Therapy

If polyps of the uterus are detected but do not cause symptoms, they do not necessarily have to be removed. Here, the question of whether or not a therapy should be carried out should be clarified jointly by the doctor and patient after weighing up the advantages and disadvantages. In most cases, however, the decision is made to remove the polyps from the uterus for safety reasons.An intervention is unavoidable if there is a suspicion of a precancerous stage or if further pathological findings are found during an examination.

Normally, polyps can be removed by means of a scraping (curettage). This operation is performed under general anesthesia and can be combined with a uterine endoscopy if necessary. If the presence of cancer is suspected in polyps of the uterus, a larger, conical piece of tissue is removed in a so-called loop conisation.

Depending on the results of the fine tissue (histological) examination, further treatment may be necessary. The scraping, which is also called abrasio, serves diagnostic and therapeutic purposes. If polyps of the uterus cause discomfort, such as intermediate bleeding, discharge or pain, it is recommended to perform a scraping.

The polyps are removed and then examined for fine tissue. During the subsequent examinations under the microscope, it is possible to determine whether the polyp was benign or malignant. A fractional abrasion is also often performed.

In this procedure, parts of the mucous membrane from the cervix and the uterine cavity are removed individually and then examined more closely. This procedure is also recommended in case of complaints such as inter-bleeding, in order to determine the cause of the bleeding. Polyps in the uterus are initially benign growths of the mucous membrane.

They are found in many women of all ages, but are particularly common in patients after and during the menopause. Depending on when and with which symptoms the polyps occur, it may be advisable to have them removed by surgery. Depending on the size of the polyp, it can be removed in different ways, and often even a minor operation is sufficient to remove the polyp from the uterus.

If a gynaecologist discovers a small superficial polyp during a routine examination, he can remove it directly under local anaesthetic without major surgery. The procedure is comparable to the removal of a birthmark. However, there are many gynecologists who cannot perform such an operation in their practice, or the polyps are too deep for such a removal.

In such cases, a referral to a gynecological clinic can be made, where the polyps are then removed in a minor operation. The operation is performed on an outpatient basis, which means that the patient, after her adenoids have been removed, can leave the clinic after a few hours and does not have to stay there overnight. During the operation, the patient is put under general anesthesia so that he or she is not aware of the operation.

As the procedure is very short, about 10-15 minutes, general anesthesia is also only for a short time and has few side effects. During the operation, the doctor scrapes off the mucous membrane of the uterus and can thus remove the polyps. The polyps can then be sent for histological examination to determine whether it is a harmless polyp or whether it is already cancerous.

With the help of a so-called hysteroscope, the gynaecologist can take another close look at the uterine mucosa to determine whether everything has been removed and whether the mucosa now looks regular again. Since this is a short routine procedure, the patient can usually leave the clinic after a few hours. However, due to the general anesthesia, side effects such as nausea or abdominal pain may occur, which may mean that the patient may have to spend a few days at the clinic until the symptoms subside and the patient feels able to go home.

Surgery is not always indicated, especially small polyps can initially only be monitored or treated with drugs such as hormone preparations or GnRH agonists. Nevertheless, surgery should be considered, not only because polyps can degenerate into cancer in the uterus, but also because they can cause intermediate bleeding, pain during sexual intercourse or infertility. To avoid this, the patient is operated.

After a polyp removal or a scraping, it is usual to take a sick leave for a few days. How long one is on sick leave depends on various factors. In most cases, physically non-stressing activities can be resumed after only 2 to 3 days.In the case of a physically strenuous activity, it is also possible that you will be put on sick leave for 1 to 2 weeks.

Apart from the activity performed, the duration of the sick leave also depends on the general physical condition of the woman and the course of the operation. As a rule, these are minor operations without complications. Sometimes, however, there may be increased postoperative bleeding or infections and more severe pain.

In these cases, the patient is put on sick leave until recovery. If one wishes to take homeopathic remedies for the treatment of polyps of the uterus, one should preferably do so as soon as the first symptoms appear. The earlier the taking starts, the better the chances of an improvement.

Various homeopathic remedies are recommended for supportive treatment. The homeopathic remedy Thuja is recommended when the polyps cause pain during sexual intercourse, whereas Sanguinaria is more effective for polyps that bleed easily. Another remedy is the Conium. This helps with polyps that cause a sharp pain. In order to find the right homeopathic remedy for the individual complaints, one should consult a pharmacist or alternative practitioner with experience.