Very often in the female body hormonal disruptions occur, against the background of which various diseases can appear. During pregnancy, the organism undergoes restructuring, as a result of which various pathologies are possible. For its normal flow, a healthy endometrium is necessary, and with hormonal imbalance it grows unevenly. That is why women develop a polyp during pregnancy. Is it dangerous for the baby, and how to treat it is described below.
Impact of the disease on pregnancy
It is best if the expectant mother will worry about her health in advance so that during the treatment during pregnancy does not harm the fetus. Any polyp must be removed before conception, because for this, doctors will have to use anesthesia. Very often, the disease prevents pregnancy from occurring (it does not allow a fertilized egg to pass), but it happens that it is conception that provokes its appearance.
Typically, a polyp during pregnancy does not harm either the mother or the child. If the baby was able to attach to the wall of the uterus, then the polyp is not touched until the baby is born. In some difficult cases, an emergency removal of the neoplasm will be required. Such measures are resorted to only if it threatens the life of the embryo. If the pathology was discovered and removed before pregnancy, then it is necessary to be examined again, because its reappearance is possible.
Can I get pregnant with a polyp
As mentioned above, polyps prevent the onset of pregnancy, but there are cases where conception occurred even with such a diagnosis. Very much depends on their location and features of growth. For example, a poorly growing small cervical polyp does not have any negative effect on pregnancy. However, a woman needs supportive therapy, because because of it, infections can penetrate the fetus.
If a small neoplasm appears in the uterus, then the fertilized egg can still move to the right place and attach. However, it is not necessary to expose the life of the future baby to such a risk. It is possible that the disease will progress and provoke premature birth or stop the development of the embryo. It is worth noting that a woman is able to get pregnant with a polyp, but doctors' forecasts are usually extremely unfavorable.
Most often, polyps in the uterus, the symptoms and treatment of which are described below, do not manifest themselves and do not cause any discomfort. Usually they are found by the doctor or they make themselves known after inflammation or injury. Symptoms such as:
- violations of the menstrual cycle,
- difficulties with the onset of pregnancy,
- bleeding and discomfort after sexual intercourse or gynecological examination,
- fever and general malaise,
- discharge with an unpleasant smell,
- cramping or pulling pain in the lower back or lower abdomen,
- inflammatory processes in the pelvis (due to injuries and infection).
Quite often, doctors can see a polyp on the cervix during pregnancy during the examination of the woman on the chair. Over time, erosion, ruptures and other unpleasant changes may appear on it. The size of tumors are small (with a pea) or rather large (reach the genital slit).
As mentioned above, the main cause of the disease is hormonal disorder. However, there may be other reasons:
- chronic infections of the pelvic organs and the genitourinary system,
- excessive estrogen or progesterone deficiency,
- quick conception after removal of a polyp,
- violation of metabolic processes in the body and the presence of excess weight,
- bacterial infections,
- The poor state of the endometrium associated with incomplete detachment of the placenta during childbirth or abortion.
Too long use of the intrauterine device (it sometimes grows) can lead to the formation of polyps in the uterus. During pregnancy, they will manifest themselves and, perhaps, quickly grow.
Such education as a uterine polyp during pregnancy is considered benign, that is, it does not provoke cancer. However, its growth causes serious consequences, such as infertility. The embryo will not be able to get into the uterus and attach to its wall, because the quality of the endometrium suffers from the neoplasm. If the pregnancy did come, then most likely it will end in miscarriage.
Uterine polyps are usually small in size, ranging from a few millimeters-centimeters. Therefore, they do not often threaten the reproductive capacity of women. Large formations are considered dangerous.
Polyp in the cervical canal
If such a polyp does not grow, does not change, then it is not dangerous. Serious complications with inflammation associated with trauma or necrosis (circulatory disorders). Such a manifestation threatens normal childbearing, therefore, treatment will be needed to relieve inflammation. Cervical polyp during pregnancy is not removed, so the operation is carried out after childbirth.
This neoplasm is located in the cervical canal (between the vagina and the uterus). It should be remembered that without treatment, it can acquire a malignant form. Doctors treat the disease in accordance with the state of the cervical canal, which is very sensitive to any changes (as a miscarriage is triggered). They also pay attention to the complaints of pregnant women: unusual discharge, pain and cramps, fever, etc.
The course of the disease may be complicated by bleeding (usually this is characteristic of education in the cervical canal). What should a woman do if a polyp is pregnant during pregnancy? The blood is released during sexual intercourse, examination by a gynecologist. In the absence of mechanical effects, it can be allocated only in the presence of large formations.
A large-sized cervical polyp can cause bloody discharge with an unpleasant odor. They can disappear and reappear, strengthen and weaken. If a woman has similar symptoms, then she needs to: consult a specialist, reduce physical exertion, stop living sex, and more often carry out hygienic procedures. Even with a bleeding neoplasm, a healthy and strong baby can be born.
Most often, polyps are removed by hysteroscopy, curettage or hormone therapy. Hysteroscopy is carried out with a special device in the form of a tube, equipped with tools and a camera. It is introduced into the uterus through the genital tract and the neoplasm is removed. Scraping is an outdated and dangerous method of surgery, because the doctor performs blind manipulations. Hormone therapy is ineffective and can lead to the fact that education will become malignant.
Pregnant women should not be curetted and prescribed hormones if she wants to keep the baby. Treatment is postponed for the postpartum period, but when severe pains and bleeding appear, doctors suggest an emergency operation with a surgical or medical abortion.
It will be better if the polyp is removed during pregnancy in the early stages. It should be remembered that such an operation is an extreme measure. In this case, medical support and constant monitoring by doctors will bring more benefits.
