Endometrial polyps are one of the most common etiologies of abnormal genital bleeding in both premenopausal and postmenopausal women. They are hyperplastic overgrowths of endometrial glands and stroma that form a projection from the surface of the endometrium (lining of the uterus). They may also be asymptomatic. The great majority of endometrial polyps are benign, but malignancy occurs in some women. Use of Tamoxifen and obesity are considered to be important risk factors.
Theses polyps are either asymptomatic-detected incidentally on imaging or hysteroscopy or present with bleeding. Physical examination and imaging – pelvic ultrasound/MRI or hysteroscopy are the mainstays of diagnosis. Fortunately, approximately 95 percent of endometrial polyps are benign. These cysts either continue to grow or else regress spontaneously. The size is an important determinant for the polyp to regress.…
