Treatment of endometrial polyp without surgery: effective drugs

Today, one of the central problems of gynecology is various modifications and inflammations of the endometrium. For various reasons, inflammatory, infectious, hyperplastic processes can develop in it. Formation of polyps, cysts, tumors is a common occurrence. At present, treatment of endometrial polyps remains quite relevant. Numerous discussions are underway among scientific researchers and practicing specialists aimed at finding the best way to solve the problem. Some are inclined to conservative methods, using folk remedies, while others believe that the best option for solving the problem is a radical method.

What to do if you have an endometrial polyp?

If polyps are present, you should see a gynecologist regularly. If it is possible to wait with surgical treatment methods, the doctor will prescribe conservative treatment. When a polyp is detected, diagnostics are carried out immediately, since without a diagnosis it is impossible to choose the right treatment.

First of all, it is necessary to differentiate a malignant tumor from a benign one. The tactics of further treatment depend on this. For this, a biopsy is performed. During hysteroscopy, using special instruments, a tissue sample is taken for further histological examination. After collection, under sterile conditions, the material is sown on special nutrient media intended for culturing tissue samples. They are placed in specially created conditions that are optimal for this culture. Incubated for a certain period of time.

After the material has grown, it is subjected to further research and interpretation. Based on the shape, size, location of the cells, nature and direction of growth, it is possible to determine whether the tumor is benign or malignant. The further plan of action depends on this. If the tumor is malignant, or there is a risk of the polyp degenerating into a cancerous tumor, the tumor is surgically removed as soon as possible. If the tumor is benign, conservative treatment can be used.

A polyp is always a benign neoplasm, but it can easily be confused with a cancerous tumor. Therefore, the only reliable method confirming the structure of the neoplasm is a histological examination. In addition, if there are atypical cells in the polyp, or it is damaged, there is a risk of its transformation into cancer. A polyp is an overgrowth of endometrial tissue that occurs for various reasons. The endometrium becomes inflamed and increases in size. Gradually, a small area of hypertrophied mucous membrane is localized, forming a polyp.

There are many different options for dealing with a polyp. It can be removed surgically. There are many different methods: open abdominal surgery, hysteroresectoscopy, endoscopic removal.

Abdominal surgery is now used extremely rarely, since its use is not justified. It carries many risks associated with the fact that a complete dissection of the abdominal wall, uterus, after which the mass polyp is removed. Such an operation has a long recovery period, since an open wound with a fairly large surface area is formed. At the same time, the risk of infection, postoperative complications, and bleeding increases significantly. The operation requires serious preparation and has a number of contraindications. Today, it is considered an outdated method. Nevertheless, in many hospitals where there is no high-tech equipment and highly qualified specialists, this method continues to save the lives of many women.

Endoscopic surgery is more commonly used, in which no abdominal incision is made. In this case, using special equipment (an endoscope), several punctures are made, through which an instrument with a camera is inserted, allowing the condition of the endometrium to be assessed, the polyp to be examined, and the optimal method of its removal to be identified. The image can be visualized on the screen, which significantly simplifies the surgeon's work. Then, using surgical instruments that are inserted through the opening of another endoscope, the neoplasm is removed. The instruments are removed, after which the openings are usually sealed with adhesive tape (sutures are rarely required).

This method has a number of advantages that make it more popular and frequently used. The risk of bleeding, postoperative complications, and infection is practically eliminated. Recovery is fast, and postoperative pain is insignificant.

The hysteroscopy method is the most gentle. It involves the introduction of a special instrument – a hysteroscope. It is inserted through the cervix, naturally. After that, an operation is performed to remove the polyp. The instrument is equipped with a camera that allows you to visualize the image. Damage is minimal, risks are also minimized. Recovery is much faster.

In addition to surgical methods, physiotherapeutic and medicinal ones are also used. Laser treatment has proven itself well. With this method, the affected areas are cut out, while the undamaged ones remain intact. Complications are rare, healing occurs within 5-6 weeks.

The method of choice is cryodestruction, during which the affected areas are cauterized with liquid nitrogen. Nitrogen crystallizes water and leads to the destruction of damaged areas. It is used mainly for damaged polyps and bleeding. This method can only be used for patients who have given birth, since it leaves scars on the uterus. It is painful and has a long rehabilitation period.