Pregnancy after surgery
Pregnant women should not remove the neoplasm, however, with the appearance of alarming symptoms, surgery may be required. If the tumor nevertheless had to be removed, then the health of the pregnant woman will be monitored in the hospital. When the condition stabilizes, the woman will be discharged. In the future, most likely, you will have to take medications that exclude relapse and stop bleeding.
When fighting a disease, it is important to take a responsible attitude towards your own health, because the life of the future baby depends on it. As soon as a suspicion of polyps appears in the uterus (the symptoms and treatment were affected above), it is necessary to consult a specialist as soon as possible. Absolutely no matter the first time the disease manifested itself or the state of health worsened after the surgical impact. The most important thing to remember is that even a benign neoplasm can lead to the loss of a child or the disruption of its development.
The functioning of the female body, in particular its reproductive component is directly dependent on the level of natural sex hormones. Deviations in performance are the reason for the formation of growths, called polyps. Neoplasms can actively grow and have large scales both in the uterus and beyond, in the cervical canal. This most often occurs when:
- prolonged hormonal failure,
- after childbirth,
- frequent abortions.
The growth of a polyp can be affected by disruptions in the body and hormonal imbalances between progesterone and estrogen. This becomes the beginning of hyperplasia - the process of the emergence and intensive growth of tissue cells that form buildup in the uterus. The formation has the shape of a flat growth or fungus with a small leg. There are single polyps or groups having a size of 1-2 mm to 2 cm and more.
Detection of the pathology of the inner uterine layer impedes the process of conception and often becomes a cause for infertility. The formed polyp clogs the fallopian tubes, which reduces the patency of the genital tract and prevents the fertilized egg from reaching the uterus and becoming fixed on its walls. Conception is also impossible due to hormonal disorders, they lead to a deficiency of mature eggs. The endometrial layer is broken, which at conception can retard the development of the fetus or lead to an artificial termination of pregnancy.
How does endometrial polyp affect pregnancy? The removal of the polyp will require postponing and surgery after delivery, so that the patient can carry the baby normally.
Polyp during pregnancy can bleed. This symptom occurs due to trauma received by medical equipment during examination or during sexual intercourse. The condition is very serious, because through damage in the walls of the build-up, an infection threatens the body. If the bleeding occurs when a polyp has significant parameters or it is in the cervical canal, then a mandatory consultation with a doctor is necessary. Blood secretions are unstable, they can occur or disappear, be intense or moderate.
To diagnose and detect tumors in the uterus, an integrated approach is needed. It is formed from the data collected by the physician when examining patients and the results of examinations. For this:
- examination is performed using gynecological mirrors. The procedure identifies tumors in the cervix or prolapse of the uterus,
- To detect polyps in the body of the uterus, ultrasound is necessary. Examination and palpation are not able to determine the appearance of tumors. On examination, the doctor draws attention to the parameters of the uterus, the expansion, the thickness of the endometrial layer, which necessarily increases when a polyp is formed,
- hysteroscopy is performed. The technique is considered the most informative and is performed by inserting a microscopic instrument with a video camera into the cavity. The procedure allows you to accurately recognize the location, number, configuration and color of growths,
- lab tests. When performing hysteroscopy, the body of the polyp is peeled off and a histological examination of its cells is performed.
- diagnostic curettage is performed for subsequent laboratory analysis of cells,
- metrography. Required x-ray examination of the cavity and body of the uterus. Contrast is used, which helps to detect an uneven endometrial layer and small foreign growths.
All diagnostic methods require modern equipment and relevant knowledge of doctors. Modern clinics have the ability and the necessary resources to ensure accurate and timely diagnosis for a polyp at the initial stage, referring to the detected minor thickening and formation in the endometrium.
The appearance of formations during pregnancy can be characterized by serious complications and consequences. Among them:
- dysfunction of the ovaries,
- endometrial inflammation,
- the appearance of cancer cells
- fetal developmental pathologies,
- spontaneous miscarriage,
- placental abruption,
- uterine rupture
- heavy bleeding,
- problems in childbirth, caused by weak uterine contractions,
- fading child.
If the endometrial polyp has insignificant size, there is no growth and transformations during pregnancy, then it is not dangerous for the future baby. Exceptions happen only in a situation when:
- malignant growths. It is necessary to remove them,
- a polyp becomes inflamed and becomes a focus of infection. Measures to eliminate inflammation,
- leads to the disclosure of the cervix, causing early labor, miscarriage. A pessary is used (a ring for holding the uterus or suturing, the stitches from which are removed before delivery).
How to treat
If, as a result of research, polyps are found in the uterus during pregnancy, then there is no need to worry. Doctors believe that growths are dangerous only if they tend to grow intensively. To control the process, frequent and systematic visits to the gynecologist will be required, special attention should be paid when detecting particularly dangerous indicators. There are cases when there is no need to treat a polyp, because the polyp disappears on its own or is removed after birth. In any case, medical supervision is necessary and provides for the appointment and administration of certain drugs. As a rule, it is a progesterone substitute - Duphaston. Perhaps antibacterial treatment, if the reason for the growth were inflammation of the genital organs. To avoid miscarriage or premature birth, doctors do not practice surgery during pregnancy. In this case, patients are prescribed regular ultrasound, which allows you to monitor the indicators of transformations, changes in parameters, as well as recommend adherence to sexual rest and the exclusion of excessive loads.
Polyp during pregnancy in the early stages
If the formation on the walls of the uterus or in the cervical canal did not show up before conception, and the fertilization of the egg successfully happened, the embryo entrenched and developed normally, then there is a chance that everything will go well and will not cause problems for the woman and the embryo that is being formed. It will take the entire pregnancy to be under the supervision of a gynecologist. If inflammations appear, the parameters of the polyp increase, bleeding or bleeding and other processes that threaten the health of the woman are observed, the surgical removal of the formation at 12-14 weeks of pregnancy is prescribed by doctors. When a polyp appears in the cervical canal and to prevent the development of infections in the short term, antibacterial therapy will be sufficient.
