These are fleshy growth on the inside of the uterus and may have variable appearances; some are on a stalk (pedunculated), others are low and flat (sessile) and some are within the lining (submucosal). Polys tend to cause symptoms of irregular bleeding, but occasionally are found on scan while undergoing preliminary investigations for infertility. Needless to say, the presence of a polyp will reduce a woman’s chance of conceiving naturally.
As noted, polyps are readily identified by ultrasound scan then confirmed at hysteroscopy. Removal is straightforward, often undertaken with a resectoscope (see description under Surgery). Once removed issues of infertility are resolved, as are those of irregular bleeding between periods.
Endometrial polyps are rarely malignant in women who are pre-menopausal, but are always tested and checked at the pathology laboratory just in case.
Dr Gordon can provide further information and discuss optimal management of these conditions.