What should you know?
An endometrial polyp may appear as a focal lesion in the uterine cavity, often with a feeding vessel. Small polyps are easier to see early in the cycle and sometimes with saline sonohysterography.
Female pelvic ultrasound evaluates the uterus, endometrium, ovaries and pelvic spaces. The transabdominal or transvaginal route is chosen according to age, symptoms and the clinical goal.
Common symptoms and signs
- Focal lesion within the endometrial cavity
- Single feeding vessel on color Doppler
- Overall thickness and cycle timing
- Distinction from fibroid or blood clot
Diagnosis and the role of ultrasound
Transvaginal scanning usually provides greater detail; transabdominal scanning offers a wider view and generally requires a full bladder. The radiologist measures organs, characterizes lesions and may assess blood flow.
- Uterine size and myometrium
- Endometrial thickness and contour
- Ovarian size, follicles and lesions
- Free fluid and Doppler findings
Ultrasound findings must be interpreted together with symptoms, examination and, when needed, laboratory or other imaging results. An image alone should not be used for self-diagnosis or self-treatment.
Treatment and next steps
With bleeding, infertility or postmenopausal discovery, a gynecologist decides whether hysteroscopy and tissue sampling are needed. Depending on the result, follow-up may be timed to the menstrual cycle and may include gynecology review, hormone tests, sonohysterography or MRI.
Management is individual and depends on age, symptoms, imaging findings, other health conditions and pregnancy plans. Medication or a procedure should be selected with the appropriate clinician.
When is urgent care needed?
- Sudden severe one-sided pelvic pain
- Heavy bleeding, dizziness or fainting
- A positive pregnancy test with pain or bleeding
Related reading
- Uterine polyp — symptoms, diagnosis and treatment
- Endometrial thickness — what does it mean and what affects it?
- Bleeding after menopause — what is the role of ultrasound?
When should you consult radiologist Lana Ezieshvili?
Radiologist Lana Ezieshvili performs targeted ultrasound examinations, describes findings using standard imaging criteria and explains the report in clear language.
If you have symptoms, a referral or need follow-up imaging, use the form below to book a visit with Lana Ezieshvili. Timely, appropriately selected imaging can reduce uncertainty and help determine the right next step.
This article is for education and does not replace medical advice. Seek urgent care for severe or rapidly worsening symptoms.