Can I get pregnant with uterine polyps
Can I get pregnant with a polyp of the endometrium? A question that often concerns women who have not given birth has no definite answer. According to statistics, many cases of successful conception in the presence of a polyp in the uterus. With an unnatural growth of the endometrium, pregnancy is possible, the polyp does not interfere with conception. If pregnancy is planned in advance, you will first need to undergo an ultrasound scan, visit a gynecologist, and take tests. If a polyp is detected, it is necessary to undergo a course of treatment, and, if necessary, to remove the polyp. If conception occurred in the presence of minor foreign bodies in the uterus, then regular visits to the doctor will not hurt you. The problem must be kept under control, since the growth can lead to detachment of the placenta, which is fraught with a decrease in blood flow to it. It is difficult to imagine, but development can stop, food is disturbed, oxygen is supplied to the embryo, hypoxia appears and the risk of miscarriage arises.
Nuances of removing growth during pregnancy
Surgical intervention to remove growths on the endometrium or in the cervical canal at any stage of pregnancy is not recommended, because there is a risk of harm to the fetus. But there are cases when there is an urgent need for it. There are factors and prerequisites that require immediate surgery, despite pregnancy. These include:
- growths over 1 cm
- polyp growth of 2 mm per month
- intense bleeding, threatened miscarriage,
- the appearance of additional processes
- danger of infection and fetus infection.
Several methods of surgical intervention are used to correct the problem, the most effective of which is hysteroresectoscopy or hysteroscopy.
В других случаях удаление полипов в матке в период беременности исключено. Лишь возможна операция по отсечению нароста в цервикальном канале. Необходим наркоз, который обеспечит обезболивание. It is necessary to choose it personally, taking into account the peculiarities of each patient. Disinfection of the genital organs is performed, the cervical canal is moved apart and the incision is cut off with the help of a hysteroscope.
Pregnancy after removal
If conception is not possible, due to a growth in the uterus, the pregnancy after hysteroscopy of the polyp occurs very quickly. After receiving the results of histology, the doctor prescribes hormone therapy, aimed at reducing the development of relapse. Treatment with drugs lasts from 3 to 6 months, after which you can begin planning pregnancy.
Pregnancy after surgery to remove an endometrial polyp, despite rumors and risks, is possible in most women. The work of doctors and the desire of women will bring happiness to motherhood.
Can a polyp be confused with pregnancy
In non-lubricated situations, a knowledgeable and experienced doctor will be able to distinguish a polyp from pregnancy. To do this, it is enough to have basic knowledge and to have the results of tests and diagnostics. Establishing the correct diagnosis is not difficult, since the growths of the endometrium differ from the fetus in shape and shade. The egg is round and dark in color, and the polyp is lighter. An erroneous diagnosis in such cases is extremely rare. But, if you still want to be sure, then contact another specialist to reconfirm.
My husband and I planned to have a second child. Pre-tested and passed a medical examination. Very upset when, after an examination by a gynecologist, an endometrial polyp was diagnosed and the doctor suggested surgery to remove it. Turned to the Internet and read the reviews. It turned out that everything is not so terrible and conception occurs after the removal of the polyp, and the pregnancy proceeds without complications.
It so happened that already during pregnancy, I learned about a small polyp that appeared in my neck on the cervix. The doctor informed about possible difficulties and recommended that he take this very seriously and constantly monitor his condition on his own, as well as regularly visit the doctor and make a diagnosis. Everything worked out, thanks to Irina Alekseevna (local gynecologist) for her son! Thanks to her attention, experience and precise observation of the situation, our miracle appeared! And after the birth, she completed the treatment, performed the operation, since she did not take risks and did not wait for the polyp to degenerate into a malignant tumor.
Svetlana, 30 years old
With a small polyp, I had bleeding, it was in the cervical canal. In this situation, pregnant women should start taking anti-inflammatory by prescription. Some doctors without thinking send an operation for up to 14 weeks, but do not rush to do it, consult a few specialists and only then make a decision. The operation is not always justified, so you need to make balanced conclusions, and take into account the individual characteristics of each woman.
Can I get pregnant with a polyp in the uterus?
If the formation has a small size, it does not bring discomfort. Polyp can be found in the cavity during pregnancy. In the absence of infection and intensive growth of the polyp, the pregnancy can be completed safely, but it requires constant monitoring.
If deviations are observed, the probability of death of the fetus or miscarriage increases many times. It is especially dangerous if a polyp is diagnosed with:
- Genitourinary infection
- Ovarian dysfunction.
According to most experts, the presence of a polyp of the cervical canal or uterine cavity in many cases does not lead to the problem of conception or miscarriage of the baby. But the reasons that cause its appearance directly affect the female reproductive function. Most often it is:
- Chronic genital infectious diseases,
- Endometrial hyperplasia,
- Hormonal abnormalities
- Cycle violations
- Frequent abortions
- Surgical intervention on the uterus,
- Violation of metabolic processes,
- Hypertonic disease,
With such abnormalities, it is almost impossible for a woman with an endometrial polyp to become pregnant, so you should undergo a full examination and treatment.
Is pregnancy possible after removal?
The course of drug treatment after polypectomy should be at least two or three months. At the same time, a woman is recommended:
- Refrain from sexual intercourse, since the probability of getting pregnant after a polyp removal immediately exists, but it is unlikely to be able to convey it to the end,
- Avoid physical exertion
- Do not conduct heat treatments.
