Endometrial polyp is a disorder of the inner lining of the uterus and is found in about 10% of women between the age of 40 and 50. It is usually a benign neoplasm, which may either have a flat base or grow on a stalk attached to the endometrium.

Hysteroscopy is the most precise method in order to diagnose endometrial polyp. Hysteroscopy gives us a detailed depiction of the condition, whereas it also serves as a method to remove the polyp, which later needs to be tested for malignancy. Rarely, though, is endometrial polyp malignant. Other diagnostic methods, yet not as precise, are a transvaginal ultrasound, a Doppler ultrasound and transvaginal hydrosonography.

Causes of endometrial polyp – Symptoms
High blood pressure, obesity, hormone replacement therapy and medication to fight breast cancer are common risk factors. As for symptoms, polyp is normally an asymptomatic condition. When symptoms do appear, they include:

  • Post-menopausal haemorrhage
  • Heavy and prolonged menstrual bleeding (menorrhagia)
  • Irregular menstrual bleeding
  • Bleeding between menstrual periods
  • Miscarriage following IVF treatment
  • Infertility

Hysteroscopic endometrial polypectomy
Operative hysteroscopy is the most effective way to remove polyp. It is preferable to curettage, which clearly has higher failure rates due to the fact that it is basically a blind method. The procedure lasts only a few minutes and the patient can be discharged on the same day and return to her daily routine.

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