Treatment FAQ

what is the treatment for a stage 1 polyp in my uterus

by Miss Camille Nikolaus Published 2 years ago Updated 2 years ago

A number of medications are available for the treatment of uterine polyps. They are called progestins and gonadotropin-releasing hormone agonists. They work by controlling your hormone levels (which may be affected by menopause or other factors). These drugs can reduce the size of polyps and improve symptoms like heavy bleeding.

Curettage: done in an operating room, this procedure can both diagnose and treat polyps. The doctor uses a long metal instrument called a curette to collect tissue from the inner walls of the uterus. The curette has a small loop on the end that allows the doctor to scrape tissue or polyps.Sep 28, 2018

Full Answer

How to remove polyps from uterus naturally?

  • Inflammation – Chronic inflammation causes abnormal tissue growth. ...
  • Estrogen – Imbalanced estrogen levels also cause abnormal growth of estrogen-sensitive tissues like the uterus.
  • Progesterone deficiency. ...
  • Ageing – As women age, ovulation occurs less often. ...
  • Excess weight/obesity
  • Unbalanced estrogen therapy

What is the recovery time after uterine polyp removal?

Recovery is generally quick. Minor side effects such as gassiness, bloating, and cramps usually resolve within 24 hours. With a more involved procedure, a full recovery can take up to two weeks.

How do they remove polyps from uterus?

These include:

  • progestin drug
  • medicated intrauterine device (IUD)
  • endometrial ablation, a procedure that destroys the uterus lining

How do you remove a polyp from the uterus?

The options for removal include:

  • Removal with forceps or a wire loop (polypectomy). If a polyp is too large to remove with this method, a liquid may be injected under it to lift and isolate ...
  • Minimally invasive surgery. ...
  • Colon and rectum removal (total proctocolectomy). ...

Should I be worried if I have a polyp in my uterus?

Overgrowth of cells in the lining of the uterus (endometrium) leads to the formation of uterine polyps, also known as endometrial polyps. These polyps are usually noncancerous (benign), although some can be cancerous or can eventually turn into cancer (precancerous polyps).

How soon should a uterine polyp be removed?

If you're menstruating, let your doctor know the date of your last period. A uterine polyp removal procedure is normally scheduled after menstrual bleeding has stopped and before you begin ovulation. This is about 1 to 10 days after your period.

How do they remove a polyp from the uterus?

The gynecologist guides the hysteroscope into your vagina, through the cervix, and into the uterus. Gas or saline is released through the scope to inflate your uterus, allowing for better visualization. The physician will remove any polyps with special scissors, a laser, or another device that uses electricity.

What happens if polyps in uterus are not removed?

Complications of Uterine Polyps But some might turn into cancer later on. The chances of that happening are higher if you've gone through menopause. Polyps can also cause problems with fertility. They may keep you from getting pregnant or make you more likely to miscarry.

How painful is uterine polyp removal?

A person may feel pressure or pulling during the procedure, but they should feel no pain. Depending on the location of the polyp and other factors, a doctor may give the person pain-blocking medication before, during, or after the procedure.

Can uterine polyps be treated with medication?

Treatment of small polyps is unnecessary unless you're at risk of uterine cancer. Medication. Certain hormonal medications, including progestins and gonadotropin-releasing hormone agonists, may lessen symptoms of the polyp.

Should I get a uterine polyp removed?

However, polyps should be treated if they cause heavy bleeding during menstrual periods, or if they are suspected to be precancerous or cancerous. They should be removed if they cause problems during pregnancy, such as a miscarriage, or result in infertility in women who want to become pregnant.

What causes a polyp in the uterus?

What causes uterine polyps? No definitive cause of endometrial polyps is known, but they appear to be affected by hormone levels and grow in response to estrogen circulating in the blood. Endometrial polyps are rare among women younger than 20 years of age.

Can uterine polyps be removed without surgery?

