice of these treatments depends on the severity, the size of the polyp, number of polyps, the age of the patient, side effects and her reproductive plans for the future.
Surgical Procedures for Uterine Polyps Performed at Marina del Rey Hospital
Polyps which are unresolved through medications are removed surgically. Anesthesia is used to avoid discomfort, and this procedure is generally an outpatient procedure and will not require hospitalization.
Dilation & Curettage: In this procedure, the entire uterine lining is scraped blindly expecting to have removed all the polyps. This procedure may cause unnecessary damage to the uterus by scraping off even the healthy part of the uterus and creating a scar tissue.
Hysteroscope excision: Hysteroscope is a small telescopic instrument, which is inserted through the vagina and cervix into the uterus to view polyps on a video monitor. With the help of surgical instruments, the polyps are removed. This is the most commonly used approach.
Further, microscopic examination of the removed polyps is done to find out whether the polyps contain cancerous cells or not. If cancerous cells are identified in the polyps, the doctor will advise the steps to be taken for further treatment. Uterine polyps once removed rarely reoccur, and even if they recur, further treatment is given.
Drugs and Other Treatment Needed for Uterine Polyps
Wait and watch: Polyps without symptoms of uterine cancer are smaller in size will resolve gradually by themselves. In such cases, treatment is not necessary as long the polyps are non-cancerous.
Non-surgical treatment of uterine polyps is given using hormonal drugs, which change the hormonal levels in the body. They are given orally, in the form of injections or through an intra-uterine device.
Based on the size and the growth of the endometrium layer, the doctor may advise the following medications.
Gonadotropin-releasing hormone agonists »
However, if the symptoms appear again after stopping the medication, the doctor may advise surgical treatment.