Endometrial polyp

1. ENDOMETRIAL POLYP
BY: DR. SANA LODHI

2. ENDOMETRIAL POLYP
 Definition
 Endometrial polyps are discrete
outgrowths of the endometrium
containing a variable amount of
glandular tissue,stroma and
blood vessels.

4. RISK FACTORS:
 Age: 45-55yrs
 Obesity
 Tamoxifen
 Luteal Insufficiency
 Hormone therapies in post-menopausal
patients
 Rare genetic diseases, including the Lynch
syndrome (a.k.a. HNPCC) or the Cowden’s
disease
 Infertility

5. CLINICAL FEATURES

6. DIAGNOSIS
 IMAGING:
TVUS an endometrial polyp typically
appears as a hyperechoic lesion with
regular contours within the uterine
lumen, surrounded by a thin
hyperechoic halo
 Colorflow Doppler
 Saline Infusion Sonography
 Hysteroscopic guided biopsy
Identification of a polyp at
hysteroscopy
Polyps have a reddish appearance
similar to the surrounding
endometrium
 are soft and can be indented with the
tip of the optic (unlike a fibroid)
 move with the movement of liquid
distending solution (unlike a fibroid).

7. MANAGEMENT
 Management of endometrial polyp might vary according to age & size,symptoms
and fertility status
 The polyp needs to be removed for 2 reasons:
1- to eliminate the cause of bleeding
2- to obtain a histological report to ensure that it is not malignant
 Expectant Management: About 25 % of all endometrial polyps regress
spontaneously.Small polyps (< 10 mm) are more likely to regress spontaneously
compared to larger polyps.

8. Hysteroscopic Resection
 Hysteroscopic polypectomy is
effective and safe as both a
diagnostic and therapeutic
intervention

10. Endometrial polyp & Cancer risk
 Hyperplastic or malignant foci within a polyp are infrequent.
 Asymtomatic women: 0.1-1.5%
 Women with postmenopausal bleeding: 1 – 4.5%

11. THANKS