Removal of polyp is advisable in all women with symptoms and in postmenopausal women. Hysteroscopic removal of uterine polyps can be performed without anaesthesia or under local anaesthesia. A general anaesthetic is sometimes required for this procedure. Uterine polyps, once removed, can recur.

Is a 1 cm uterine polyp big?

The most common size of polyp is less than 2 cm, and those greater than 4 cm are called giant polyps. Giant endometrial polyps occur with increased frequency secondary to unbalanced oestrogen levels or tamoxifen exposure after breast cancer [1].

Can you leave uterine polyps alone?

Small uterine polyps can go away on their own without treatment (2, 7). If they do become problematic, there are a few different options treating existing polyps, and for preventing their future formation. Medications: Hormonal medications are sometimes prescribed to treat the symptoms of uterine polyps.

Are you put to sleep for a uterine biopsy?

It is most often done without anesthesia. You will be placed with your feet in stirrups. Your doctor will insert a speculum into the vagina to hold it open so that your cervix can be viewed (similar to a Pap test).

What percentage of uterine polyps are cancerous?

The odds of a uterine polyp being cancer or becoming cancerous are low. In premenopausal women, that number is 1-2 percent. In women who have gone through menopause, the risk is 5-6 percent. But even with the low risk, health care providers often will take a tissue sample of a uterine polyp for lab testing.

Do uterine polyps go away on their own?

In premenopausal women, polyps often go away on their own and may require no additional treatment if you are not having symptoms and have no other risk factors. In some cases, uterine polyps are precancerous and need to be removed.

Do polyps need to be removed?

Although most colon polyps are benign—meaning they're essentially harmless—some may become cancerous over time. As a result, you really don't want them hanging around. “They all need to be removed, because you can't look at a polyp and tell with certainty which will become cancer and which won't,” said Dr.

Can you get rid of uterine polyps naturally?

Small uterine polyps can go away on their own without treatment (2, 7). If they do become problematic, there are a few different options treating existing polyps, and for preventing their future formation. Medications: Hormonal medications are sometimes prescribed to treat the symptoms of uterine polyps.

Who Is Affected by Uterine Polyps?

Uterine polyps are more likely to develop in women who are between 40 and 50 years old than in younger women. Uterine polyps can occur after menopa...

What Causes Uterine Polyps?

The exact reason that polyps form is unknown, but swings in hormone levels may be a factor. Estrogen, which plays a role in causing the endometrium...

What Are The Symptoms of Uterine Polyps?

The symptoms of uterine polyps include the following: 1. Irregular menstrual periods 2. Unusually heavy flow during menstrual periods 3. Bleeding o...

What to do if you have a polyp after menopause?

If a polyp is discovered after menopause, it should be removed. Methods of treatment include the following: Medications: Drugs that help regulate the hormonal balance, such as progestins or gonadotropin-releasing hormone agonists, may be used as a temporary treatment. These medications help to relieve symptoms.

When do uterine polyps occur?

Uterine polyps are more likely to develop in women who are between 40 and 50 years old than in younger women. Uterine polyps can occur after menopause but rarely occur in women under 20 years old.

How are polyps formed?

For that reason, they are sometimes called endometrial polyps. Uterine polyps are formed by the overgrowth of endometrial tissue. They are attached to the endometrium by a thin stalk or a broad base and extend inward into the uterus. The polyps may be round or oval, and range in size from a few millimeters (the size of a sesame seed) ...

How are polyps attached to the endometrium?

They are attached to the endometrium by a thin stalk or a broad base and extend inward into the uterus. Uterine polyps are usually noncancerous, but they may cause problems with periods (menstruation) or fertility. Appointments 216.444.6601. Appointments & Locations. Have My Baby at Cleveland Clinic.

Why do polyps form in the uterus?

What causes uterine polyps? The exact reason that polyps form is unknown, but swings in hormone levels may be a factor. Estrogen, which plays a role in causing the endometrium to thicken each month, also appears to be linked to the growth of uterine polyps.

How big are uterine polyps?