If it is necessary to amputate damaged areas, radio wave methods and the conization method are used. These methods are usually used if the process of malignant transformation of the polyp has begun.

Treatment of endometrial polyps without surgery

Today, treatment of endometrial polyps is perhaps the main problem of gynecology. The frequency of occurrence of this pathology increases every year. The main reason for the formation of polyps is the disruption of the normal hormonal background, in which estrogen predominates and a sharp lack of progesterone is revealed. When polyps are formed, excessive compaction of the mucous membrane of the inner layer of the uterus occurs, as a result of which the compacted area gradually becomes isolated. Separate blood vessels are formed, the polyp acquires its own innervation. This contributes to its further growth.

In some cases, polyps are treated with traditional methods. The main method is hormone therapy. If conservative therapy is ineffective, surgical methods are prescribed. Treatment is required because polyps pose a serious threat to a woman's health. Polyps can greatly increase in size. The membrane can swell so much that it gradually extends beyond the uterus and even fills the vagina.

Moreover, a polyp in the endometrium is capable of intensively dividing and forming multiple polyps that cover the entire uterine cavity. Gradually, such polyps degenerate into malignant neoplasms, acquiring the ability to divide uncontrollably.

Drug therapy involves the use of hormonal and non-hormonal agents that promote the resorption of the polyp and the reduction of hypertrophic areas. Symptomatic therapy is also used: painkillers, anti-inflammatory drugs, if necessary - antipyretics, antispasmodics. Traditional methods, homeopathic remedies and herbal medicine are widely used.

Medicines

Medicines for polyps should be taken with caution, observing safety precautions. It is imperative to consult a doctor before using any, even the most harmless, remedy. Self-medication can be dangerous due to its consequences and side effects, the most dangerous of which is the transformation into a cancerous tumor.

With the development of an infectious and inflammatory process and progression of the disease, streptomycin sulfate is prescribed at 1 gram per day. This drug has antibacterial properties, quickly eliminates inflammation, reduces endometrial hypertrophy. It is necessary to strictly adhere to the prescribed dosage and treatment regimen, undergo a full course of treatment, otherwise the infection may develop resistance. In addition, progression of the disease is possible.

In any hypertrophic process, it is recommended to take medications that help reduce the inflammatory process, resolve compactions, normalize vascular permeability and tissue metabolism. It is recommended to take acetylsalicylic acid 2-3 grams per day, voltaren 0.1-1.5 grams per day.

If severe pain occurs, take painkillers. It is recommended to take ketanol 50 grams per day. No-shpa also works well, which additionally relieves spasm.

Duphaston for endometrial polyps

Duphaston is one of the most effective drugs traditionally used to treat polyps. It belongs to the group of gestagens (hormonal drug). It is a synthetic analogue of the female hormone, which normalizes the structural and functional state of the reproductive organs. The drug should be prescribed only by a doctor, having previously checked the hormonal status. Self-medication can end in a deterioration of the condition and excessive growth of the polyp, its malignant degeneration.

The drug also normalizes the menstrual cycle and helps maintain pregnancy. The main indication is the formation of polyps due to a lack of progesterone. It is mainly used to treat glandular and fibrous polyps. It is a good alternative to surgical treatment methods and helps resolve polyps. It is often prescribed to nulliparous girls and when surgery is not possible.

It is taken in the second phase of the menstrual cycle, according to an individually selected scheme. The minimum course of treatment is 3 months. Sometimes the treatment can drag on for several years. The duration of therapy and its effectiveness are monitored by hormone tests.

The drug has virtually no side effects. There is not even the development of secondary sexual characteristics (excessive hair growth), which are often observed when using other hormonal agents. It is available in tablet form, so the drug is prescribed orally. The highest level of hormone concentration can be achieved within a few hours after taking the drug. The drug is compatible with almost any drug.

The main advantage of this drug is that it does not interfere with conception. It can be used even during pregnancy. The drug is contraindicated in Rotor syndrome, Dubin-Johnson. It is also not used in case of individual intolerance to individual components of the drug. People with kidney disease should take it with caution. Side effects include headaches and migraines. Less common are itching, burning, and skin rashes.

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Norkolut

Norcolut is often prescribed for glandular hyperplasia of the endometrium. Due to the hormone included in the drug, the tablets affect the condition of the uterine mucosa, i.e. the endometrium. The drug is not prescribed during pregnancy, attempts to conceive.

