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Understanding Polyps in the Uterus

Explore what uterine polyps are, their causes, symptoms, and treatment options. Understand how they can affect fertility and menstrual health.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 7th Aug, 2025

Polyps in the uterus, also known as uterine polyps or endometrial polyps, are small, soft growths that develop on the inner lining of the uterus (endometrium). While they are usually non-cancerous (benign), they can sometimes cause discomfort or health concerns. If you’ve been diagnosed with uterine polyps or suspect you might have them, this article will help you understand what they are, their symptoms, causes, and how to manage them effectively.

What Are Uterine Polyps?

Uterine polyps are overgrowths of the endometrial tissue, which forms the inner lining of the uterus. They vary in size—from as small as a sesame seed to as large as a golf ball—and can be single or multiple. While most polyps are harmless, some may lead to complications like irregular bleeding or fertility issues.

Who Is at Risk?

Uterine polyps are more common in women:

  • Between 40-50 years of age (perimenopausal or postmenopausal).

  • With hormonal imbalances (high estrogen levels).

  • Who are overweight or obese.

  • Taking hormone therapy (like tamoxifen for breast cancer).

  • With high blood pressure (hypertension).

Symptoms of Uterine Polyps

Many women with uterine polyps may not experience any symptoms. However, when symptoms do occur, they may include:

  • Irregular menstrual bleeding (heavier or longer periods).

  • Bleeding between periods.

  • Postmenopausal bleeding (if you’ve already gone through menopause).

  • Difficulty getting pregnant (in some cases).

  • Pelvic pain or discomfort (less common).

If you notice any of these symptoms, it’s best to consult a doctor for further evaluation.

Consult Top Specialists

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

Causes of Uterine Polyps

The exact cause of uterine polyps is not fully understood, but they are linked to:

  • Hormonal factors: Excess estrogen can stimulate the growth of the uterine lining, leading to polyps.

  • Chronic inflammation: Long-term irritation of the uterus may contribute.

  • Genetic factors: Some women may have a higher risk due to family history.

How Are Uterine Polyps Diagnosed?

If your doctor suspects uterine polyps, they may recommend:

1. Pelvic Ultrasound: A transvaginal ultrasound helps visualise the uterus.

2. Hysteroscopy: A thin, lighted tube is inserted into the uterus to examine polyps directly.

3. Endometrial Biopsy: A small tissue sample is taken for testing.

4. Sonohysterography: A saline solution is injected into the uterus for a clearer ultrasound image.

Treatment Options

Not all polyps require treatment, especially if they are small and symptom-free. However, if they cause problems, treatment options include:

  • Medication: Hormonal medications (like progestins) may help shrink polyps.

  • Surgical Removal (Polypectomy): A hysteroscopy is used to remove polyps.

  • Hysterectomy: In rare cases, if polyps are cancerous or recurrent, the uterus may need to be removed.

Lifestyle & Management Tips

While you can’t always prevent uterine polyps, certain lifestyle changes may help reduce risks:

  • Maintain a healthy weight (obesity increases estrogen levels).

  • Eat a balanced diet (rich in fruits, vegetables, and whole grains).

  • Exercise regularly to regulate hormones.

  • Monitor hormonal medications (discuss alternatives with your doctor if needed).

  • Regular check-ups if you have a history of polyps or hormonal issues.

When to See a Doctor?

Consult a gynaecologist if you experience:

  • Heavy or prolonged menstrual bleeding.

  • Bleeding after menopause.

  • Difficulty conceiving.

Early diagnosis and treatment can prevent complications.

Book a Consultation with Apollo 24|7

If you suspect uterine polyps or need expert advice, you can schedule a consultation with a gynaecologist through Apollo 24|7. They offer advanced diagnostic tests and personalised treatment plans to ensure your health is in safe hands.

Conclusion

Uterine polyps are common and usually harmless, but they can cause discomfort or fertility issues in some cases. Understanding the symptoms and seeking timely medical advice can help manage them effectively. If you have concerns, don’t hesitate to reach out to a healthcare provider for guidance.

Consult Top Specialists

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

Consult Top Specialists

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Asha Rani Singh, Obstetrician and Gynaecologist

Dr. Asha Rani Singh

Obstetrician and Gynaecologist

24 Years • MBBS DGO

Delhi

Dr Asha Rani Singh Clinic, Delhi

875

Dr. K Anusha, Obstetrician and Gynaecologist

Dr. K Anusha

Obstetrician and Gynaecologist

4 Years • MBBS, DGO

Yemmiganur

SRINIVASAA HOSPITAL, Yemmiganur

180

180

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

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