Daily washing should be limited to taking a shower, a bath is strictly contraindicated.
Pregnancy after removal of a polyp occurs in each woman at different times, since the human body is individual (from 3 to 6 months). But you should try to get pregnant as soon as possible, because the disease tends to recur.
And with each operation for a polyp, the probability of conception is reduced. When carrying out treatment to restore hormonal levels and endometrium, you can become pregnant immediately after a full course of rehabilitation.
If pregnancy occurs after hysteroscopy, then you should not be afraid if a new education is revealed during the examination. With the strict observance of the instructions of the doctors, it will not be able to quickly grow to such dimensions as to pose a threat to the fetus.
If there is a formation of a polyp on the cervix during pregnancy, then in case of its increase up to 1 cm, the operation is carried out before delivery.
Polyp in the uterus and pregnancy can be combined if the condition of the woman is constantly monitored by specialists. This formation is not a foreign body, polypous growth consists of endometrium, and this tissue normally lines the entire uterine cavity.
Formed from glandular cells. There are completely different sizes and shapes, but in terms of consistency they are very soft and pliable. These are functional formations, i.e. actively produce a secret, so they can often cause some symptoms. All glandular polyps are subject to compulsory treatment, since subsequently they can change into more malignant - adenomatous.
Glandular fibrous polyps have a more dense structure, for this reason it is sometimes difficult for them to catch on with a curette or other instrument. They are the least susceptible to all sorts of transformations, so when detected in women in menopause, you can simply dynamically monitor the state of the uterus.
We recommend reading the article on planning pregnancy after hysteroscopy. From it you will learn about the indications for the procedure and its implementation, the possibility of conception after hysteroscopy.
And here is more about planning a pregnancy with one fallopian tube.
Ferrous fibrous (mixed)
They are a combination of the elements of the last two, both by morphofunctional and by clinical signs. There are more often than others, especially in women during the reproductive period.
The fibrous layers of the polyp are located closer to the “leg”, in which it attaches to the wall of the uterus. The glandular areas are closer to the top. This anatomical feature affects the quality of treatment.
They are the most dangerous in terms of the likelihood of a subsequent malignant process. Also, they are sometimes difficult to distinguish from highly differentiated adenocarcinoma. Therefore, all women with detected adenomatous polyp undergo a more detailed and in-depth examination and treatment.
These types of polyps are formed after a recent pregnancy. This may be due to incomplete separation of the placenta, delayed chorionic particles after an abortion, a non-developing pregnancy, etc. They manifest themselves with bleeding of varying intensity - from daubing to very heavy discharge. Independently rarely go away, in 98% of cases instrumental removal is necessary.
For possible reasons, all polyps can be divided into the following groups:
- inflammatory, resulting from a chronic infectious process,
- neoplastic cells, which are made up of cells, which are unusual for this area,
- hyperplastic - excessive growth of typical tissues of a particular area, often occur on the background of hormonal disorders.
Also divided by form. There are the following types:
- "On the leg", their length is always greater than the width. Sometimes even such polyps can descend from the uterus into the cervical canal and vagina.
- Sessile, have a wide base by which they are attached to the wall.
Such growths can vary considerably in size: sometimes it is just a few millimeters, and sometimes more than 10 cm.
Look at the video about endometrial polyps:
Polyp endometrium and pregnancy: can you conceive?
Endometrial polyps are formed not only in women during or after menopause. Often, birthless young girls suffer from illness.
Endometrial polyps are detected in different ways. Most often, girls are treated with the following complaints:
- on periodic spotting after menstruation, before and in the middle of the cycle,
- on infertility.
Polyps are also found when performing routine ultrasounds in at-risk groups, for example, with concomitant polycystic cytosis, uterine myoma, menstrual disorders, etc.
Therefore, naturally, young girls are worried about the question whether they will succeed in conceiving with a polyp, whether it should be removed or somehow cured.
It all depends on many factors. In particular, the following points are of fundamental importance.
What is the cause of education. Among the main factors that play a role in the formation, are hormonal disorders. Therefore, it is not the polyp itself that can cause infertility, but the root causes that led to its appearance. In such situations, even the removal of growths will not lead to a quick pregnancy.
What is the nature of the polyp:
- It can act in the uterus, as a spiral, preventing the attachment of a fertilized egg. This applies to large fibrous and glandular fibrous on the histological structure.
- A placental polyp is often accompanied by inflammation and bleeding, so even when fertilization has occurred, the pregnancy either does not consolidate or is likely to be undeveloped.
Where is located. Localization of polyps is as important as their structure. The least favorable places are as follows:
- At the mouth of the fallopian tubes, which can be an obstacle to sperm. But even if they penetrate to the egg cell and fertilize it, the egg of the egg itself may not get into the cavity due to its large size. This is one of the causes of ectopic pregnancy.
- In the center of the cavity. In this case, the polyp will work as an IUD, preventing the attachment of the ovum in any place.
- Closing the lumen of the cervical canal. This will create a mechanical obstacle in the path of sperm.
Are there any concomitant diseases? Often, adenomatous or mixed polyps are combined with endometrial hyperplasia, uterine myoma (including submucous), and other conditions. It is they, not the polyp, that will counteract pregnancy, for example, by not giving the ovum to attach or causing detachment.
Do I need to remove to get pregnant
Such growths are not always necessary to be surgically removed so that it does not affect the conception. This is due to the fact that women have a rejection of the endometrium every month.
To say clearly, you need to remove the polyp or not, it is impossible. Many doctors prefer more aggressive management and offer hysteroscopy or WRD immediately. But there is another tactic. At the same time, time is given for independent resolution of the problem (2–3 months), and hormone preparations may additionally be prescribed for the same period.