Promisan for endometrial polyps

The drug is a herbal medicine. Its distinctive feature is its anti-cancer activity and ability to dissolve tumors of any origin. Contains a large number of antioxidants. The drug is non-hormonal, so side effects are minimal and extremely rare. The drug is unique because it can prevent cancerous transformation of cells and ovaries. It also prevents recurrent cervical dysplasia after surgery. It starts the processes of reverse development of endometriotic growths. It also prevents inflammatory processes in the uterine cavity, normalizes metabolic processes in the endometrium, and eliminates the inflammatory process. It is used as a biologically active food supplement, as well as a preventive agent.

Available in capsule form. In addition to antioxidants, the composition includes trace elements such as iron, zinc, selenium, copper, manganese. The treatment is quite long - 2 capsules are used 2 times a day during meals. The duration of therapy is at least 6 months.

The drug may have a specific smell. This is due to the fact that the shell contains special substances that have a peculiar smell. They are not neutralized, and flavoring agents are not added. The effectiveness of the drug is due to the fact that they have an effect at the molecular level, include mechanisms for the timely activation of apoptosis. As a result, pathological processes in cells do not develop, which is a reliable antitumor protection. The treatment is quite long, due to the fact that biochemical processes, growth and reproduction of cells in the body occur constantly.

Janine for endometrial polyps

The drug is prescribed for endometrial growths, polyps, tumors. It is also indicated for polycystic disease. The mechanism of action is that the drug prevents a deficiency of female sex hormones. The drug is based on an analogue of the hormone - dienogest, as well as estradiol. Due to the composition of the drug, it ensures active growth of follicles in the ovaries, prevents pathological changes in the ovarian mucosa, and normalizes the menstrual cycle. The closest analogue of this drug is duphaston.

The drug has virtually no side effects. If you follow the regimen and schedule, there will be no side effects or complications.

Wobenzym

It is a combination drug that combines various components of plant and animal origin. It has an anti-inflammatory effect, eliminates swelling, hyperemia, and reduces pain. It is also known for its powerful immunomodulatory and analgesic effect. The active substance is enzymes, which are the basis of the body's vital functions. They participate in various metabolic and biochemical processes.

The risk of developing autoimmune processes and allergic reactions is significantly reduced. It has a positive effect on the indicators of immunological reactivity, increases the overall resistance of the body. Provides reliable neutralization and removal of toxins from the body, lyses necrotic tissue, normalizes the blood condition.

This drug is often prescribed in combination with hormonal agents, as it reduces the side effects of hormonal drugs, normalizes metabolic processes, especially lipid metabolism, relieves inflammation, reduces cholesterol synthesis, which increases the absorption of fatty acids, reduces the risk of blood clots, and normalizes blood circulation. Increases the concentration of antibiotics in the blood plasma and the site of inflammation, which results in faster recovery from infectious processes.

It is used as part of complex therapy in the treatment of various inflammatory and hyperplastic processes, for the prevention of infectious and inflammatory processes. The scheme and duration of treatment, dosage are determined by the doctor individually. Usually it is from 5 to 10 dragees three times a day. It is recommended to take about 30 minutes before meals. The duration of the course is determined by the doctor and ranges from 14 days to 6 months or more. Side effects are rare, except in cases where the treatment is long-term. In such cases, skin rashes, urticaria, changes in the consistency of color, odor, appearance of urine and feces are possible, some biochemical blood parameters change. The drug is contraindicated only in case of individual intolerance.

Vizanna

It is a medicine that normalizes the hormonal background of the body. It has a complex effect. It contains phytoestrogens, as well as vitamins and minerals. It belongs to the group of gestagens. It eliminates various pathological processes at the cellular and tissue levels. It inhibits the activity of sex hormones, while normalizing the condition of the endometrium. It is used to treat polyps, since with proper treatment it can cause the reverse development of endometrial growths. It eliminates pathological processes and pain in the uterus, significantly reduces the risk of bleeding.

It is available in tablet form, the course duration is approximately 6 months. It is used regardless of food and menstrual cycle phase. It is contraindicated in various vascular diseases, blood clots, allergic reactions, and liver pathology.

Side effects are observed when the treatment regimen is not followed. The main side effects include headache, nausea, and vomiting. Weight gain, drowsiness, depression, and abdominal pain may also occur. Anemia may also develop. Correct dosage selection eliminates the risk of side effects.

