What are the symptoms of uterine polyps?

Symptoms of uterine polyps mainly include abnormal vaginal bleeding, increased menstrual flow, prolonged menstruation, abnormal leucorrhea, and lower abdominal pain. Uterine polyps are neoplasms formed by local excessive proliferation of the endometrium, which may be related to endocrine disorders, inflammatory stimulation and other factors.

1. Abnormal vaginal bleeding

Spotting or contact bleeding during non-menstrual periods is a typical symptom. The amount of bleeding is usually small and the color is dark red or brown, which may be related to the rupture of blood vessels on the surface of the polyp. Long-term repeated bleeding may lead to anemia, which may manifest as fatigue, dizziness and other symptoms. Confirmation requires transvaginal ultrasound or hysteroscopy.

2. Increased menstrual flow

The amount of bleeding during menstruation is significantly higher than usual, and sanitary napkins need to be changed frequently, and blood clots may be discharged. The enlargement of polyps may affect the contraction function of the uterus, resulting in poor discharge of menstrual blood. In severe cases, hemoglobin may decrease, and routine blood tests are recommended to evaluate the degree of anemia.

3. Extended menstrual period

Normal menstruation lasts for 3-7 days, but patients with uterine polyps may have their menstrual period extended to more than 10 days. The endometrium cannot shed simultaneously, resulting in prolonged bleeding. Long-term prolonged menstruation may cause reproductive tract infection, and you need to be alert to symptoms such as fever and odorous discharge.

4. Abnormal leucorrhea

There may be bloody leucorrhea or purulent discharge accompanied by a peculiar smell. Secondary infection of polyps can cause increased amount of leucorrhea and yellow color. Vulvar itching may occur when combined with cervicitis or vaginitis, and routine leucorrhea examination is required to identify the type of pathogen.

5. Lower abdominal pain

Larger polyps may cause dull pain or bloating in the lower abdomen, and the pain may worsen during menstruation. The pain may be related to abnormal uterine contractions or pelvic congestion. If severe abdominal pain occurs suddenly, you need to be alert to the torsion of the polyp pedicle. This is a gynecological emergency and requires immediate medical attention.

If you discover the above symptoms, it is recommended to visit a gynecologist as soon as possible, conduct preliminary screening through ultrasound, and perform hysteroscopy for diagnosis if necessary. Small, asymptomatic polyps may resolve spontaneously, but larger or symptomatic polyps require surgical removal. Keep the perineum clean after surgery, avoid strenuous exercise, and conduct regular check-ups to prevent recurrence. Pay attention to regulating emotional stress every day and avoid taking estrogen drugs for a long time.