How common is bleeding between periods in endometrial polyps?

An endometrial polyp is a growth from the inner lining of the womb. It may disturb the lining as it thickens and sheds, leading to spotting between periods, heavier periods, or bleeding after menopause. Some polyps cause no symptoms. Similar bleeding can happen with hormonal changes, fibroids, infection, pregnancy-related causes, or other changes in the womb, so the symptom cannot identify a polyp without assessment.

Arrange a review for bleeding that is new, recurrent, or different from your usual cycle. Record the timing, amount, relationship to sex, and any pain or discharge. A clinician may suggest a pelvic examination, ultrasound, or a camera examination of the womb. If a polyp is found, removal may be discussed, and tissue may be examined to guide follow-up.

Seek urgent help if bleeding is heavy, makes you faint or weak, or occurs with severe pelvic pain or a possible pregnancy. Contact a clinician promptly for bleeding after menopause, repeated bleeding after sex, fever, unpleasant-smelling discharge, or persistent pain. A changed pattern deserves review even if a previous scan found a polyp.

Could an endometrial polyp explain my bleeding? Which test would show the womb lining clearly? Would you recommend monitoring or removal? Will tissue need examination, and what follow-up should I expect?