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If your doctor recently mentioned endometrial polyps and you nodded like you knew what that meant—don’t worry, you’re not alone. These little growths in the lining of your uterus can sound way scarier than they usually are. Whether you’re dealing with odd spotting, weird cycles, or just diving into some late-night health Googling, this guide is here to break it all down. Let’s take a look at the TOP thirteen facts about endometrial polyps—what they are, why they happen, and what to do if your uterus decides to grow a few extras.
Endometrial polyps are abnormal but frequent growths inside the uterus (known as the endometrium). They develop from the uterine lining (endometrium) and are usually harmless. A tiny number of endometrial polyps may include abnormal or cancerous cells.
Polyps in the lower reproductive tract, including the cervix and uterus, affect 7.8-50% of women.
Although most endometrial polyps are benign, around 1% of polyps in premenopausal women and 4.9% of polyps in postmenopausal women will exhibit atypical or malignant characteristics.
Endometrial polyps can be observed in both reproductive and menopausal women, with the highest prevalence among those aged 40 to 49.
Endometrial polyps are the most common abnormal discovery in the uterus, and they can cause abnormal uterine bleeding and infertility. Polyps cause 50% of irregular uterine bleeding and 35% of infertility cases.
Endometrial polyps have an unknown etiology, however, their growth can be promoted by estrogen because they contain estrogen and progesterone receptors. Tamoxifen and hormone replacement therapy may increase the risk of developing polyps. Other risk factors include obesity and elevated levels of inflammation in the uterine cavity. Genetic factors can contribute to the production of endometrial polyps.
One of the most prevalent endometrial polyp symptoms is abnormal uterine bleeding, which affects 68% of premenopausal and postmenopausal women with polyps.
Your healthcare provider will evaluate you and inquire about your symptoms. Certain diagnostics, such as transvaginal ultrasound or sonohysterogram, can be used to detect polyps.
A sonohysterogram (water ultrasound) involves pushing water into your uterus to keep it enlarged. This allows the ultrasonography to view polyps more clearly. A hysteroscopy is a test that uses a scope to examine the inside of your uterus. Tissue samples may also be collected and sent to a laboratory to be examined for malignancy.
Endometrial polyps can be easily removed with a hysteroscopy under IV anesthesia, either in the office or in the operating room.
The following factors may increase the risk of an endometrial polyp:
- Obesity
- Age 50 years or older
- High estrogen (female hormone) levels
-Use of certain breast cancer medicines
Achieving or maintaining a healthy weight. Extra weight raises your estrogen levels. This can put you at risk for additional polyps. Consult your healthcare practitioner about a healthy weight for you. If you want to lose weight, he or she can assist you in developing a plan.
Eat various nutritious foods. Healthy eating can help you lose weight and reduce your risk of cancer. Healthy foods include fruits, vegetables, low-fat dairy products, cooked legumes, lean meats, and fish. Your healthcare professional or dietitian can assist you in developing a healthy eating plan.
Consult your healthcare practitioner about pregnancy. If the polyp interferes with other elements of your reproductive system, you may be unable to become pregnant. Your healthcare practitioner can advise you on potential treatment options.
If you have new or worsening symptoms, the symptoms appear again after successful treatment for a polyp, or you have questions or concerns about your condition or care, call your healthcare provider
If you have bleeding from your vagina that continues or is bright red and feel dizzy or lightheaded from heavy blood loss, you should call a doctor ASAP.