The uterine/womb lining is called the Endometrium. A tissue mass, called a Polyp , can grow in the Endometrium and most are benign. They are caused by the Endometrium overgrowing and they are connected by a stalk. The size of Polyps can vary, with some larger Polyps protruding through the Cervix. Polyps can develop in women going through or having completed the Menopause, but younger women can still develop them.
Polyps may not cause any symptoms and may be found by chance during other investigations for other reasons, such as a Pelvic Ultrasound Scan. Some women may have symptoms such as bleeding after sex, heavy periods, irregular bleeding, or infertility.
We can reduce the chance of developing Polyps by maintaining a healthy weight. Additional weight increases Oestrogen levels and higher levels of Oestrogen can encourage Polyps to develop and grow. Women taking HRT or hormonal treatment for other health conditions can be more at risk. Depending on symptoms, you may be referred to a Gynaecologist for further investigation and for the Polyp to be removed and sent for Histology testing.
You may be offered a Hysteroscopy as an outpatient. This involves examination with a telescope inside your uterus to enable examination of the Uterine cavity. This takes 10-15 minutes.
Some Polyps in asymptomatic women may resolve on their own.
Debbie Hamilton-Rose