What Are Uterine & Endometrial Polyps?

Polyps are abnormal growths of tissue that are typically benign. While it is possible for polyps to develop in any organ,  it is quite common for polyps to form in the Uterus and Endometrial tissue.

What Causes Endometrial and Uterine Polyps?

The development of Uterine and Endometrial Polyps is typically linked to hormonal stimulus and the presence of estrogen. Therefore, risk factors for developing  endometrial polyps include:

  • Being in the perimenopausal or postmenopausal stage
  • Arterial hypertension
  • Obesity
  • Treatment with tamoxifen, a drug used for breast cancer

Uterine Polyps vs. Fibroids

Endometrial Polyps and Fibroids are two different types of abnormal cell growths.  Where fibroids are made of uterine muscle tissue, polyps are purely composed of endometrial cells.

Polyps do not typically grow beyond a few centimeters large, whereas fibroids can grow to be significantly large. Each of these growths can cause similar symptoms to one another, and potentially impact a woman’s ability to conceive depending on their size and location.  

How Are Uterine Polyps Diagnosed?

Uterine polyps in the endometrium are more frequent in women after perimenopause, and are typically diagnosed after the presentation of symptoms. There are a handful of diagnostic procedures that can be used to identify the presence of Uterine and Endometrial polyps.

  • Transvaginal ultrasound.
  • Diagnostic hysteroscopy
  • Hysteroscopy + removal of the endometrial polyp.

It is possible at the same time as a hysteroscopy, the polyp removal is performed. The biopsied polyp is then sent to the pathology service for analysis to rule out the presence of a malignant tumor.

Do you have any of these symptoms?

Treatment of Uterine & Endometrial Polyps

In most cases, small endometrial polyps that do not typically cause symptoms resolve spontaneously without incident. However, in certain circumstances it may be advisable to get treatment either through medications, or surgical intervention.

Drug Treatment for Uterine Polyps

In certain cases of women with repeated production of benign polyps, hormonal medications with progestins and gonadotropin-releasing hormone agonists can be used. However, the use of certain medications is generally a short-term fix at best, as symptoms often return once the medication is stopped.

Surgical Treatment through Endometrial Polypectomy

In some cases it is necessary to physically remove the polyp by performing a procedure called a Hysteroscopy, which entails inserting a tiny camera and surgical instruments into the uterine cavity through the vagina. During this procedure, the polyp is removed and sent for analysis by pathologists to rule out malignant cell growth .

Diagnosis Of Uterine Polyps
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