What Is an Endometrial Polyp?

 It’s normal to worry when you’re told that you have endometrial polyps. However, it should ease your concerns to learn that these growths that commonly develop in the lining of the uterus are typically non cancerous and often cause no symptoms. But, it’s important to know what they are, how they may affect you, and when to worry.

The expert team of women’s health professionals at Ideal Gynecology have answers to your questions concerning endometrial polyps and beyond. Serving the greater Atlanta, Georgia community, the Ideal Gynecology team strives to provide exceptional care throughout all phases of a woman’s life. 

Endometrial polyps are common, and most women are unaware they have them. They’re often found incidentally when women see their healthcare provider for issues like heavy periods. If you recently found out, or suspect that you have uterine polyps, or if they run in your family, keep reading for some helpful information.

Why do endometrial polyps develop?

Though we don’t know the exact cause of endometrial polyps, we do know that fluctuations in hormones, particularly estrogen, seem to play a major role. Estrogen does the important job of stimulating uterine lining growth to prepare for a possible pregnancy. When hormones are imbalanced, the excess stimulation may lead to uterine polyps. 

Who’s at risk of endometrial polyps?

Uterine polyps can impact any woman with a uterus. However, women approaching menopause, who typically experience hormonal shifts, are at greater risk. You’re also at a higher risk if you:

• Are overweight or obese
• Take hormone therapy
• Have high blood pressure
• Have a family history of uterine polyps
• Are between the ages of 40 and 50

Certain medications, such as tamoxifen, a drug often prescribed for breast cancer, can increase the risk of endometrial polyps.

Symptoms you shouldn’t ignore

Not every woman with an endometrial polyp will have symptoms, but there are signs that might suggest you should see a gynecologist. Heavy bleeding or bleeding after menopause and pelvic pain are some of the most common signs. 

In cases where the polyp is large or located in certain parts of the uterus, it may impact fertility, making it harder to get pregnant.

If you notice any of these symptoms or have concerns about potentially having uterine polyps, come see us for an evaluation. Keep in mind that these symptoms can sometimes mimic other gynecologic issues. This makes a professional diagnosis crucial in guiding you toward the best treatment options.

How are endometrial polyps diagnosed?

Diagnosing endometrial polyps typically involves a combination of symptom review, a pelvic exam, and advanced imaging. A transvaginal ultrasound is often the first step. Imaging allows our team to view your uterus and spot any unusual growths. 

Hysteroscopy is another option, which involves inserting a thin, lighted instrument through the cervix to get a closer look inside the uterus. During this procedure, our team can even remove the polyp for analysis if needed.

Treatment options: what to expect

Treatment varies depending on the polyp size and related symptoms. If the polyp is small and doesn’t cause you any issues, our team may suggest a watch-and-wait approach. However, if you’re having symptoms or the polyp is larger, we may recommend removal. 

In many cases, we can remove a polyp during a hysteroscopy in an outpatient setting, which allows for a relatively quick recovery. We send removed polyps to a lab for analysis to ensure they’re non cancerous.

Prioritizing your reproductive health

Don’t put off getting evaluated if you notice symptoms that are out of the ordinary for you. Irregular bleeding, pain during sex, pelvic pain, or unusual bloating require some investigation to get the answers you need. 

Contact the Ideal Gynecology team to schedule a consultation with us. We’re ready to discuss your symptoms, answer your questions, and help you explore your options!