UTERINE POLYPS

What is a uterine polyp?

Uterine polyps are benign, elongated, bell-shaped tumors that sit within the uterine cavity and undergo changes in the menstrual cycle. Their pedicle attaches to one of the walls of the uterus. They are very common in menopausal or premenopausal women (40-50 years old). The majority of uterine polyps are benign, but some polyps may exceptionally become cancer. The causes of the appearance of uterine polyps are not clearly elucidated. However, we do know that they appear when estrogen levels are high.

 

The different types of uterine polyps

There are two types of uterine polyps:

-The pedicle polyps that are attached to the uterine wall by an elongated pedicle

– Sessile polyps that are connected to the uterus by a flat and wide base

Uterine polyps vary in size from a few millimeters to several centimeters. This is one of the factors that differentiates fibroids that they can reach much larger sizes.

Risk factors

Age: although we can observe the appearance or development of uterine polyps in young women, the maximum frequency is in premenopausal period (40-50 years) and menopausal (from 50 years).

Obesity: Uterine polyps appear more frequently in women who have significant overweight problems.

-High blood pressure

-High concentration of estrogen that promotes the development of uterine polyps.

-Lucal insufficiency: low progesterone level due to a failed corpus luteum activity

-Chronic innovation: This means that there is no oocyte that has been released during the menstrual cycle

We would like to tell you that having one or more of the features we have listed above does not necessarily mean that you have uterine polyps. Far from it. It simply means that you have a higher probability of developing it than other women.

Symptoms of uterine polyps

Generally, polyps have no symptoms (asymptomatic). The woman does not realize that she has polyps before a routine gynecological examination. This represents more than 50% of the cases. However, in some cases, some polyps can manifest their presence in several ways.

-Infertility (difficulty getting pregnant)

-Fat layers

Also, uterine polyps are manifested primarily by bleeding:

-Is light or heavy bleeding occurring unexpectedly at any point in the cycle (metrorrhagia)

-Is bleeding prolonging menstrual period (menorrhagia)

-Intense pain in the lower abdomen due to dilation of the cervix

-Anemia caused by frequent and abundant bleeding.

Uterine polyps and pregnancy

Most of the time, women who have uterine polyps are fertile and they will experience a perfectly normal pregnancy. However, uterine polyps are dangerous because they can affect your fertility and your pregnancy.

Uterine polyps are likely to be a cause of infertility. Indeed, they may be poorly positioned to hinder implantation of the embryo when it arrives in the uterus to implant. When you are in a couple and a late pregnancy, it is completely justified to treat your polyps because they significantly reduce your fertility. They can also cause miscarriages. There are two types of polyps that can affect fertility: uterine polyps (also called endometrial polyps) and cervical polyps.

The exact mechanism underlying these problems is not clearly understood. But it is highly probable that these polyps affect the development of the endometrium by the bleeding they cause. This creates a hostile environment for embryo implantation and endometrial receptivity. It must also be said that on women suffering from uterine polyps, it was noted the presence of gycodelin. Gycodelin is a protein that inhibits the union between the spermatozoon and the egg. It has a negative influence on fertilization.

Finally, uterine polyps increase the risk of miscarriage or spontaneous birth by 3. It is therefore imperative for you to be treated if you have polyp in order to increase your fertility and ease your pregnancy. The treatment that we propose will allow you to restore your fertility and to live a normal pregnancy.

most frequently asked questions (FAQ)

Can uterine polyps disappear on their own?

It is possible and even frequent that the polyps disappear on their own without the patient having undergone any treatment. These are benign polyps. They are known to be small sizes. They degenerate and detach themselves from the uterine cavity and are eliminated during the next period. These rules are likely to be more painful than your usual rules.

Nevertheless if you feel the symptoms (mentioned above) it is generally necessary to follow a treatment to eliminate your polyps

 

What are the differences between a polyp and a uterine fibroid?

There are several differences between a fibroid and a polyp. It is :

The size: the uterine polyps are small (from a few millimeters to several centimeters maximum). This is not at all the case of a fibroid whose size can vary from a mole to a melon

Composition: The polyp consists of endometrial tissues while the fibroid is composed of hard muscle tissue.

What are the common points between a polyp and a uterine fibroid?

There are several common points between a fibroid and a polyp. To know :

-Low fertility: Whether in the case of a uterine fibroid or a polyp, your fertility will be negatively impacted. You will have a much harder time getting pregnant and you may be miscarried.

-Their origins: Polyps and uterine fibroids mainly result from a hormonal imbalance

-Their symptoms: most of the time they have the same symptoms. Hence the difficulties in differentiating them from simple symptoms. It is menorrhagia, metrorrhagia, severe pain in the lower abdomen and anemia

 

Can a uterine polyp be cancerous?

Most uterine polyps are benign and there is no reason for them to progress to cancer. However, a “considerable” part may progress to endometrial cancer (endometrial adenocarcinoma). It’s a common cancer, but it kills twice as much as the cervix. It is important to remember that a polyp that causes bleeding after menopause is associated with a high risk of endometrial cancer. The risk of cancerous polyps in a postmenopausal woman is 3 times higher than that in a premenopausal woman.

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