Endometrial Polyps: causes, symptoms, treatment

Endometrial polyps are growths or structures seen in the endometrium (that is the inner part of the womb of a woman). They are also known as Uterine polyps. You can have one or more endometrial polyps. They are mostly non-cancerous, although some can turn to cancer later in life. They are usually more commonly seen in women who are going through menopause, or those who have completed menopause.

A good number of women problems conceiving or having a child might have these endometrial polyps.
They can be similar to a type of fibroid that grows inside the womb.

Endometrial Polyps Uterine polyps
Image Credits: News medical

What is an Endometrial Polyp?

As previously explained, endometrial polyps are growths or structures seen in the endometrium (that is the inner part of the womb of a woman). They are also known as Uterine polyps. You can have one or more polyps.

What is the Cause of Endometrial Polyps?

Endometrial polyps have been linked to the hormones. The Uterine polyps are Estrogen sensitive, which cause overgrowth of cells lining the womb of the woman (uterus/endometrium).

Symptoms of Endometrial Polyps.

These endometrial polyps in some persons may not cause any symptoms, whereas, in some others, they may cause problems like:

  • Abnormal uterine bleeding (AUB)
  • Heavy menstrual bleeding [HMB],
  • Bleeding between menses IMB and
  • Postmenopausal bleeding [PMB]
  • Can also affect fertility.

Risk Factors for Endometrial Polyps

These are the factors that may increase your chances of developing these Uterine polyps. They include:

  • Obesity: This refer to being overweight, or BMI above 30. Read more about Obesity here.
  • late menopause: Menopause refers to that period whereby there is complete absence if menses in the life of a woman for at least 12 months. Read more about menopause here.
  • Medications: the use of the drugs like tamoxifen, hormone replacement therapy (HRT), etc.

They can predispose you to developing cancer, especially after menopause. The polyps may be single or multiple and vary in sizes.

Treatment of Endometrial Polyps

Anyone experiencing any of the symptoms of Uterine polyps should see a doctor immediately. Your doctor would examine you and guide you on the best possible treatment option for you. Available options are;
Surgery: to remove the polyps known as a polypectomy.

Polypectomy is not a complex surgical procedure and it can be performed as a day case. You do not need to be admitted. A device known as a hysteroscope is used, through the vagina to see the Uterine polyp(s) in the womb, and then, some miniature instruments is then used to remove the polyp.

You would also go back home the same day after the procedure.

This can help to solve your abnormal bleeding problems, improve fertility and also, very importantly, exclude the possibility of cancer.

Complications of Endometrial Polyps

Infertility: Uterine polyps have been linked to a number of cases of infertility. If you have been confirmed to have endometrial polyps and you have difficulty conceiving and achieving pregnancy, removal of the Uterine polyps may help you in your desire to become pregnant. Read other causes of infertility here.

I hope you have been able to learn something from this?

Feel free to ask questions below.


  • Amaeze Victor Ogechukwu attended the College of Medicine, University of Nigeria Teaching Hospital, UNTH in Ituku Ozalla, Enugu State, Nigeria.

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