Endometrial polyps are one of the most common gynaecological conditions (By: Dr. Chan Ying Sze, Viola)

Endometrial polyps are one of the most common gynaecological conditions. Among ten women, one to three may have endometrial polyps. Endometrial polyps can cause abnormal uterine bleeding, such as heavy periods, prolonged periods, intermenstrual bleeding, or postmenopausal bleeding.

How are endometrial polyps diagnosed?
Ultrasound examination can detect about 80% of uterine polyps. Some polyps, especially small ones or those located in less accessible areas, are difficult to detect with ultrasound. Therefore, if endometrial polyps are suspected, a hysteroscopy is usually required.
 

What is a hysteroscopy?
A hysteroscope is an instrument with a camera that is inserted into the uterine cavity to visually examine the presence of polyps and assess the condition of the endometrium. If polyps are found, they can be removed surgically. The doctor will recommend removal with either an electric or cold knife depending on your age and needs.

 

What should be noted after endometrial polyp removal?
Endometrial polyp removal is a minor procedure with a very quick recovery time. Postoperative bleeding usually stops within a week. However, as there is a wound in the endometrium,
there is a risk of infection. It is recommended to maintain hygiene and avoid bathing, swimming, or sexual activity.

 

Can endometrial polyps recur?
Yes. Studies indicate that approximately 2.5 to 43.6% of women may experience recurrence.