An endometrial polyp is a benign growth of the uterine cavity lining. The incidence increases during reproductive age and the perimenopausal period.
Main factors contributing to the development of uterine polyps
1. Hormonal imbalance
Increased estrogen levels and decreased progesterone levels lead to endometrial hyperplasia (excessive thickening), which contributes to polyp formation.
2. Inflammatory and infectious processes
Chronic inflammations, such as endometritis, and infections, including sexually transmitted diseases, can disrupt endometrial cell processes and promote abnormal growth.
3. Mechanical injury
Damage to the uterine lining caused by miscarriages or diagnostic curettage may lead to the development of polyps.
4. Endocrine diseases
Women suffering from type 2 diabetes, polycystic ovary syndrome (PCOS), or thyroid dysfunction are at higher risk of developing polyps.
5. Excess weight and sedentary lifestyle
Obesity and low physical activity affect hormonal balance, which in turn increases the risk of polyp formation.
6. Genetic predisposition
Hereditary susceptibility to gynecological diseases and reproductive system tumors may also be a risk factor.
7. Early menarche or late menopause
Menstrual onset before age 12 or menopause after the typical age is associated with elevated estrogen levels, which raises the risk of polyp development.
Symptoms
In many cases, polyps may be asymptomatic, but sometimes the following symptoms occur:
• Irregular or intermenstrual bleeding
• Heavy menstrual bleeding
• Lower abdominal pain
• Infertility
Diagnosis
A polyp can be detected by:
• Ultrasound examination (sonography)
• Hysterosonography
• Hysteroscopy (considered the “gold standard”)
Treatment
Polyp removal is mainly performed by
hysteroscopy
, which serves both diagnostic and therapeutic purposes. The removed tissue must be sent for histopathological examination
to exclude the presence of malignant cells.Prevention and Monitoring
• Regular gynecological examinations
• Sonography for early detection
• Regulation of hormonal balance