Can I check for endometrial polyps during bleeding?

Endometrial polyps can generally be examined during bleeding, but a comprehensive assessment is required based on the amount of bleeding and examination method. Vaginal ultrasound is usually not affected, and hysteroscopy needs to be avoided during periods of heavy bleeding. Endometrial polyps may be related to factors such as abnormal hormone levels and chronic inflammatory stimulation.

Vaginal ultrasound is a common way to detect endometrial polyps. It uses high-frequency sound wave imaging to observe the morphology of the endometrium. The small amount of blood during bleeding will not interfere with the image quality. Your doctor may recommend testing when there is less bleeding to avoid blood accumulation that could affect your vision. No special preparation is required before the examination, and the bladder may need to be filled appropriately during the examination to enhance imaging clarity. This examination is non-invasive, safe, can be performed repeatedly, and can clearly display the location, size and blood flow signals of polyps.

Hysteroscopy requires an endoscope inserted through the cervix to directly observe the uterine cavity. Heavy bleeding may affect the operating field of view and increase the risk of infection. Doctors usually recommend checking 3-7 days after menstruation is clear, when the endometrium is thinner and bleeding has stopped. If hysteroscopy is necessary during bleeding, vasoconstrictor drugs need to be used in advance to reduce bleeding, and continuous perfusion is used during the operation to maintain a clear field of vision. After the examination, prophylactic antibiotics are required and the bleeding is observed.

It is recommended to choose a regular medical institution for examination, and fully communicate with the doctor about the bleeding situation and examination risks before surgery. Avoid strenuous exercise after surgery, keep the perineum clean, and seek medical attention promptly if fever or abnormal bleeding occurs. Daily attention to endocrine regulation, reducing the intake of high-estrogen foods, and regular gynecological examinations can help detect polyps early.