Top 10 Things You Must Know About Uterine Polyps

Uterine Polyps

There’s a lot that can go on with the anatomy of your body, without you even realizing it. Many times what you may consider an insignificant anomaly from the regular could actually be your body telling you that something’s up. Uterine polyps, for instance, develop along the uterine walls and can lead to serious health implications, showing no clear initial symptoms. Let’s understand more about what uterine polyps are and everything you must know about them.

What Are Uterine Polyps?

Uterine polyps, also known as endometrial polyps, are an overgrowth of cells along the inner wall of the uterus that leads to the formation of uterine polyps, which may extend into the uterine cavity and into the vagina as well. Though the exact reason that polyps form is unclear and unknown, many studies suggest that hormonal imbalances in the body lead to the overgrowth of tissues and cells, which collectively become polyps.

The size of uterine polyps can range from a few millimeters to several centimeters. Their attachment to the uterus wall could be through a thicker base or a thin stalk. Though most uterine polyps are benign, some can be precancerous and turn cancerous, eventually.

You can have one or more uterine polyps inside your uterus. They initially start from the uterine cavity and keep growing towards the cervix until they reach the vagina. You can see polyps in both reproductive age groups- and in menopausal age, with increased incidence in hormonal replacement therapy.


Top Things You Must Know About Uterine Polyps

Uterine polyps are sac-like structures that grow out of the uterine wall because of abnormal or excessive cell growth inside the uterus.

Uterine polyps are usually asymptomatic, especially when they are small. However, in large polyps, they may present with increased uterine bleeding, severe pain in the abdomen during menstruation, infertility, miscarriages. Rarely a large polyp may turn into cancer.
If you experience heavy menstrual bleeding, bleeding in between your menstrual cycle, or post-menopause vaginal bleeding, you probably might have polyps in your uterus and need to get yourself checked. Increased bleeding during periods because of polyps varies from 13 to 50 percent in perimenopausal and 30 percent in postmenopausal women.

Polyps have been associated with infertility, where the chances of primary infertility in women because of polyps range from 3.8% to 38 percent, and that of secondary infertility range between 1.8 to 17 percent. The actual cause for infertility is uncertain, but it mainly happens because of mechanical obstruction. Polyps may extend into your fallopian tubes, blocking. Sometimes, despite successful fertilization, the embryos may not implant successfully on the uterine wall because of polyps, leading to a failed pregnancy or recurrent pregnancy loss.

Sometimes, smaller polyps disappear on their own. The ones that don’t go away, continue to grow and need to be treated through a procedure called a polypectomy. Uterine polyps can develop in anyone’s body. However, some people are more prone to getting them than others. Women who are perimenopausal and postmenopausal, obese, have high blood pressure, women on hormonal replacement therapy or consume the drug tamoxifen for breast cancer run a high risk of developing them.

Studies suggest that the estrogen hormone is directly responsible for the development of uterine polyps. However, there is no clear evidence on how it affects or leads to their growth.

Diagnosis or detection of uterine polyps is like that of uterine fibroids. The symptoms may be similar in most cases too. Your fertility doctor will conduct the following diagnostic tests to check for their presence:
Transvaginal ultrasound
Saline Sonohysterography

Treatment of polyps:

Surgical: Through hysteroscopic polypectomy, dilatation, and curettage
Medical: Progesterone therapy, Levonorgestrel Intrauterine Device

Uterine polyps are one cause of infertility and recurrent implantation failure. If couples have been trying to conceive for more than a year without success and/ or notice any of the other symptoms, your fertility doctor will advise getting checked for uterine polyps. It becomes crucial in such cases to consult an experienced and skilled team of doctors and fertility specialists.

Archish IVF can help you with the proper consultation, treatment, and care for uterine polyps and any other fertility-related issues you may be experiencing. Book your first free consultation with Archish IVF and give your journey towards parenthood a fresh start.

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