Endometrial Polyp: Can It Go Away on Its Own? Is It Dangerous?

An endometrial polyp, also known as a uterine polyp, is usually a benign growth inside the uterine cavity. Some people have no symptoms, while others may experience abnormal periods, spotting between periods, or fertility problems.

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What Is Endometrial Polyp?

An endometrial polyp develops when cells of the endometrium, the lining of the uterus, grow excessively and protrude into the uterine cavity. The polyp may be attached by a thin stalk or have a broad base attached to the uterine wall.

Endometrial polyps can occur at any age but are more common around perimenopause and after menopause. Estrogen is believed to play a role in the growth of these polyps.

Symptoms of an Endometrial Polyp?

Many people have no symptoms and the polyp is found incidentally during an ultrasound. When symptoms occur, they are often related to abnormal uterine bleeding, such as:

• Irregular menstrual periods
• Bleeding or spotting between periods
• Heavier menstrual bleeding than usual
• Bleeding after menopause
• Possible association with infertility in some patients

Can an Endometrial Polyp Go Away on Its Own?

Yes, some endometrial polyps can regress spontaneously. Medical data suggest that approximately 25% of endometrial polyps may disappear on their own, particularly polyps smaller than 10 mm.

Therefore, in patients who have not yet reached menopause, have a small polyp, have no abnormal bleeding, and do not have risk factors for endometrial cancer, the doctor may recommend observation with follow-up ultrasound every 612 months.

Are Endometrial Polyps Dangerous?

Most endometrial polyps are not cancerous. However, a small proportion may contain precancerous or cancerous cells. The risk is higher in older patients, those who have reached menopause, or those with abnormal uterine bleeding.

In particular, postmenopausal bleeding should not simply be observed without evaluation, because the cause of bleeding should be investigated.

How Are Endometrial Polyps Diagnosed?

Transvaginal Ultrasound

A transvaginal ultrasound is commonly used to evaluate the uterine cavity. It can show the thickness of the endometrium and detect a mass that may represent an endometrial polyp.

Saline Sonohysterography

Saline sonohysterography involves introducing sterile saline into the uterine cavity during ultrasound. This can make the outline of an endometrial polyp or other lesion inside the uterus easier to see.

Endometrial Biopsy

An endometrial biopsy is a procedure in which a small sample of tissue is taken from the uterine lining and sent for pathological examination. It can be used as an initial test for abnormalities of the endometrium without general anesthesia or hospital admission.

It may be used to evaluate conditions such as abnormal endometrial thickening, abnormal uterine bleeding, endometrial cancer, and suspected endometrial polyps.

Hysteroscopy

During hysteroscopy, the doctor passes a small camera through the cervix to directly examine the inside of the uterus. This allows the doctor to identify the location and appearance of the polyp and, when appropriate, remove it through the hysteroscope.

How Are Endometrial Polyps Treated?

1. Observation and Follow-Up

Observation may be appropriate for some patients with a small polyp, no symptoms, who have not yet reached menopause, and who do not have concerning risk factors. The doctor may recommend follow-up ultrasound at an appropriate interval.

2. Hysteroscopic Polypectomy

A hysteroscopic polypectomy is a procedure in which a hysteroscope is inserted into the uterine cavity and the polyp is removed under direct visualization. It is the main treatment when removal of the polyp is recommended.

After removal, the tissue is sent for pathological examination to confirm that it is a benign endometrial polyp and to check for abnormal cells.

When Should an Endometrial Polyp Be Considered for Removal?

• Abnormal uterine bleeding or heavy menstrual bleeding
• Bleeding after menopause
• The polyp is large or increases in size during follow-up
• Risk factors for abnormalities of the endometrium are present
• There are fertility problems and the doctor believes the endometrial polyp may be contributing

At Clitoria Sexual Health Clinic, you can consult our doctors about irregular periods, spotting, abnormal uterine bleeding, and other gynecological concerns.

Our clinic provides a private, friendly, and non-judgmental environment.

Someone might find our Clinic too far from their places

***Please check Google Map Before Booking : Location

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Tel: 081-116-3788 | LINE @dr.clitoria

Email: dr.clitoria@gmail.com | WhatsApp: 660811163788