If the polyp remains after this, the likelihood that he will leave is minimal. And if a woman tries to conceive a baby unsuccessfully, it is better to remove the tumor.
Is pregnancy possible after removal of the endometrial polyp
Many girls worry that removing a polyp can lead to complications, as a result of which the likelihood of pregnancy will become even smaller. Of course, no specialist is immune from errors; uterine perforations occur during hysteroscopy and RFE. But correctly and correctly carried out the removal, followed by prophylactic treatment does not reduce, but only increase the chances of pregnancy.
Cervical Canal Polyps: How They Affect Conception and Pregnancy
Many do not see a fundamental difference in endometrial polyps and cervical canal. In fact, these are two separate concepts with dissimilar reasons.
Cervical canal polyps can also be of different nature, size and location. Located inside the cervix, they create a mechanical obstacle in the path of moving sperm. Also, inflammation is often associated with these structures, and the infection can literally immobilize the male sex cells. All this negates the likelihood of pregnancy.
Decidual cervical polyps have a different nature and effects. They are formed only during pregnancy (at any time) and are the result of hormonal transformations. Despite their sometimes quite impressive size, they do not pose a particular threat to carrying. The main complications that involve decidual polyps:
- inflammation at their location,
- bleeding from injury, including sexual intercourse or smear. Sometimes the bleeding is quite abundant.
The tactics of decidual polyps of the cervix is twofold: you can observe them throughout the entire period of gestation or delete them. Many doctors prefer not to interfere with his growth and are resected only with his constant injury and bleeding.
After hysteroscopy endometrial polyp
Hysteroscopy is the best option for removing polyps, especially for young girls who do not give birth or suffer from infertility. This is due to several reasons:
- This is the least traumatic way, since everything is carried out under the supervision of a doctor’s vision.
- It is possible to remove a polyp, and then check whether its “leg” is completely gone.
- It helps to establish whether this growth really caused infertility and other complaints.
- Often combined with the implementation of hysteroscopy and laparoscopy. This allows you to additionally check the patency of the fallopian tubes and to verify the presence / absence of another pathology (endometriosis, cysts, etc.).
After hormonal treatment
If conservative treatment, hormonal treatment is chosen, its average course is 3-6 months. After that, you need to make the control of the pelvic ultrasound. In the absence of suspicion of a polyp, you can immediately begin planning a pregnancy. If it is preserved, it is better to carry out its surgical removal. This will postpone the pregnancy permit for a few more months.
If the girl refused to delete
In case of refusal from the proposed operative and other treatment, pregnancy can be planned without any restrictions. But women should understand that the risks of a pathological course of gestation period are somewhat higher than those of healthy ones. Especially if the results of ultrasound education was preserved in the uterus.
Is it possible to confuse endometrial polyp with pregnancy
Often, on the background of endometrial polyps, girls may have menstrual delays. If they are actively planning a pregnancy, then sometimes these conditions can be confused, even resorting to other research methods.
Therefore, in order to evaluate a polyp in a cavity or a fertilized egg, several examinations should be performed:
- Pregnancy test, but it does not always show the correct result in the early period. Therefore, it is better and more informative to take a blood test for hCG. With 100% certainty, he will indicate a pregnancy as early as 10 days after fertilization.
- Ultrasound examination of the pelvic organs. In 95% of cases, a polyp can be clearly distinguished from the ovum. But sometimes there is a small inclusions in the growths, which can be taken for a fertilized egg in a short period. Also, for example, in the case of a non-developing pregnancy, you might think about a polyp. In order to further increase the reliability of the study, in questionable situations, it is recommended to carry out Dopplerography with the determination of blood flow in this zone.
- Regular gynecological examination. In the case of pregnancy, even at short notice, the doctor will see indirect signs of the conception occurred.
We recommend reading the article on planning pregnancy when the uterus is dropped. From it you will learn about the causes of uterine prolapse, the possibilities of conception and the characteristics of carrying a child.
And here is more about planning pregnancy with polycystic ovaries.
Endometrial polyp is a serious pathology that can not only increase the risk of developing other gynecological problems, but also cause infertility. In each case it is necessary to approach treatment individually, taking into account all the nuances. Therefore, it is important to find a competent specialist in this field.
При гиперплазии эндометрия врач пропишет курс лечения гормонами, чтобы устранить вероятность повтора рецидива. . Планирование беременности после чистки матки.Is it possible to get pregnant after curettage?
Such miraculous properties of the red brush when planning pregnancy is due to its richest. erosive damage to cervical tissue, cystitis, the formation of multiple cysts and polyps on the ovaries, colpitis
Planning a pregnancy. Folk methods for conception. All about infertility. Early pregnancy. . A disease in which tissue, similar to endometria, spreads around the mucous membrane of the uterus, where over time.
Description of the endometrial polyp
Polyp is a common name for benign tumors on the uterine mucosa. It is a consequence of the pathological proliferation of endometrial tissue caused by hormonal imbalance or another cause. The size of growths varies from 1–2 to 80 mm and more. They can be single or multiple.
This deviation is often detected in the diagnosis of the causes of infertility, but is sometimes found after conception. In this case, treatment is delayed for the postpartum period. However, a polyp during pregnancy poses a certain risk to gestation.
The main symptoms of pathology
Polyps are usually detected during genital ultrasound, and pathology does not always have an external manifestation. Large growths can cause:
- nagging pains
- bloody or serous discharge,
- mucous discharge from the vagina,
- painful heavy periods,
- scanty menstruation,
- bleeding or spotting between menstruation,
Outgrowths on the endometrium do not always prevent conception, it is possible to get pregnant with a polyp. However, in some cases this leads to complications during gestation.