The polyps may be round or oval, and range in size from a few millimeters (the size of a sesame seed) to a few centimeters (the size of a golf ball), or larger. There may be one or several polyps present. Uterine polyps are usually benign (noncancerous), but they may cause problems with periods ( menstruation) or the ability to have children ...

What is the procedure to check for uterine polyps?

Hysteroscopy: this may be used to either diagnose or treat uterine polyps. During this procedure, a doctor inserts a long, thin tube with a lighted telescope (hysteroscope) through the vagina and cervix into the uterus. The hysteroscope allows the physician to examine the inside of the uterus.

Why Choose Us for Uterine Polyps Care?

Uterine polyps, sometimes called endometrial polyps, are growths on the lining of the uterus (endometrium). Polyps can be small or large, and can cause irregular or excessive bleeding.

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Our office at Cleveland Clinic's main campus is located in the A Building - Crile Building:

Make an Appointment

Learn more about how we care for women with uterine polyps at Cleveland Clinic. Call 216.444.6601 to request an appointment or to schedule a virtual visit.

Uterine Polyps Diagnosis at Cleveland Clinic

We diagnose uterine polyps with imaging techniques that help us see inside your uterus. Your doctor may choose:

Uterine Polyps Treatment at Cleveland Clinic

Before creating a treatment plan, our doctors talk with you about your symptoms, potential cancer risk and your future plans for pregnancy. We review treatment options with you to make sure you get the care that’s right for you.

Preserving Your Fertility

If pregnancy is among your future goals, we consider your wishes before creating a treatment plan for uterine polyps. Our experts work closely with Cleveland Clinic fertility center specialists, including reproductive endocrinology and infertility (REI) doctors.

How to cure uterine polyps?

The majority of cases of uterine polyps are cured by thorough dilation and curettage. However, removal of polyps or other structural abnormalities may be missed by blind curettage, therefore, a surgical procedure may be needed. Hysteroscopy is a procedure that is performed minimally invasively at Brigham and Women’s Hospital.

What is a polyp in the uterus called?

Uterine polyps, also called endometrial polyps , are excess outgrowths of the endometrium (innermost uterine layer) in the uterine cavity. The prevalence of polyps is estimated to be 10 percent to 24 percent of women undergoing hysterectomy (surgical removal of the uterus) or localized endometrial biopsy. Uterine polyps are rare among women younger ...

What is hysteroscopy in women?

Hysteroscopy is a procedure that is performed minimally invasively at Brigham and Women’s Hospital. Using a thin instrument with a lens, light source and camera attached to one end. This procedure enables surgeons to thoroughly examine the lining of the uterus and to remove the uterine polyps.

What is the division of minimally invasive gynecologic surgery?

The Division of Minimally Invasive Gynecologic Surgery care team is committed to patients and their families. Each patient's diagnosis and treatment plan will be designed and tailored to their needs. Our team of highly skilled doctors, nurses, and other health care professionals work together to deliver the highest quality care to every patient. View our Minimally Invasive Gynecologic Surgery Team.

What is the BWH Department of Obstetrics and Gynecology?

The faculty members and researchers at the BWH Department of Obstetrics and Gynecology are dedicated to doing everything possible to provide women and their families with the most advanced care available anywhere.

How to remove a polyp in the uterus?

This is called a hysteroscopy. It helps diagnose polyps. Treatments for uterine polyp removal include: Polypectomy. This is a procedure to remove a polyp. It can be done in a clinic or hospital. You’ll need local numbing or general (full) anesthesia. Hysterectomy. This surgery removes the entire uterus.

What to do if you have a polyp removed?

Your doctor will give you pain medication to soothe this period-like pain. A warm compress or a heating pad also helps. You may have light bleeding immediately after a uterine polyp removal.

What to expect after uterine polyp removal?

What to expect during and after your uterine polyp removal procedure depends on the type of treatment. You may have local numbing or be completely asleep. Arrive at the hospital or clinic at your scheduled time. A nurse will also check your blood pressure.

