Endometrial polyp

The endometrial polyp is located overgrowth and the tissue that lines the inside of the uterus (called endometrium).

It is a finger-like growth located in the inner wall of the uterus. It may be small in size or have a considerable size. You may receive an attached or polyps.

The causes of endometrial polyps is unknown. Overall endometrial polyps are benign . Only about 3-4% polyps are malignant or premalignant.

They are more likely to be malignant:

  • Polyps that appear in menopause, bleeding
  • In case of treatment with tamoxifen
  • In menstrual disorders with long-term rules and / or heavy
  • Obesity
  • In situations inherited Lynch syndrome or Cowden syndrome

SYMPTOMS

  • They can be asymptomatic, It is a finding on ultrasound
  • And irregular menstrual bleeding between cycles
  • Prolonged and heavy menstrual bleeding
  • Infertility

Diagnostico

  • Echography: Especially, proportional transvaginal ultrasound can diagnose
  • Histeroscopia: Hysteroscopy allows direct visualization of the uterine cavity by introducing a lens that is inside a metal sheath small caliber through vaginal
  • Endometrial biopsy: It is done by introducing a small cannula inside the uterine cavity to take a small sample of endometrial tissue. The sample is sent to pathological analysis, to rule that it is a malignant tumor.
  • Histerosonografia: Use serum instillation inside the uterine cavity to study the morphology of the uterine cavity and check for polyp.

Treatment

At menopause polypectomy is recommended especially in patients with bleeding. The procedure is performed by hysteroscopy, minimally invasive technique.

In asymptomatic premenopausal women without risk factors you can make a follow-up control. En los casos respantes, hysteroscopy is carried out with polypectomy.