Endometrial polyps are benign outgrowths of the endometrium that can cause bleeding. Risk factors include age 45-55, obesity, tamoxifen use, hormone therapies, and genetic conditions. Diagnosis involves transvaginal ultrasound, saline infusion sonography, or hysteroscopy to visualize the polyp. Treatment depends on age, symptoms, and fertility needs but generally involves surgical resection of the polyp via hysteroscopy to diagnose and treat the cause of bleeding. While usually benign, polyps in postmenopausal women have a higher cancer risk, so removal is recommended.

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