What does a polyp look like?

Overview. Polyps are small growths in the body. They can look like small mushrooms or flat bumps. Uterine polyps grow in the inner lining of the uterus in women. They are also called endometrial polyps. You may have one polyp or several. Uterine polyps can range in size from just a few millimeters to more than 6 centimeters.

How big are uterine polyps?

Uterine polyps can range in size from just a few millimeters to more than 6 centimeters. Trusted Source. (2.4 inches) wide. More than 95 percent of uterine polyps are benign, meaning they don’t cause cancer. Uterine polyps may not cause any symptoms at all. Or you may experience: irregular bleeding or spotting.

How is a hysterectomy done?

Hysterectomy. This surgery removes the entire uterus. A vaginal hysterectomy is done through the vagina. In an abdominal hysterectomy, the uterus is removed through an incision in the stomach area. Both of these surgeries are done in the hospital. You will be asleep under general anesthesia for both types.

How long after your period should you remove a polyp?

A uterine polyp removal procedure is normally scheduled after menstrual bleeding has stopped and before you begin ovulation. This is about 1 to 10 days after your period.

What is the best treatment for uterine polyps?

Medication. A number of medications are available for the treatment of uterine polyps. They are called progestins and gonadotropin-releasing hormone agonists. They work by controlling your hormone levels (which may be affected by menopause or other factors).

What causes a polyp in the uterus?

During your menstrual cycle, the level of estrogen in your body rises and falls and this is what causes the lining of your womb to develop in preparation for a fertilized egg. Overactivity in the development of the lining results in a uterine polyp. Most commonly they affect women right before and during menopause.

What are polyps in the womb called?

Since these growths come from the endometrium — the lining of the womb — they are also called endometrial polyps. Uterine polyps can vary enormously in size: some are as small as a sesame seed, while others are as large as a golf ball.

What causes endometrial polyps?

Some factors can increase the risk of developing endometrial polyps: 1 obesity 2 high blood pressure 3 menopause 4 taking tamoxifen, a breast cancer drug

What is the procedure to remove polyps?

Hysteroscopy. A thin flexible, lighted telescope, called a hysteroscope, will be inserted into your vagina and uterus. This will allow your doctor to see inside the womb and check for polyps. Your doctor can also remove any polyps that are found during the hysteroscopy. Endometrial biopsy.

What is the procedure to take a sample of the endometrium?

This sample will be sent to a laboratory and examined carefully for any signs of cancer. Curettage . This is a surgical procedure that is performed in an operating room.

What are the factors that increase the risk of endometrial polyps?

They will also be able to talk to you about the risk of developing cancer later. Some factors can increase the risk of developing endometrial polyps: obesity. high blood pressure.

What is a polyp in the uterus called?

Uterine polyps are abnormal new growths in the inner ling of the uterus, which is also called the endometrium. They may have a flat base or a stalk connecting them to the uterine wall. Sizes may vary from a few millimeters to several centimeters. Most polyps in the uterus are benign and they are usually found in 24% of women between the ages ...

What are the causes of malignant uterine polyps?

Studies show that about 0.5 to 1.5 percent of uterine polyps are malignant. Aside from those mentioned above, some factors that are associated with malignant uterine polyps are: High fat diet. Diabetes. Family history of polyps and cancer.

How long do polyps last?

The 5-year survival rate for malignant uterine polyps is high especially for those diagnosed in the early stages. Since these tumors are easily detected and diagnosed, early consultation for any abnormal vaginal bleeding and infertility is recommended.

What causes endometrial polyps?

Although the exact cause of these new growths is unknown, several factors are associated with their development such as: Hormonal imbalance – an increase in estrogen levels is favorable to the development of endometrial growths. Studies show that about 0.5 to 1.5 percent of uterine polyps are malignant.

How is endometrial cancer treated?

The treatment of endometrial cancer involves surgical removal of the uterus and the cervix, or a hysterectomy. It may be done with an incision through the abdomen, in which case it is called a Total Abdominal Hysterectomy, or trans-vaginally, which is called a vaginal hysterectomy.

