Dr. Lam Hoang Duy, from the Obstetrics and Gynecology Center at Tam Anh General Hospital, TP HCM, reported that an ultrasound revealed abnormal masses measuring 14x8x6 mm in Ms. Thanh's uterus, with increased vascularity attributed to polyps. Endometrial polyps are mostly benign but can cause prolonged menstrual bleeding, intermenstrual bleeding, or impact fertility.

In Ms. Thanh's case, the medical team performed an interventional hysteroscopy. Doctors observed numerous polyps growing in clusters on the anterior uterine wall. Some polyps, measuring about 2 mm, were difficult to detect with conventional ultrasound. Using magnified images from the camera, Dr. Duy removed all polyps, preserving as much healthy endometrial lining as possible. The vaginal procedure left no external scars, caused minimal pain, and allowed the patient to be discharged on the same day.

Dr. Duy performs hysteroscopy to remove a cluster of polyps from a patient's uterus. Photo: *Tam Anh General Hospital*

Beyond treating uterine cavity polyps, hysteroscopy is also indicated for diagnosing and treating various conditions, including: submucosal fibroids, intrauterine adhesions, uterine septa, retained placental tissue after childbirth or miscarriage, and evaluating causes of infertility.

Dr. Duy noted that many young women attribute prolonged or intermenstrual bleeding to stress or hormonal imbalances, often delaying medical examinations. However, these symptoms can be warning signs of various gynecological conditions, including: endometrial polyps, uterine fibroids, endometrial hyperplasia, gynecological infections, endometrial cancer, or cervical cancer.

Doctors recommend women undergo regular gynecological check-ups every 6 to 12 months, even in the absence of symptoms. Should abnormal uterine bleeding occur, patients must seek immediate medical attention for diagnosis and appropriate treatment.

Tue Diem