The postoperative recurrence rate of endometrial polyps is quite high, ranging from 18%-35%, and the clinical recurrence rate can reach more than 20%. Surgery is only the first step in the treatment of endometrial polyps. Surgery is very important, but postoperative management is more important. Generally, some drugs will be added after operation to prevent recurrence. If you are a woman with fertility requirements, generally add some progesterone or dehydroprogesterone in the second half of menstruation, that is, dehydroprogesterone 1 tablet and 1 tablet twice a day, and take orally 10 day. Progesterone is also used accordingly. For women who have no fertility requirements, it is recommended to install Manyuele intrauterine device to prevent the recurrence of polyps. It is precisely because the postoperative recurrence rate of endometrial polyps is particularly high, so we must cooperate with doctors to actively take treatment methods to prevent postoperative polyps from recurring.
Endometrial polyps are generally caused by chronic endometritis. If endometritis is not well treated, endometrial polyps may recur. If there are endometrial polyps, the polyps should be removed again. Pay attention to the treatment of endometrial inflammation after operation, and also pay attention to reexamination.
How to make endometrial polyps not recur?
Surgical treatment.
Diet and health care
1, drink more water and eat more fruits, vegetables, nuts, seeds, grains and other ingredients. Such as Chinese cabbage, lettuce, water bamboo, broccoli, loofah, Pleurotus ostreatus, pumpkin, tofu and so on.
2, eat more lean meat, chicken breast, raw eggs, eggs, carp, wild turtles, white fish.
3. Eat more foods that enrich blood, replenish qi and tonify kidney, mainly based on sex, and avoid eating raw and cold food.
4. Meat food should be smashed and eaten badly, and the proportion of vegetarian food should be 1: 1.
5. Avoid hot, sticky and growth hormone-containing foods, such as dried longan, jujube, donkey-hide gelatin cake and royal jelly.
6. Avoid spicy foods and drinks such as peppers, peppers, raw onions, raw garlic and pure grain wine.
Preventive medical care
Pay attention to hygiene, treat endometritis immediately, make initial diagnosis, take the initiative to treat it, and do a good job of follow-up.
Pathological cause
Uterine polyp is a kind of diffuse endometritis.
Check mode
Laboratory examination:
Blood routine, secretion examination and tumor marker examination.
Other auxiliary inspections:
Hysteroscopic surgery, histopathology and physiological examination
1. Hysteroscopic surgery showed that the gray-bright red fleshy endometrial masses in the uterine cavity were prominent, and the pedicles were different in length, with a diameter of 0.5 ~ 2 cm, which could be rotated or multiple. Big and many can fill the uterus.
2. Intrauterine bilateral salpingography showed that the filling was damaged.
3. The biopsy of uterine wall showed that the immature epithelial cells of uterine wall showed proliferative changes and no metabolic state. Sometimes the glandular ducts are cystic and cystadenoma-like.