A polyp is a growth that can develop at various stages of life. The article delves into Endometrial polyps symptoms, necessary investigations, and treatment options. Endometrial polyps specifically refer to an overgrowth of the lining of the womb. Typically, they are benign, but in some cases, they can be precancerous or even cancerous.
These growths can originate from either the cervix, which is the neck of the womb or from the womb lining itself. It’s worth noting that fibroids, muscle tumours in the uterus, can sometimes present themselves in a way that resembles polyps.
Polyps often manifest with noticeable symptoms, including irregular and unexpected bleeding between menstrual cycles, heavy menstrual periods, or post-menopausal vaginal bleeding. Physicians typically diagnose polyps through curettage, which involves scraping a section of the uterine lining for microscopic examination. Alternatively, a hysterogram, an X-ray of the womb’s interior, can also aid diagnosis.
Doctors conduct tests on tissue samples extracted from the polyps to ensure the absence of cancerous growth. The reassuring fact is that the majority of polyps are non-cancerous or benign in nature. Surgical removal of polyps is a general treatment, often performed using a hysteroscopy—a procedure employing a thin telescopic device inserted through the cervix. The need for general anaesthesia may vary according to the polyp’s location. It’s worth noting that polyps can occasionally regrow after removal, necessitating the repetition of the treatment.
Several investigations may be necessary to determine the nature of cervical polyps. During an internal examination, healthcare professionals can often clearly visualise these polyps. However, in specific cases, further diagnostic measures such as scans may be required to pinpoint the exact origin of these growths.
The initial diagnostic tool of choice is typically an ultrasound scan. This imaging technique provides a clear and detailed view, helping healthcare providers identify the presence of cervical polyps and their location and quantity. Ultrasound scans serve as a valuable first step in the investigative process.
For a more comprehensive assessment and potential treatment options, hysteroscopy is an excellent choice. Hysteroscopy assists in diagnosis and removes most polyps in an outpatient or a theatre environment. This procedure provides diagnostic clarity and therapeutic solutions for individuals with cervical polyps, ensuring comprehensive care and management.
Treatment options for polyps vary depending on the specific type and the polyp size, individual symptoms and preferences. Not all polyps require removal, but certain situations warrant intervention. If you’re experiencing symptoms related to polyps or have concerns about potential malignancy, consider removal and testing.
Typically, in an outpatient clinic setting, healthcare professionals can easily remove cervical polyps, minimising any discomfort for the patient. In cases where the polyp is large with a broad base, options may include hysteroscopy or removal under general anaesthesia.
A hysteroscopy offers a viable solution for addressing endometrial polyps. Patients can choose between an outpatient setting or general anaesthesia based on their preferences and the specific characteristics of the polyps.
Doctors can treat polyps that resemble fibroids with a minimally invasive approach. This method eliminates the necessity for major surgery and the associated scarring.
After the removal procedure, we routinely send the extracted polyps to the lab for a thorough histological examination. It’s important to note that uterine polyps may recur, potentially necessitating repeated treatment if they reappear. Your healthcare provider will guide you through the most suitable treatment course based on your unique situation.