How to do hysteroscopy?

Hysteroscopy is a useful procedure, and it involves inserting a scope to the uterus, providing direct visualization of the tumors. A sample specimen may then be taken by getting a small sample or biopsy, or curettage may be done, where areas of the uterine wall are scraped by a long instrument.

Why is lymph node removal surgery so radical?

The reason for this rather radical surgery is that the growth of the tumors is controlled by the hormones produced in these organs and incidence of recurrence may be high. If surrounding lymph nodes are affected, they may also be removed surgically.

What is the treatment for small polyps?

Medication: Certain hormonal medications, including progestins and gonadotropin-releasing hormone agonists, may lessen symptoms of the polyp.

What is endometrial polyp?

Sexual & Reproductive. An endometrial polyp is a usually noncancerous growth attached to the inner wall of the uterus, common for women undergoing or who have completed menopause.

What percentage of endometrial polyps are malignant?

Cancer: Approximately 5 percent of endometrial polyps are malignant. However, data shows that the incidence of polyps that were malignant was significantly higher in postmenopausal compared with premenopausal women, and higher in women who had symptoms of bleeding than in women who did not.

What are some examples of endometrial polyps?

Be suspicious of endometrial polyps if your vaginal bleeding is different from your regular pattern. For example, abnormal patterns of vaginal bleeding include bleeding that is: Lighter or heavier than normal. At an unexpected time.

Why do polyps grow in women?

Polyps are caused by overgrowth of the cells lining the uterus (also known as endometrial cells). These cells are very sensitive to the hormone estrogen and grow as a response to circulating levels of estrogen. Endometrial polyps are relatively common in women who [5]:

Where are endometrial polyps located?

Endometrial polyps are growths or masses that occur in the lining of the inner wall of the uterus and often grow large enough to extend into the uterine cavity. They attach to the uterine wall by a large base (these are called sessile polyps) or a thin stalk (these are called pedunculated polyps). Endometrial polyps can be asymptomatic ...

When do you bleed when you are not expecting your period?

This is characterized as lighter or heavier than your normal flow, bleeding when you are not expecting your menstrual period, or during a time when you are not expecting your period, such as before puberty, during pregnancy, or after menopause.

How to treat uterine prolapse?

Mild uterine prolapse can be treated with Kegel exercises, weight management and avoidance of heavy lifting. How to do a proper Kegel is vital to the success of the treatment. These exercises can be done anywhere and at any time and can help strengthen the muscles of the pelvic floor.

How to repair a prolapsed uterus?

Surgery: Surgical repair of a prolapsed uterus can be performed through the vagina or abdomen. It involves skin grafting, or using donor tissue or other material to provide uterine suspension. A hysterectomy may be recommended.

What causes a uterus to prolapse?

Treatment. Exercises. A uterine prolapse is when the uterus descends toward or into the vagina. It happens when the pelvic floor muscles and ligaments become weak and are no longer able to support the uterus. In some cases, the uterus can protrude from the vaginal opening. Complications can sometimes result, including ulceration ...

What is a vaginal pessary?

Vaginal pessary: This is a vaginal device that supports the uterus and keeps it in position. It is important to follow the instructions on care, removal, and insertion of the pessary. In cases of severe prolapse, a pessary can cause irritation, ulceration, and sexual problems.

How is uterine uterus graded?

The condition is graded by its severity , determined by how far the uterus has descended: 3rd grade: cervix has descended outside the introitus. 4th grade: cervix and uterus have both descended outside the introitus. More severe cases may need surgery, but in the early stages, exercises may help.

Can a uterus protrude from the vagina?

In some cases, the uterus can protrude from the vaginal opening. Complications can sometimes result, including ulceration of exposed tissue and prolapse of other pelvic organs such as the bladder or the rectum. Among women aged 55 years and above, it is one of the most common reasons for undergoing a hysterectomy.

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