Patient education

Endometrial polyps

Endometrial polyps are local overgrowths of the uterine lining. They commonly cause intermenstrual spotting, prolonged bleeding, or bleeding after sex in some patients.

Quick definition

Most endometrial polyps are benign. Management focuses on symptom burden, age/risk profile, and whether tissue diagnosis is needed.

If symptoms are changing or persistent, structured assessment helps avoid missed diagnoses and unnecessary delay.

What is an endometrial polyp?

A polyp is a focal growth from the uterine lining. Polyps can be single or multiple and are a common cause of irregular spotting.

  • Bleeding between periods
  • Prolonged or unpredictable bleeding
  • Sometimes no symptoms (found on imaging)

How it is diagnosed

Step 1

Bleeding pattern review

We map timing and associated symptoms.

Step 2

Ultrasound

Often detects suspected intracavitary lesions.

Step 3

Hysteroscopy when indicated

Directly visualizes and can treat in one setting.

Step 4

Histology

Tissue diagnosis confirms benign vs atypical change.

Cancer risk framing

Most polyps are benign. Risk rises with age, post-menopausal bleeding, and selected risk factors, so tissue diagnosis is often advised where relevant.

Treatment options

Hysteroscopic polypectomy

Preferred route for symptomatic polyps and tissue diagnosis.

Hysteroscopy

Bleeding control while planning

Medical options may help temporarily while definitive treatment is arranged.

AUB options

Follow-up

Follow-up depends on histology, symptoms, and recurrence pattern.

Common questions

Frequently asked questions

Are polyps always cancer?

No. Most are benign, but tissue diagnosis helps confirm this.

Can polyps cause spotting between periods?

Yes, this is a common presentation.

Do all polyps need removal?

Not always. Decisions depend on symptoms, risk profile, and fertility goals.

Can polyps return?

They can recur in some patients, which is why follow-up is individualized.

Still unsure? We can map your symptoms to the right pathway and agree on practical next steps.

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