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Uterine Polyps

Endometrial polyps also known as uterine polyps are small soft growths on the inside of a woman's uterus. They are derived from the endometrium which lines the uterus. The majority of uterine polyps are not cancerous. Many women experience no symptoms and some may not require therapy.

Overview


Age is a significant predictor of polyps. Uterine polyps are most common in your 40s and 50s at the time you're nearing menopause (perimenopause). Uterine polyps can develop after menopause (postmenopause) however they are uncommon in women under the age of 20. Endometrial polyps in women have an unknown etiology. When there is more estrogen in the body they tend to increase. The majority of endometrial polyps are not malignant although they can be.


Causes


You are more likely to acquire uterine polyps if you are,

  • Obese (BMI > 30) or overweight (BMI 25-30). 

  • Suffer from Hypertension.  

  • Under certain medications like Tamoxifen for cancer of breasts.  

  • Received hormone replacement therapy with a high estrogen dosage.

  • If you have Lynch syndrome or Cowden syndrome, you are more likely to develop uterine polyps.


Symptoms


Abnormal bleeding is the most prevalent symptom of uterine polyps. Vaginal bleeding after menopause and irregular menstrual periods are examples of abnormal bleeding. Most menstrual cycles last four to seven days. Normal menstrual periods last 28 days however they can last anywhere from 21 to 35 days. Many women with uterine polyps have irregular menstrual cycles. Uterine polyps cause the following symptoms,

  • Menstrual cycles that are irregular (unpredictable time and flow). 

  • Exceptionally heavy flow during menstruation (heavy menstrual bleeding). 

  • Intermenstrual bleeding is defined as bleeding or spotting between periods. 

  • Infertility (the inability to conceive or bring a pregnancy to term). 

  • After menopause vaginal spotting or bleeding (red pink or brown blood). 

  • After intercourse bleeding. 

  • During a procedure to diagnose another problem, your doctor may uncover asymptomatic polyps. Polyps can occasionally prolapse or slip through your cervix. The cervix is the hole between your vaginal and uterine cavities.


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