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Lexicon: U
Uterine polyp and frequency therapy
Definition:
A uterine polyp, also known as an endometrial polyp, is a benign growth that forms in the mucous membrane of the uterus (endometrium). These polyps can occur singly or in multiples and vary in size from a few millimetres to several centimetres.
Causes:
The exact causes for the development of uterine polyps are not fully understood, but hormonal imbalances, in particular an excess of oestrogen, appear to play a role.
Other risk factors may be:
- Age, especially menopausal or post-menopausal women
- Obesity
- High blood pressure
- Tamoxifen therapy for breast cancer
Symptoms:
Many uterine polyps do not cause symptoms and are often discovered by chance. If symptoms do occur, they may include
- Irregular menstrual bleeding
- Intermenstrual bleeding or spotting
- Heavy menstrual bleeding (menorrhagia)
- Bleeding after the menopause
- Infertility or difficulty getting pregnant
Diagnosis:
- Ultrasound: A transvaginal ultrasound can visualise polyps in the uterus.
- Hysteroscopy: A procedure in which a thin, illuminated instrument is inserted through the cervix to view the uterine cavity directly and take tissue samples.
- Endometrial biopsy: Removal of a tissue sample from the lining of the uterus for examination.
Treatment:
- Observation: small, asymptomatic polyps can be monitored without immediate treatment.
- Medication: Hormonal therapies can help control symptoms but are not a permanent solution.
- Surgical removal: Hysteroscopic polypectomy to remove polyps, especially if they are causing symptoms or are at risk of malignant degeneration.
Prevention:
There are no specific measures to prevent uterine polyps, but regular gynaecological examinations can help to detect and treat polyps at an early stage.
Worth knowing:
- Uterine polyps are usually benign, but in rare cases they can become malignant or increase the risk of uterine cancer.
- They are a common cause of abnormal uterine bleeding in menopausal women.
Research:
Research into uterine polyps is focussed on understanding the hormonal and genetic factors that contribute to their development and on developing new methods of diagnosis and treatment.