Causes of polyp formation
The causes of the formation of polyps are varied and not fully understood. Ages over 35 are an additional risk factor, but the disease is diagnosed in women at different periods of life. Most often, pathology occurs in the background:
- Chronic infectious diseases of the reproductive sphere. The development of inflammatory processes contributes to the formation of polyps.
- Violations of the secretion of sex hormones. Often observed glandular hyperplasia of the endometrium and other pathologies.
- Endometriosis, fibromyoma, adenomyosis.
- Endometrial hyperplasia. During menstrual bleeding, the severed endometrium is sometimes not completely removed, and the remaining areas in the uterus can turn into polyps.
- Prolonged mental overload and stress.
- Frequent abortions, scraping.
- Long-term hormonal therapy, contraception (IUD).
- Diseases of the digestive system - intestines, gallbladder, liver.
- Genetic predisposition.
- Partial removal of the placenta during abortion or childbirth. The remaining fragments in the uterus can lead to the development of a placental polyp.
- Hormonal adjustment during menopause.
Despite the fact that pregnancy can occur in the presence of such formations, they have a negative impact on the development of the embryo and can lead to spontaneous abortion.
In rare cases, a polyp in the uterus forms during pregnancy - as a reaction of the endometrium to this physiological process.
Factors affecting the postponement of pregnancy
During pregnancy, polyps pose a threat to the health of the mother and baby. And in some cases, these formations are a serious obstacle to conception. In particular, the polyp located in the isthmic department of the uterus (the junction with the fallopian tube) interferes with the advancement of sperm and fertilization of the egg.
If the growth on the endometrium is detected and removed in advance, then conception can be planned in the next menstrual cycle. In the absence of complications for the restoration of the mucous layer is enough one or two months. However, in some cases, surgery may not be enough, and additional treatment will be required.
Pregnancy with an endometrial polyp does not always proceed safely, but removal can lead to complications. It is impossible to exclude the possibility of bleeding if a woman has reduced blood clotting, fragile blood vessel walls or slowed tissue regeneration processes.
The appearance of bloody discharge from the vagina between menstruation, as well as the transition of menstruation to prolonged blood loss.
On the background of bleeding, iron deficiency anemia develops, the hemoglobin index drops significantly below the norm. This condition is unfavorable for the beginning of pregnancy, since the woman’s body cannot provide the fetus with adequate nutrition and oxygen supply.
Therefore, before planning conception, it is necessary:
- stop the bleeding,
- restore normal hemoglobin levels with iron supplements,
- to establish a balanced diet rich in vitamins, microelements, especially iron (to include in the menu liver, beef, pomegranates and other products to improve blood).
A blood test and assessment of the general condition will help determine when the body has recovered and is ready to bear the child.
A significant obstacle to a safe pregnancy is an infectious-inflammatory process in the reproductive system. It adversely affects the condition of the uterine mucosa and can cause a number of serious complications:
- high probability of miscarriage throughout gestation,
- infection of the fetus at the stage of prenatal development or in the process of labor,
- developmental abnormalities, structural abnormalities of the child’s organs and systems,
- polyp recurrence.
Therefore, surgery to remove a benign lesion is usually supplemented with antibacterial therapy. You can confirm or eliminate the infection after the course of treatment with the help of special tests.
The development of many gynecological diseases, including infertility, is associated with a prolonged imbalance of sex hormones in a woman’s body. This disrupts the natural processes of maturation of the egg and the formation of the endometrium, the conception is difficult or impossible.
A variety of factors provoke disruptions in the endocrine system. This may be surgery, stress, malnutrition or metabolic disorders. Therefore, along with the removal of the polyp, it is necessary to assess the state of the hormonal background and, if necessary, to correct it with the help of special preparations.
Conception is advisable to plan after the completion of therapy and the normalization of hormonal levels.
A common way to remove growths in the uterus is scraping. This is a very traumatic operation. After it (in the process of healing mucous membrane), the appearance of adhesions inside the organ is possible.
Adhesions (synechiae) are strands of connective tissue that can form between the inner walls of an organ. There are different sizes and shapes, but they are always a hindrance to pregnancy. If they appear, re-scraping will be necessary to remove them.
To avoid such complications, it is very important to adhere to all the recommendations of the doctor after the removal of the polyp, it is imperative that you pass the prescribed course of physiotherapy.
Endometrial polyp diagnostic method
Complex diagnostics for a polyp includes such methods as:
- Ultrasound examination of the uterus (ultrasound).
- Hysteroscopy. Allows you to determine the number, location and size of polyps, the state of endometrial tissue. It can be performed in conjunction with selective scraping, removal of a neoplasm, taking a biopsy or scraping.
- Histology - the study of cell growth under a microscope.
- Blood tests, urine, smear.
Based on the results, the doctor selects an individual treatment regimen.
In modern gynecology, various methods are used to treat endometrial polyps, both conservative and surgical. However, the operation is considered more effective and reliable than medical correction, therefore it is used more often. Traditional medicine with such a diagnosis is practically useless and can only supplement the main therapy as an auxiliary restorative course (strictly in consultation with the doctor).
Conservative treatment is justified if the tumor in the uterus is small (less than 5 mm) and, according to the results of the examination, does not represent a threat of malignant transformation. In this case, the doctor may prescribe hormonal or antibacterial therapy (depending on the cause of the pathology) for correction. In this case, the polyp will not disappear, but may decrease in size and will not interfere with the natural physiological processes. In all other cases, surgery is recommended to remove the polyp.
Surgical treatment (resection) of a polyp can be done in different ways depending on the characteristics of the course of the disease, morphological type of outgrowth (fibrous, glandular, adenomatous), age of the woman and other factors.
