How is endometrial polyps treated?

Endometrial polyps are growths from the lining of the womb. Some cause no symptoms, while others contribute to bleeding between periods, breakthrough bleeding or heavy periods. Bleeding after menopause should always be assessed rather than assumed to be a polyp.

A diagnostic hysteroscopy lets a clinician look inside the womb with a slender camera. It may clarify whether a scan finding is a polyp and whether the lining needs sampling. The decision to observe or remove it considers symptoms, age, menopausal status, appearance and plans for pregnancy.

During hysteroscopic polypectomy, the polyp is removed through the vagina and cervix, without an abdominal incision. The tissue is sent for laboratory examination. You may have cramping or light bleeding afterward; follow the service's instructions about activity, sex and when to report symptoms.

If a polyp is small and symptoms are absent, the clinician may recommend observation and a planned review. Medicines may help bleeding in some situations but do not remove a polyp. Tell the team about pregnancy plans, medicines and any bleeding after menopause.

Arrange an assessment for repeated bleeding between periods, new breakthrough bleeding or heavy periods. Seek prompt care after a procedure for heavy bleeding, fever, worsening pain, faintness or a foul-smelling discharge. Bleeding after menopause warrants medical review even when it is light or happens once.

Ask whether the finding is definitely a polyp, whether hysteroscopy is diagnostic or therapeutic, why removal is advised, how the tissue will be checked, and when results and follow-up will be available.