What is the treatment for endometrial polyp?

Expert answer:

Treatment for endometrial polyp can be done through surgery, with the removal of the polyp (polypectomy), or by means of hormonal therapy with progestins.

The type of treatment for endometrial polyps depends on the symptoms, the woman's age (fertile or postmenopausal age) and the use of certain medications, such as hormones.

For patients who have symptoms, surgery is usually the first option. The most effective surgical treatment in these cases is the removal of the polyp by hysteroscopy (hysteroscopic polypectomy).

Hysteroscopy allows the physician to view the uterine cavity through an instrument that has a camera at the end, similar to the endoscope used to see the inside of the stomach.

This test is both for diagnosing and treating the endometrial polyp. Depending on the type of polyp, your doctor may remove it at the time of the biopsy.

Learn more at: What is hysteroscopy?

However, for small endometrial polyps (less than 10 mm) and which do not cause symptoms, the hormonal treatment may be the chosen one. The chances of the polyp regressing in these cases can reach 25%.

It is worth remembering that the surgical removal of the endometrial polyp without cure the disease definitively, since the recurrence of polyps is often observed.

Although endometrial polyps are usually benign, there is the possibility of cancer cells inside them. However, the risk is low and less than 1% of polyp cases cancer of the endometrium.

The endometrial polyp is an abnormal growth of tissue in the endometrium, the inner lining of the uterus. It occurs mainly in women between 30 and 50 years of age and its main symptom is abnormal uterine bleeding, although most cases are asymptomatic.

The gynecologist is the specialist responsible for the diagnosis and treatment of endometrial polyps.

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