Contraindications to surgery are:
- infectious and inflammatory diseases of the reproductive system (bacterial, viral or fungal),
- chronic diseases in the stage of exacerbation or decompensation (bronchial asthma, diabetes, severe hypertension, gastric ulcer),
- severe uterine bleeding,
- catarrhal disease (ARI, ARVI).
Pathology and damage to the cervix also impede the operation, but in this case it is possible to remove the polyp using laparoscopy (through a small incision in the abdomen).
For surgery, healthy vaginal microflora is of great importance (so as not to bring the infection deeper). Therefore, for several days before the operation, it is recommended to refrain from sexual contact or to use barrier contraceptives (condoms) during intercourse.
There are the following ways to remove benign lesions in the uterus:
- Hysteroresectoscopy. The method involves the introduction into the uterus (through the vagina and neck) of a special device - a compact video camera, combined with a tool resembling scissors. The device allows for constant visual inspection to find, separate and remove the tumor. The location of the polyp is locally scraped and treated with special solutions to prevent infection.
- Removal by electric loop. Also carried out under the control of a hysteroscope. This method allows you to simultaneously burn the place of removal of the polyp and prevent bleeding.
- Laser removal. One of the most modern and safe methods. The operation does not require anesthesia, after it there is no bleeding and no scars remain.
- Scraping (curettage). Outdated and rather dangerous method, is used in poorly equipped medical facilities that have only the simplest tools - neck extenders and curettes. During the operation, the doctor blindly separates the entire upper layer of the uterine lining. At the same time, there is a high probability of damage to the basal layer, perforation of the organ wall, and infection. After such an intervention, there remains a high risk of disease recurrence. Curettage can be recommended for multiple endometrial polyps or the need for emergency surgery.
- Radio wave method. For safety and efficiency comparable to the laser. Directional radio waves affect the tissues of the growth and consistently destroy layer after layer. It does not damage the adjacent endometrium, recovery occurs very quickly.
- Unscrewing the polyp - can be used with a single outgrowth on a thin stalk. Not the most effective method, since the root of the growth remains and can cause recurrence.
To obtain a long-lasting and reliable effect, it is necessary not only to remove the neoplasms, but also to eliminate the cause of their appearance. According to indications after surgery, a course of hormone therapy or antibiotics, as well as physiotherapy can be prescribed. It is important to follow the recommendations of the doctor, otherwise re-formation of polyps in the uterus or the development of complications is possible.
Within a few weeks after surgery are prohibited:
- heavy physical exertion
- bath and sauna visits, overheating,
- swimming in open water
- sexual intercourse.
Menstruation after surgery comes as usual or with minor abnormalities. Conception is possible within 1-2 months after surgery, but it is better to postpone it until the end of corrective therapy and full restoration of reproductive health.
Types of polyps
Cervical canal polyps are divided into:
- ectocervical (located outside the cervix),
- endocervical (localized in the inner part of the uterine cervix).
Uterine polyps are:
- glandular (composed of uterine glands and stromal cells),
- fibrous (having exclusively fibrous structure),
- glandular - fibrous (consist mainly of fibrous cells with a small inclusion of glands),
- adenomatous (composed of glandular cells, some of which have an atypical structure).
The causes of the disease
Endometrial polyps appear without any reason in women of any age. Pregnancy and childbirth do not affect the incidence of this pathology. It is assumed that the appearance of such tumors is associated with microtraumas during abortions, prolonged use of the intrauterine device, as well as metabolic disorders and hormonal changes.
Detection and treatment tactics
Most often, a polyp is found by chance during a gynecological examination, (if it is located in the cervical part of the uterus), as well as during examination for infertility. Typically, such a survey is carried out using the method of hysteroscopy, as with a conventional ultrasound the tumor is often not noticed.
This method is an examination of the walls of the uterus with an optical device. This type of examination is performed under general anesthesia. After that, the question arises about the removal of the polyp, since it is a radical method of treating this pathology. In some cases, polyps are left under the supervision of a physician and do not operate, but in most cases, surgical intervention is recommended, because polyps can grow indefinitely, reaching significant sizes.
What will be the danger of a polyp, if you refuse to remove it
Possible risks associated with polyps:
- bleeding leading to anemia,
- the inability to conceive and bear a child
- hormonal imbalance
- pinching a polyp when it is localized on the cervix,
- malignant degeneration of polyps.
In any case, the decision remains with the patient. However, it should be borne in mind that the longer it takes to carry out a simple operation, the more negative consequences a polyp can give. Formations of a large size not only impede conception, but also interfere with the transfer of an already fertilized egg.
The intervention is carried out in the last days of the menstrual cycle, so that it coincides in time with the physiological rejection of the mucous membrane and does not prevent its synchronization with the growth of follicles in the ovaries and, accordingly, normal recovery after curettage.
Important! The operation should not coincide in time with menstruation, otherwise it will not be possible to obtain a full-fledged material for histology.
Under the influence of narcotic sleep, the device is introduced into the uterine cavity and, exercising visual control, the neoplasm is removed. With a significant polyp size, a polypectomy is performed, a cold agent is applied to the site of attachment or it is cauterized by electrocoagulation to prevent the formation of recurrence. The removed polyp is sent for histology.
Polyp of the cervix is removed in a simpler way, without anesthesia using cryolysis, coagulation or electrocautery. Such operations are carried out in the first half of the cycle.
Immediately after curettage, a course of antibiotics is prescribed, and 3 days after the polypectomy, the patient is sent to an ultrasound of the uterus cavity. Up to 2 weeks after surgery, there may be bloody discharge.
Attention! In case of heavy bright red discharge, consult a doctor immediately!
