Do You Need Hormones After Endometrial Polyp Surgery?

Is it necessary to take hormones after endometrial polyp surgery?

Hello Doctor, I had a hysteroscopic polypectomy in November using traditional electrosurgery, and I received self-paid anti-adhesion medication.
During my follow-up visit, the doctor recommended that I take hormonal medication for three months post-surgery to promote faster healing.
Therefore, I would like to ask a second doctor for their opinion:
1.
What is the reason that taking hormonal medication can promote wound healing? What are the other benefits of taking hormonal medication post-surgery?
2.
I also have issues with breast fibroadenomas and hepatic hemangiomas.
What impact will taking hormonal medication have on these conditions?
3.
If I do not take the medication, will the polyp be more likely to recur or will there be a higher risk of intrauterine adhesions? Thank you, Doctor, for your hard work.

Qiu Xiaojie, 40~49 year old female. Ask Date: 2022/12/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you may also consider not eating and just observing.
Wishing you good health.

Reply Date: 2022/12/12

More Info

After undergoing surgery for endometrial polyps, the question of whether to take hormone therapy is a common concern among patients. The decision to use hormones post-surgery can depend on various factors, including the individual’s medical history, the nature of the surgery, and the specific recommendations of the healthcare provider.

1. Benefits of Hormone Therapy Post-Surgery: Hormone therapy, particularly with progestins, can play a significant role in promoting healing after surgery. The rationale behind this is that hormones can help regulate the menstrual cycle and stabilize the endometrial lining. After the removal of polyps, the endometrium (the lining of the uterus) needs to heal properly. Hormones can help in reducing inflammation and promoting tissue regeneration, which may lead to faster recovery. Additionally, hormone therapy can help prevent the recurrence of polyps by regulating the hormonal environment that contributes to their growth.
Other benefits of hormone therapy may include the reduction of menstrual irregularities and the management of symptoms related to hormonal imbalances, such as heavy bleeding or pain. It is also worth noting that the use of hormones can help in preventing the formation of adhesions (scar tissue) that can occur after surgery, which could lead to complications such as chronic pain or infertility.

2. Impact on Existing Conditions: You mentioned having breast fibromas and hepatic hemangiomas. The use of hormone therapy can have varying effects on these conditions. For breast fibromas, which are benign tumors, hormone therapy may not significantly impact them, but it’s essential to monitor any changes. In some cases, hormonal fluctuations can lead to changes in the size or symptoms associated with fibromas.
Regarding hepatic hemangiomas, these are also benign vascular tumors of the liver. Hormonal therapy is generally not known to exacerbate these conditions, but individual responses can vary. It is crucial to discuss your specific health concerns with your healthcare provider, who can provide tailored advice based on your medical history and the characteristics of your fibromas and hemangiomas.

3. Risks of Not Taking Hormones: If you choose not to take hormone therapy after your surgery, there is a possibility that the endometrial polyps could recur. The hormonal environment plays a crucial role in the growth and maintenance of the endometrial lining. Without hormonal regulation, the risk of developing new polyps or experiencing abnormal growths may increase. Additionally, the absence of hormone therapy could lead to complications such as intrauterine adhesions (Asherman’s syndrome), which can occur when scar tissue forms inside the uterus after surgery, potentially leading to menstrual irregularities or fertility issues.

In conclusion, while hormone therapy post-endometrial polyp surgery can offer several benefits, including promoting healing and reducing the risk of recurrence, it is essential to consider your overall health and any pre-existing conditions. Always consult with your healthcare provider to make an informed decision that aligns with your health needs and concerns. They can provide personalized recommendations based on your specific situation, ensuring that you receive the best possible care following your surgery.

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