Treatment after removal of the endometrial polyp in the uterus

Postoperative rehabilitation of the patient after hysteroscopy (removal of uterine polyps) takes a different time in each individual case. It depends on such factors as the general immunity of the person, concomitant diseases, as well as the stage of the disease. After removal of polyps, treatment must be continued. It is systematic and consists of several mandatory steps.

What is this operation

The name "hysteroscopy" came to us from the Latin language. It includes two words: "hystero" - the uterus, "skopio" - to look. Thus, hysteroscopy is a visual examination of the uterine cavity using an optical system. Hysteroscopy is divided into 2 types:

• diagnostic (examination of the uterine cavity);
• surgical (removal of formations).

Therapy of a benign neoplasm can be carried out with drugs, but removal is a better method. Previously, any neoplasm on the uterus was eliminated only by scraping the entire endometrium or by exceptional surgical methods, but now the situation has changed and such procedures are performed using a hysteroscope. The thin tip of the device with a microcamera penetrates the vagina, displaying an image of the internal organs on the screen. With the help of tools that are delivered through the tube of the device, the doctor performs the removal procedure. Hysteroscopes can be rigid (used in a hospital) and flexible (used on an outpatient basis). There are also hysteroresectoscopes - these are devices used directly for surgical intervention.

The following tools are used to perform surgical interventions:

• biopsy forceps;
• gripping forceps;
• scissors;
• electrodes (laser, monopolar, argon plasma coagulation).

If intrauterine pathologies are detected, the operation is performed by unscrewing the polyps. However, if their number is very large, scraping is performed. The procedure for removing polyps takes a small amount of time and does not belong to the category of complex operations. Each polyp found during the diagnosis is removed. The advantage of hysteroscopy over other methods is that the desired effect is achieved without incisions.

The site of the removed polyp is processed and cauterized with liquid nitrogen or electric current. After the procedure, a woman needs to undergo a second ultrasound procedure on the 4th or 5th day. If all the recommendations were followed, then the therapy will be favorable.

Benefits of Hysteroscopy

This technique is the most common and safe among other methods, because it:

1. Quickly (the duration of the procedure does not exceed 30 minutes).
2. Exactly (due to the high definition of the image, the doctor can remove exactly the desired area without touching healthy areas).
3. Rapid regeneration (from several days to two weeks).
4. Availability for any age (does not affect future pregnancy).
5. The high information content of the method allows you to see other pathologies in the uterus, if any.
6. The possibility of taking a section of damaged tissue for research. This is done to prevent the development of cancer.
7. Minimizing relapses.
8. No complications.
9. The procedure can be performed on an outpatient basis.

The scraping method itself as a separate type of intervention is practically not used by modern doctors. To begin with, hysteroscopy is always performed and only then curettage. After the operation, the removed polyp is sent to the laboratory for histological examination, and therapy continues and depends on the analysis data.

Medical treatment after removal of uterine polyps

After hysteroscopy, you need to provide the woman with complete rest. Usually, the doctor prescribes No-shpu to the patient at a dosage of 1 tablet 3 times a day. This drug helps to relax the uterine muscles, because their contraction can lead to a large accumulation of blood clots in the uterus.

Next on the list is taking anti-inflammatory medications, which are recommended to be taken in a course of 5 to 10 days to avoid postoperative complications and the development of infection. However, not all situations require the use of anti-inflammatory drugs. Sometimes the appearance of polyps was facilitated by chronic inflammation, when pathogenic microbes were already in the uterus. In this situation, you will need a stronger remedy - antibiotics. During the operation, damage to areas of the uterus often occurs. Sometimes, although not as often, these tissues become inflamed. To avoid this, antibiotics are used. If a woman has untreated chronic diseases in a feminine way, then the use of antiseptics is strictly necessary.

It is important to give up sexual activity during rehabilitation so as not to injure areas of soft tissues and not to infect. It is also forbidden to visit baths, saunas, wash in the bathroom. Hygiene, of course, is necessary. It is best to wash with warm water or take a warm shower. During this period, a woman does not need to engage in physical activity, as well as restrict movement. It is best to stay in bed. You can take small walks in the fresh air. Nutrition during this period should be balanced and contain a large amount of vitamins. It is also not allowed to swim in open water. Douching and using tampons is also not recommended.