The tactics of subsequent therapy depends on the results of histology. If there are no other complaints, and the tissue analysis shows the fibrous origin of the polyp, the treatment is completed. When the glandular and glandular - fibrous polyp of the endometrium is prescribed hormonal treatment, which lasts as usual from 2 to 6 months. Young women are prescribed COCs, and after 40 years, gestagen preparations.
Adenomatous form of the polyp is an indication for a more prolonged and serious therapy, because it is a precancerous form of the disease. Young patients planning pregnancy after removal of the polyp are prescribed hormone therapy and systematic observation. Relapse of adenomatous education is an indication for extirpation. Amputation of the uterus together with the ovaries is shown to patients with premenopausal and postmenopausal age with burdened heredity.
Pregnancy planning after polypectomy
It is statistically confirmed that in the overwhelming majority of cases, pregnancy after removal of the polyp, if it occurs, passes quite safely. In some cases, there is a premature interruption.
The onset of pregnancy occurs almost immediately after the cancellation of contraceptives. The question arises, when is it better to plan conception? It is not recommended to postpone planning a long term pregnancy. Polyps often recur and there are known cases when the pregnancy proceeded with a new polyp.
Young patients who have not given birth ask a question: is it possible to get pregnant with a polyp? In some cases, pregnancy with a polyp may well come. Doctors found that the polyp will not significantly affect the course of pregnancy and childbirth. He does not pose any threat to the fetus. Remove it after delivery in the usual manner.
Thus, neither the presence nor the removal of the polyp is an absolute contraindication for pregnancy planning.
What is a polyp
The mucous membrane of the uterine cavity - the endometrium - is regularly updated during menstruation. When, for a number of reasons, there is an imbalance between progesterone and estrogen, hyperplasia can begin — an overgrowth of tissue cells. It leads to a growth inside the uterus, on the cervix or in the cervical canal. This education:
- It looks like a mushroom on a thin leg or flat growth,
- happens single or there are groups
- with sizes ranging from a few millimeters to two or more centimeters.
The appearance of pathology during the growth of the endometrium prevents the onset of conception, becomes the cause of infertility. Polyp formation:
- impairs patency of the genital tract due to blockage of the fallopian tubes, a large number of growths,
- prevents a fertilized egg from getting into the uterus,
- leads to the absence of ovulation as a consequence of hormonal changes - conception becomes impossible,
- violates the state of the endometrium, the fertilized egg can not take root in the uterus,
- in the case of conception - threatens the development of the embryo, there is a risk of miscarriage.
Polyp of the cervical canal during pregnancy
The safe passage of all stages of fetal development depends on the state of this zone of the female genital organs. At the slightest deviations possible termination of pregnancy, death of the embryo. The appearance of a polyp in the cervical canal is a dangerous situation, which is accompanied by symptoms:
- bloody smells,
- nagging pains
- the appearance of whiter,
- bleeding after gynecological examination, sexual intercourse.
What to do if during pregnancy a polyp was found in the cervical canal? Doctors recommend:
- in the case of a decidual form with a growth size less than 1 cm and no signs of isthmic-cervical pathology, treatment and removal should not be performed,
- with large sizes, the presence of inflammation, to eliminate the threat of miscarriage, injury to the cervix during childbirth, surgical intervention is necessary.
Polyp during pregnancy blood
The appearance of such a symptom is possible with injury, which is caused by an external influence - the instruments of the doctor during the examination, sexual intercourse. The danger of the situation is that through a thin damaged growth wall an infection can be carried that poses a threat to health. The bleeding caused by large neoplasms or located in the cervical canal requires the supervision of a physician. They can:
- disappear and appear
- intensify and calm down.
Doctors do not consider tragedy the appearance of growths during pregnancy, if they do not have a tendency to increase. It is necessary to regularly visit the gynecologist to monitor the condition, especially when dangerous symptoms appear. Often, treatment is not required, and the growth is absorbed independently or is removed only after delivery. Under the supervision of a physician are appointed:
- drugs - analogues of the hormone progesterone - Duphaston,
- antibacterial treatment when the cause of the growth is inflammation of the genital organs.
Gynecologists prefer to avoid surgery during pregnancy in order to eliminate the risk of spontaneous abortion after surgery. Women are prescribed:
- more frequent passage of ultrasound - to monitor the dynamics of changes in the size of growth,
- observance of sexual rest during pregnancy,
- limitation of physical activity.
Is it possible to get pregnant after removing the endometrial polyp
This issue concerns many women, especially if they do not have children. After the operation, a course of hormonal therapy is prescribed, its duration is determined by the gynecologist. During this period:
- the woman is in the dispensary at the doctor,
- tests regularly,
- undergoing ultrasound examination - possible relapses - reappearance of growths.
Patients need to follow the doctor's instructions after the removal of the tumor, to conduct timely treatment. Consider the important points:
- you can get pregnant two or three months after the course,
- It is not recommended to delay the conception process - a high probability of new growths, especially if the removal was not carried out completely.
She couldn’t get pregnant for a long time until the doctors found several growths on the cervix. The gynecologist recommended that I do a hysteroscopy - remove the tumor. The operation was successful, however, then she took hormonal drugs for another three months. Six months later I became pregnant, now our daughter is growing up.
There was horror when, during the second pregnancy, discharge with blood appeared. It turned out that in the uterus after the first birth due to the remnants of the placenta a growth was formed. The doctor scared that a placental polyp during pregnancy can lead to complications. Recommended sexual rest, do not overload. It was lucky - the growth stopped growing, the son was born healthy.
I found a polyp on the cervix during pregnancy for 12 weeks. When planning conception, I was examined - a decent age for the first birth and there were no pathologies. Doctors diagnosed decidual growth, all pregnancy followed its development. Everything turned out, the child endured without problems. After birth, the growth has disappeared.