What to do if endometrial polyps recur for the second time

The recurrence of endometrial polyps can be treated with medication, surgery and lifestyle adjustments. The recurrence may be related to factors such as abnormal hormone levels and inflammatory stimulation. For patients with recurrence, it is recommended to choose an appropriate treatment plan based on the size of the polyps, the severity of symptoms and fertility needs.

1. Drug therapy is a common method for controlling the recurrence of endometrial polyps, mainly by regulating hormone levels to inhibit the growth of polyps. Commonly used drugs include oral contraceptives, progesterone drugs and gonadotropin-releasing hormone agonists. Oral contraceptives such as drospirenone ethinyl estradiol tablets can regulate estrogen levels and reduce the recurrence of polyps; progesterone drugs such as dydrogesterone can inhibit endometrial hyperplasia; gonadotropin-releasing hormone agonists such as leuprolide can reduce estrogen levels and inhibit polyp growth. Drug therapy is suitable for patients with smaller polyps and milder symptoms. It needs to be taken for a long time under the guidance of a doctor and reviewed regularly.

2. Surgical treatment is an effective way to completely remove endometrial polyps, especially for patients with large polyps, obvious symptoms or ineffective drug treatment. Common surgical methods include hysteroscopic polypectomy, curettage and hysterectomy. Hysteroscopic polypectomy can accurately remove polyps under direct vision, with less trauma and faster recovery; curettage can remove abnormal tissue in the uterine cavity, but may damage the normal endometrium; hysterectomy is suitable for patients who have no fertility needs and whose polyps recur repeatedly. After surgery, you need to pay attention to preventing infection and follow up treatment according to the doctor's advice.

3. Lifestyle adjustments can help reduce the risk of recurrence of endometrial polyps, including diet adjustment, exercise and psychological adjustment. The diet should increase foods rich in vitamins and minerals, such as fresh vegetables, fruits and whole grains, and reduce the intake of high-fat and high-sugar foods; appropriate aerobic exercise, such as brisk walking, swimming and yoga, can help regulate endocrine and improve blood circulation; maintain a positive and optimistic attitude, avoid long-term mental stress, and relieve anxiety through meditation, deep breathing and other methods.

Secondary recurrence of endometrial polyps requires comprehensive treatment. Patients should develop personalized treatment plans under the guidance of doctors and pay attention to lifestyle adjustments to reduce the risk of recurrence and improve the quality of life. Regular review and long-term management are the key to preventing recurrence. Patients should actively cooperate with treatment and adjust the plan in time to ensure the treatment effect.