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 Removal of Endometrial Polyps

Removal of Endometrial Polyps

Endometrial polyps, commonly known as uterine polyps, are common in women. In most cases, it can develop both during pre or post-menopause. Although these are primarily noncancerous; however, it is best to remove them.

Symptoms are familiar, like paternal bleeding, continuous pain, etc. Consulting a gynecologist is the best way to control endometrial polyp. Besides, it helps in removing future complications.

Everything You Need to Know About Removal of Endometrial Polyps​

Endometrial Polyp | Causes, Signs and Symptoms | Diagnosis and Treatment | Pregnancy

What is an endometrial polyp?

Endometrial polyps are small tissues that grow inside the uterus of a woman. These come from the endometrium, a tissue bed that lines and protects the uterus. You can either have one polyp or multiple polyps. The size of the cell growth varies from a small pea to the size of a golf ball.

One out of a hundred women have this problem. Women having small polyps mostly do not suffer from any significant symptoms. However, it is a good idea if you do not leave them untreated. In the future, it can cause problems like infertility, irregular bleeding, etc.

Causes, signs and symptoms of endometrial polyp (Uterine polyps)

There are no definitive reasons behind developing endometrial polyps. However, health experts believe that hormonal imbalance is one of the common reasons behind it.

Since uterine polyps are estrogen-sensitive, irregular estrogen cycles often lead to this unwanted cell growth. Ideally, these are small in size, but their size can range from few millimeters to centimeters.

While some women can have a single polyp, others can have multiple polyps. Postmenopausal, pre-menopausal, and obesity are some of the common causes behind endometrial polyp. Moreover, drug consumption and a family history of Lynch or Cowden Syndrome can be yet another cause.

There is a difference between endometrial polyps and fibroid polyps. Muscle tissues mostly give rise to these fibroids. There are multiple signs and symptoms of endometrial polyp that are worth the attention. Let us check out some of the common symptoms.

  • Irregular menstrual cycles
  • Too much menstrual bleeding, also known as menorrhagia
  • Vaginal bleeding even after menopause
  • Dysmenorrhea or painful periods
  • Some women even face spotting in between periods
  • Breakthrough during any hormone therapy

Diagnosis and treatment for endometrial polyp

Endometrial polyps can easily be diagnosed by a good ultrasound scan. When it comes to treatment doctors also opt for hysteroscopy for diagnosis of the endometrial polyp. In this method, doctors insert a thin tube inside the uterus cavity to locate the polyp. Secondly, they perform a final diagnosis, confirm the polyp’s type, and check the uterine condition on the inside. Finally, doctors do operative hysteroscopy for removing polyps.

Sonohysterography, also known as hysterosonogrphy, is yet another one of effective diagnosis method. Here, saline is inserted into the uterus via the cervix using a thin pipe. It helps expand the uterus, giving a clear image of any unwanted cell growth inside the cavity.

Doctors often opt for endometrial biopsy. They use a small suction catheter to collect tissue specimens from the uterine wall. This sample is then sent for testing in the laboratory to detect uterus abnormalities, especially endometrial polyps.

When it comes to the treatment, the small asymptomatic polyps mostly resolve on their own. However, if you face complications, then it is best to treat them by removing them hysteroscopically.

There are various treatment procedures for uterine polyps. The primary and most straightforward one includes medicines. Hormonal medications like gonadotropin and progestin are some of the best options. But, if you stop the medication, the symptoms can reoccur.

Alternatively, the surgical procedure is also helpful. Hysteroscopy and curettage are the two effective surgical procedure that helps in removing the polyps. On removing the polyp, you might suffer mild bleeding, cramping and discharge fluid for some days.

Pregnancy with endometrial polyp

Endometrial polyps are mostly noncancerous; however, if left untreated may lead to cancerous changes. For women going through menopause, it is best to the threat of polyps as the chances of turning into cancer increases. If you plan for pregnancy, it is best to treat the polyps first and then prepare for the pregnancy.

The reason behind this is endometrial polyps may lead to miscarriages and it also does not allow the fertilized embryo to attach to the uterus. Moreover, it can also lead to fallopian tube blockage.

Conclusion

Endometrial polyp is a common disorder that women may face. However, treating it at the right time can remove any further complications. After removing the endometrial polyps, the patient can feel tenderness and discomfort.

The best way to ease the discomfort is by applying a hot compress as it removes tenderness. Opting for the polypectomy will help in making your menstrual cycles regular. After hysteroscopic polypectomy recovery is quick and you can resume office after 48 to 72 hours through some females may feel slight heaviness in the pelvis slightly longer.

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Hi, I and my wife Garima got married in 2013, and it's been 7.5 years since we had no children. We went to three-four doctors before visiting Gunjan IVF world. Then we went to Gunjan IVF center, where Doctor Gunjan ma’am guided us so friendly and she advised us to go for IVF. With their positive hands, we cracked in the first go and now we are blessed with twins. Especially, the team is too very cooperative they give you an environment which makes you feel very positive and comforting

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From the very depth of my heart, I would really love to thank my most excellent Dr. Gujan and her team whose guidance actually helped me a lot more than that I would like to give my gratitude to the most outstanding counselor (Ms. Nivedita) for all her counseling. It was actually possible with her help that I could take a perfect decision for my own self. Thank you for valuable counseling which actually provided inner strength to go for Gujan Mam. It’s not been long that I have been attached to the clinic but it makes me feel like an extended family of mine.

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Dr. Gunjan Gupta Govil

MRCOG(UK), MD(Gynae) – Founder & Director

She is a Gynaecologist with specialization in IVF, Infertility & Laparoscopy specialist doctor and has close to 2 decades of experience in treating Infertility, performing Gynae Laparoscopy (Keyhole Surgeries) & Handing high risk Pregnancies. She is a noted speaker in National and International level conferences and has also chaired various sessions on Infertility

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