Endometrial Polyp

What are endometrial polyps?

Polyps are a tissue projection from the surface of the endometrium.

They made up of hyperplastic overgrowths of endometrial stroma.

The majority of endometrial polyps are benign, but in some cases polyps are malignant or pre malignant (which may transform into cancer).

 

What are the symptoms?

(Polyps are really common in women and) the main symptoms are the heavy periods, the menopausal bleeding or the vaginal bleeding after intercourse.

 

How is the diagnosis made?

The diagnosis is made by transvaginal ultrasound. It is a simple procedure included in the annual gynecological exam like the Pap smear test.

 

Which is the most appropriate treatment in order to get rid of polyps?

Polyp resection is necessary either they produce symptoms or not.

This is because polyps should be sent for histologic examination in order to exclude malignancy.

In many cases, polyps could affect implantation adversely and cause infertility problems.

How is a polyp resection performed?

According to updated literature, there is no doubt that polyps removal should be performed hysteroscopically.

Hysteroscopy is a way for the endoscopic surgeon to look at the lining of the uterus.

Through this procedure it is used a hysteroscope, a tiny tube (it has diameter of 3 to 10 mm) which carries a light and a camera.

The hysteroscope provides the image onto a high-definition screen.

The hysteroscope is inserted into the womb through the vagina and the cervix, which means that there is no need for surgical wounds.

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