Esmiya

It is a medicine that is widely used to treat benign and malignant neoplasms of female reproductive organs. It helps to overcome the neoplasm while preserving the uterus. The active substance is ulipristal, which affects the receptors that produce progesterone. It is often used to treat fibroids, promoting their complete resorption. It also significantly prevents the risk of bleeding, infertility and menstrual irregularities.

The principle of the drug is that it stops the formation of the endometriotic layer of the uterus. Thus, a woman stops menstrual bleeding for the entire period of taking the drug. In the first month, bleeding may be scanty, and subsequently stop completely. Treatment lasts from 3 months.

This drug has proven itself as one of the means that allows one to effectively prepare for operations to remove polyps and tumors. It reduces the blood supply to the uterus, thereby making the operation safer. In addition, the polyps are structured, become more defined, making them easier to remove.

Esmya is prohibited for patients with bronchial asthma, as well as patients under 18 years of age. In case of liver and kidney diseases, the drug should be taken with caution.

The drug may cause side effects, in particular, disturbance of the psycho-emotional state, headaches. In some cases, headaches may occur. Side effects from the digestive tract are observed - nausea, vomiting, constipation, flatulence, dry mouth. Frequent urination, pain in the pelvic area are observed.

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Flaraxin in the treatment of endometrial polyps

It is an effective antitumor and antiviral agent used in the treatment of various diseases, including gynecological ones. It stimulates tumor necrosis factor, increases the human immune system. The advantage of this drug is that it removes toxins and tissue decay products to the outside, thereby reducing intoxication of the body. It is used as a protective agent that ensures protection of cells during chemotherapy. It has pronounced antioxidant properties, reduces general intoxication of the body.

In most cases, it allows for tumor regression, prevents the risk of metastasis, and prevents relapses of the disease. It is usually well tolerated by patients, and side effects are rare. It is used mainly when other treatments have been ineffective, in inoperable forms of the disease, and for people with a weakened immune system.

The mechanism of action consists of binding to onco-associated proteins, promoting their death, promoting an increase in natural killers, stimulating the production of interferon, normalizing the human immune status, as well as the ratio of immunocompetent cells.

The drug is a herbal remedy. The main components are plant polyphenols, as well as tannins, potassium iodide. Additionally, the drug is enriched with a complex of vitamins and minerals, due to which it has a wide range of biological activity. Usually, the dosage and duration of treatment are determined by the doctor, since they depend on the anamnesis, severity of the disease. Usually, the daily dosage is approximately 2 mg / kg of the patient's body weight. If necessary, the dosage can be increased by 2-3 times, which will not cause side effects. It is administered intravenously. Usually, the course of treatment is at least 14 days.

As you can see, treatment of endometrial polyps can be carried out using medications. Surgical methods are used only as a last resort.

Vitamins

For successful treatment of polyps, it is necessary that the body has all the necessary vitamins. They participate in metabolic processes, normalize the condition of tissues, including the endometrium. They have various properties, stimulate immune processes in the body, increasing its resistance and ability to resist various diseases. It is recommended to take vitamins in the following daily doses:

• Vitamin PP – 60 mg
• Vitamin H – 150 mcg
• Vitamin C – 1000 mg
• Vitamin D – 45 mcg
• Vitamin K – 360 mg.

Physiotherapy treatment

Physiotherapy can contribute to the treatment of polyps. They use light beams of different wavelengths. Thus, ultrasound can penetrate deep into tissues, exerting an anti-inflammatory, stimulating effect on them. Infrared light can normalize microflora, eliminate congestion, and, accordingly, reduce tissue swelling, hyperemia, and hyperplastic processes. Using a laser, you can localize areas of necrosis, remove affected parts of the endometrium, while leaving intact tissues intact. Using electrical procedures, you can stimulate certain areas of the uterus, endometrium, causing activation of the cells of the mucous membrane, the immune system.

Electrophoresis and phonophoresis allow the most accurate introduction of the necessary drug directly into the endometrial tissue. At the same time, the daily dosage is significantly reduced. The drug penetrates through the skin or mucous membranes under the influence of microcurrents. At the same time, systemic effects on the body are excluded, due to which the likelihood of side effects and overdose is significantly reduced.