What should you know?
An endometrial polyp is a focal overgrowth of the uterine lining. Most are benign, but they may cause abnormal bleeding and can sometimes affect fertility.
Importance depends on age, symptoms, size and menopausal status. Definitive diagnosis is commonly obtained after hysteroscopic removal and pathology.
Common symptoms and signs
- Bleeding between periods
- Heavy or irregular menstruation
- Bleeding after intercourse or after menopause
- Difficulty conceiving in some patients
Diagnosis and the role of ultrasound
A polyp may appear as focal endometrial thickening with a feeding vessel on Doppler. Saline sonography outlines the cavity, while hysteroscopy can diagnose and remove the lesion.
- Size and attachment site
- Single versus multiple lesions
- Overall endometrial thickness
- Distinction from a submucosal fibroid
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
Observation can be reasonable for a small asymptomatic polyp in selected patients. Bleeding, infertility, menopause or concerning features often lead to hysteroscopic removal and histology.
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?
- Heavy bleeding or anemia symptoms
- Any bleeding after menopause
- Positive pregnancy test with pain or bleeding
Related reading
- Endometrial thickness — normal changes by age and menstrual cycle
- Uterine fibroids — symptoms, causes and treatment
- Heavy menstrual bleeding — causes and treatment
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.