How to Recognize & Treat Uterine Polyps

By emily.blumkin
March 1, 2019
One of our newest providers to join the Garden OB/GYN family, Rachel Telfort, FNP, shares her expertise on Uterine Polyps. Read below to understand what a uterine polyp is, how to recognize symptoms, how to seek a diagnosis from your OB/GYN clinician, and get treatment. 

Uterine Polyps

Uterine polyps are growths attached to the inner wall of the uterus that extend into the uterine cavity, formed from overgrowth of cells in the lining of the uterus.  These polyps are usually noncancerous, although some can be cancerous, and mostly occur in menopausal women, although younger women can get them as well.

Signs and symptoms

 

Symptoms may include but are not limited to: Irregular menstrual bleeding, bleeding between menstrual periods or spotting, excessively heavy menstrual bleeding (menorrhagia), and vaginal bleeding after menopause. If the polyp protrudes through the cervix into the vagina, pain (dysmenorrhea) may result.

Diagnosis

Endometrial polyps can be detected by vaginal ultrasound, hysteroscopy and dilation and curettage, therefore, It is very important to request a vaginal ultrasound  during your GYN visit.

Treatment

Polyps can be surgically removed using curettage, with or without hysteroscopy, under general anesthesia. Hysteroscopy involves visualizing the endometrium (inner lining of the uterus) and polyp with a camera inserted through the cervix. If it is a large polyp, it can be cut into sections before each section is removed. If cancerous cells are discovered, a hysterectomy (surgical removal of the uterus) may be performed. A hysterectomy would usually not be considered if cancer has been ruled out.

 

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