Symptoms and Treatment of Endometrial Polyps

What are the symptoms and causes of an endometrial polyp? Can endometrial polyp cause problems in pregnancy? What are the treatments and medications for Endometrial Polyp? When does it require surgery?

The uterus is the main internal reproductive organ of the woman. It is located between the urine bladder and the rectum of the anus, which develops the baby. The size of the uterus is like a pear. The lower part of the uterus or the neck of the uterus is called the cervix or cervix uteri. It is usually 2 to 3 centimeters long (~1 inch) and cylindrical in shape. It is attached to the uterus at one end and from the other side to the vagina.

What are Polyps?

Polyps in medical language are called abnormal growth of body cells. It is a structure outside the mucous membrane. Often it is attached to the tissues like thin and long stems. Polyp colons in the human body are found in the abdomen, nose, sinuses, bladder of urine, and uterus.

Cervical Polyps

Polyp of Cervix, when polyps are in the cervix.

When the polyp is attached to the inner wall of the uterus, it can be used to ensure that the polyves/uterus are connected. A uterine polyp or endometrial polyps or Uterine polyps, Uterine bleeding – polyps, bleeding Vaginal – polyps). It hangs in the cavity of the uterus.

These polyps are formed when the cells in the lining of the uterus (endometrium) are increased. The size of the uterine polyp can be as big as the golf ball by bringing it smaller than a mole grain. A polyp is attached to the uterine wall with a large base or thin stem.

Uterine polyp can be one or more. Sometimes it hangs in the vagina through the uterus, through the cervix. It can happen to anyone but is seen during menopause. There is no way to avoid it.

Uterine Polyps can cause infertility or miscarriage because uterine polyps occur inside the uterus. The polyp may cause difficulty in the implant of the fetus. Sometimes women have a pregnancy, but there may be difficulties. In many women, there is frequent miscarriage for this reason. If there is difficulty in having a child and there may be a polyp in the uterus. Surgery is the only option to remove. It is not treated with drugs. Very small polyp often do not treat because sometimes it disappears on its own.

Endometrial Polyps Symptoms

Symptoms of endometrial polyp include:

  • Menstrual bleeding that is not regular or predictable
  • Bleeding between menstruation periods
  • Excessive monthly long or menstrual bleeding
  • Vaginal bleeding after menopause after menopause
  • Infertility

If there is vaginal bleeding after menopause, bleeding between periods, or periods at any time, contact the gynecologist.

Causes Of Endometrial Polyp

Endometrial polyps are due to hormonal reasons. They are estrogen-sensitive and can be caused by estrogen growth.

This can be higher in the following situations:

  • Before or after menopause
  • Hypertension
  • fatness
  • Taking tamoxifen for drug treatment for breast cancer

Having an endometrial polyp can affect fertility. Therefore, doctors recommend removing it to increase the keys of pregnancy.

Endometrial Polyp Test and Diagnosis

Doctors can then do the following if suspected of having polyp in the uterus:

It has a thin, device applied to the vagina to perform an ultrasound that emits sound waves that create an image of the uterus. It can show a polyp. This polyp may be clearly present or in the form of dense endometrial tissue.

Historosomonography can also be used, in which saltwater/water can be used through the vagina and cervix. The saline water is inserted so that the uterus is spread and visible properly during the ultrasound.


The doctor sees using a thin, flexible, bright telescope (hysteroscope) in the uterus through the vagina and cervix.

Treatment of Endometrial polyps

Small polyps are often not treated. They often heal on their own in some time.

Those who cause polyp symptoms, or after menopause or may have difficulty in having or continuing pregnancy, should be removed through surgery.


Some hormonal drugs, including progestin and gonadotropin-releasing hormone agonists, can reduce the symptoms of the polyp. But taking such drugs is usually a short-term solution in a short time. Symptoms usually occur again when you stop taking the drug.

Surgical removal

Endometrial polyps are most often removed by a procedure called hysteroscopy. Sometimes, a D and C (Dilation and Curettage) can be done to biopsy the endometrium and remove the polyp. This is less commonly used.


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