Endometrial Polyps

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What are Endometrial Polyps?

Endometrial polyps are growths that occur in the lining of the uterus (endometrium). They are usually benign (non-cancerous). They can lead to irregular spotting, heavier periods and interfere with implantation.

Symptoms of Endometrial Polyps

Many women with endometrial polyps may not experience any symptoms. However, some common symptoms include:

• Irregular menstrual bleeding

• Heavy menstrual periods

• Bleeding between periods

• Bleeding after menopause

• Difficulty getting pregnant

Diagnosing Endometrial Polyps

To diagnose endometrial polyps, your doctor may recommend:

• Transvaginal ultrasound

• Sonohysterogram : An ultrasound test where flouid is injected into the uterus to outline the polyp in the uterine cavity

• Hysteroscopy: A thin, lighted instrument is inserted through the vagina and cervix to examine the inside of the uterus.

Treatment Options

Treatment for endometrial polyps depends on the severity of your symptoms and your fertility goals. Options include:

• Watchful Waiting: If you have no symptoms, your doctor may suggest monitoring the polyps over time. You may also expel a polyp with a period.

• Surgical Removal: Hysteroscopic polypectomy is a procedure to remove polyps using a hysteroscope. This is often recommended for women experiencing symptoms or having difficulty conceiving.

Impact on Fertility

Endometrial polyps may interfere with fertility by:

• Obstructing the implantation of an embryo

• Causing inflammation or infection in the uterine lining

Your doctor will often recommend removal of polyps over 0.5 cm or any polyp prior to embryo transfer.

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This handout is designed to provide general information and is not a substitute for professional medical advice. Always consult your doctor for personalized care.