Saturday, July 2, 2011

Removal of polyps


Polyps are a funny thing because they can disappear as quickly as they appear. The polyp that I showed you a last week, when it came to the surgery, the polyp was no longer there. When they are in the uterus the surgeon said that sometimes they can be sloughed off with the normal flow of your cycle. 

For those that stick around this is how they take care of them: 


·         Watchful waiting. Small, asymptomatic polyps may resolve on their own. Treatment is unnecessary unless you're at risk of uterine cancer.
·         Medication. Certain hormonal medications, including progestins and gonadotropin-releasing hormone agonists, may shrink a uterine polyp and lessen symptoms. But taking such medications is usually a short-term solution at best — symptoms typically recur once you stop taking the medicine.
·         Curettage. Your doctor uses a long metal instrument with a loop on the end to scrape the inside walls of your uterus. This may be done to collect a specimen for laboratory testing or to remove a polyp. Your doctor may perform curettage with the assistance of a hysteroscope, which allows your doctor to view the inside of your uterus before and after the procedure. When performed on its own without the aid of a hysteroscope, the procedure is known as blind curettage.
·         Surgical removal. If you undergo hysteroscopy, instruments inserted through the hysteroscope — the device your doctor uses to see inside your uterus — make it possible to remove polyps once they're identified. The removed polyp may be sent to a laboratory for microscopic examination.

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