Understanding endometrial polyps is essential if you are experiencing heavy menstrual bleeding or irregular cycles.
This video explains what endometrial polyps are and how they affect the uterine lining. We cover the primary risk factors, including the link between these growths and endometrial hyperplasia, helping you understand when to consult a medical professional. If you have been searching for clarity on your symptoms, this overview provides the necessary context for your next steps.
We also detail the diagnostic process, specifically how a transvaginal ultrasound and hysteroscopy are used to identify these benign growths. By understanding the treatment options available, you can better prepare for potential symptom resolution and improved fertility outcomes. This information is intended for those seeking a clearer picture of their reproductive health and the standard medical approaches used to address it.
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Endometrial polyps, also called uterine polyps, are abnormal proliferations of the uterine
endometrial layer that contain endometrial glands, stroma, and blood vessels. They are
benign in nature and can affect women of reproductive age, as well as postmenopausal
women. Uterine polyps are one of the major causes of heavy menstrual bleeding. Most polyps are
The exact cause of endometrial polyps has not yet been identified. However, several risk factors
have been implicated in the pathogenesis, including endometrial hyperplasia and unopposed
estrogen activity, increased aromatase activity, endometrial abnormalities, and the use of
tamoxifen. The most common symptom of endometrial polyps is abnormal uterine bleeding. However,
some patients could be completely asymptomatic. Other associated symptoms include abdominal pain,
pelvic pain, pain during sexual intercourse, and infertility. Rarely, endometrial polyps
show malignant transformation into endometrioid adenocarcinoma and serous adenocarcinoma.
The diagnosis of endometrial polyps can be made with transvaginal ultrasound scan,
hysteroscopy, or a hysterosalpingogram. Smaller, asymptomatic polyps usually regress spontaneously
and do not require any treatment. For larger polyps, surgical polypectomy can be done with
a hysteroscope. This will result in resolution of the symptoms, improved fertility, and a reduced
risk of endometrial cancer.