However, according to some experts, trips to the sea are not prohibited at all. In this case, you should carefully monitor that there are no vaginal discharges. Bloody discharge can be triggered by aspirin-based drugs because they thin the blood. At the time of therapy, the use of these medications is contraindicated.

hormone therapy

Often, after hysteroscopy, progestogen medications can be prescribed. The fact is that they are necessary to restore the hormonal background of a woman. They are prescribed to the fair sex no older than 35 years.

Also, the doctor may offer the patient to install a contraceptive spiral, which is gaining more and more popularity all over the world. It serves as a reliable contraceptive and is placed for a long time - up to 5 years. The spiral is not felt at all inside and does not cause discomfort. A big plus of the spiral is that there are no side effects, unlike hormonal contraceptives. The thing is that the hormones secreted by the spiral spread exclusively to the uterine cavity and do not affect other organs.

Hormone treatment usually takes from 3 to 6 months and after the completion of this period of time, the woman must be re-examined and pass all the necessary tests. If the neoplasms are fibrous, then hormone therapy is not used. Also, women who have a regular monthly cycle can do without hormones.

Phytotherapy after removal of a polyp in the uterus

Many women want to use medicinal plants as a therapy. Before starting such treatment, you should consult a doctor and donate blood for allergens so that the treatment does not lead to complications.

In therapy after removal of uterine polyps, a medicinal plant of celandine, a complex of vitamins, and a golden mustache are often used. The latter plant is used in the preparation of tinctures for alcohol.

Many folk recipes tell about the healing properties of celandine, but this plant must be used very carefully, because along with useful properties, this plant contains poison. Not all doctors have a positive attitude towards the procedure of douching with a decoction of celandine. It is believed that during douching, beneficial microorganisms are washed out of the vagina, which disrupts the flora.

Many women need to increase their progesterone levels. Due to the insufficient amount of this hormone in the female body, ovulation may stop and there will be difficulties with conception. Sacred Vitex tinctures help restore the body's normal production of progesterone. This infusion is taken in the 2nd phase of the menstrual cycle. It takes about four months to drink.

Important! Treatment with folk remedies must necessarily be carried out in combination with drug therapy and be complex.

Is it possible to get pregnant after the procedure for removing a uterine polyp

Often, the cause of a woman's infertility is just the formed polyp, after the removal of which you can try to get pregnant only after going through the entire rehabilitation cycle. Hormone therapy in this case will help restore the monthly cycle.

Healing of injured areas of the uterus occurs along with the use of oral contraceptives. You need to prepare that it can take up to six months. This time should be enough for the complete restoration of the uterine layer. After this happens, and the walls of the uterus have reached the optimal thickness, you can try to plan a baby.

Nutrition during the rehabilitation period

During the recovery period, it is very important to monitor your diet, because a balanced diet will help the body recover faster and bounce back. Basic rules for dieting:

1. Give preference to meat dishes, as well as seafood.
2. Eat more fresh fruits and vegetables. Vitamins and minerals are involved in regeneration.
3. Limit the use of salty, spicy and smoked foods, since if they are abused, there is a high chance of activating inflammation and infections.
4. Give up alcohol for the duration of treatment, as it makes tissue regeneration much slower.

Together with medication, proper nutrition will help the body recover faster.

Visits to the gynecologist after surgery

During the treatment period, it is important to be observed by your doctor on an ongoing basis. It is recommended to visit a specialist after the polyp removal procedure after about 2 weeks. Usually during this time all histological analyzes already come from the laboratory. After that, it is recommended to make repeated visits to the doctor every three months, as well as to do ultrasound every six months or, if necessary, more often.

Rehabilitation of the patient after removal of the endometrial polyp in the uterus always occurs in different ways and requires a different amount of time. However, most of the responsibility for recovery lies with the attending physician, as well as the surgeon who performs this operation. It is important to approach the treatment very competently and choose an experienced doctor and a good clinic. After all, both the moral and physical health of a woman will depend on the professionalism of doctors. Be healthy!