Polyps of the Uterus? What's a Girl to Do?

If you have polyps in the lining of your uterus the first discussion is weather you are trying to get pregnant or not. The second question is often when to schedule surgery, as it's not certain the polyp is a polyp until it's examined under the microscope to see if has a component of pre-cancer or infection, or is something entirely different such as a fibroid. And as for getting pregnant women who had their uterine polyp removed were twice as likely to get pregnant when infertile than if they didn't have it removed. So the American Association of Gynecologic Laparoscopists (AAGL) recommends removing polyps to improve fertility. The other consideration is what to do after you have your polyps removed to prevent them from ever coming back? There are options: just watch, use birth control pills, or use progesterone. Many women struggle with that recommendation because progesterone is associated with moodiness. One of the struggles is then whether .ouse progesterone, or just hope the polyps don't come back if they don't  You don’t want to be moody, you don’t want to gain weight, you don’t want to remember to take a pill every day like your’re back in 1984, so when you’ve been told that you have polyps and that you need to get back on progesterone, you just stare at your gyno like she’s condemned you to wear a polyester pants suit to your class reunion! And while most women will do fine on these regimens, and they are not only tried and true, but quite safe and the “gold standard.” But there are alternatives! And no, this alternative doesn’t involve having a hysterectomy. This alternative involves using fling acting forms of progesterone, like the Nexplanon, the DepoProvera shot or having a medicated IUD: one with progesterone like the Mirena IUD.T. he Mirena does last for 5 years and thus is a good way to put an issue like this behind you for a longer time!Women considering Mirena must not have active infection, or an actual cancerous polyp, and there are other possible contraindications as well. Luckily polyps are not so common, but in fact some of the other uterine lining abnormalities also treated by progesterone might be treated this way as well. And for those wanting to prevent polyps: you got it, these long acting progesterone methods like Nexplanon, DepoProvera or the Mirena works for that also!  


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