With the frequent use of transvaginal ultrasound, CT scans, and MRIs; the
diagnosis of uterine polyps has increased. Endometrial polyps are small
growth from the inner lining of the uterus. They occur in menstruating
and postmenopausal women, and in some cases are thought to be related
to unopposed estrogen and medications like tamoxifen. Some women are asymptomatic
at the time of diagnosis; whereas others experience abnormal bleeding
patterns such as spotting between periods, heavy menstrual bleeding, or
postmenopausal bleeding.
So when should we be concerned? A recent review of 17 studies was published in the
Journal of Obstetrics & Gynecology about the cancer potential of uterine (not cervical) polyps. Those women
with uterine polyps and abnormal bleeding or in menopause only have a
5% chance of
cancer. Fortunately we can easily remove polyps by hysteroscopy to send to the
lab for analysis (inserting a thin scope into the uterine cavity similar
but more accurate than an old fashioned D&C). It’s low risk,
relatively painless, and requires no recovery time other than the day
of the outpatient procedure. Even if malignancy is detected, most of the
time the prognosis is excellent when confined to a polyp as hysterectomy
is curative.
Bleeding between periods? Heavy periods? Menopausal bleeding? Come see
us today… Modern gynecologists conveniently offer ultrasound in
their offices where they can enhance detection of small intra-uterine
growths by placing water in the uterus (Sonohysterography), or alternatively perform
hysteroscopy.