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An endometrial polyp or uterine polyp is a mass in the inner lining of the uterus. [1] They may have a large flat base or be attached to the uterus by an elongated pedicle (pedunculated). [2] [3] Pedunculated polyps are more common than sessile ones. [4] They range in size from a few millimeters to several centimeters. [3]
The underlying causes may include ovulation problems, fibroids, the lining of the uterus growing into the uterine wall, uterine polyps, underlying bleeding problems, side effects from birth control, or cancer. [3] More than one category of causes may apply in an individual case. [3] The first step in work-up is to rule out a tumor or pregnancy.
Cancers of the vagina or fallopian tubes are rare causes of hemorrhage. Uterine fibroids represent a common, benign condition that may lead to bleeding, specifically if the lesion affects the uterine cavity. Polyps of the uterine lining are a common cause of bleeding, but such bleeding tends to be light.
Benign gynecological conditions include fecal incontinence, urinary incontinence, uterine and/or vaginal wall prolapse, interstitial cystitis, irritable bowel syndrome, diverticulitis, benign ovarian masses, uterine fibroids, endometriosis, ectopic pregnancy, pelvic inflammatory disease, adenomyosis, endometrial polyps, and endometrial ...
Other causes are acquired, such as cervical stenosis, intrauterine adhesions, endometrial cancer, and cervical cancer. [ 3 ] Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation , where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing ...
PALM - Structural causes of uterine bleeding. Polyps: Endometrial polyps are benign growths that are typically detected during gynecologic ultrasonography and confirmed using saline infusion sonography or hysteroscopy, often in combination with an endometrial biopsy providing histopathologic confirmation.
Several things can cause postmenopausal bleeding, and a common one is vaginal dryness. Tang says the vagina can get easily irritated, which can lead to spotting. Polyps can also cause bleeding ...
Initial evaluation during diagnosis aims at determining pregnancy status, menopausal status, and the source of bleeding. One definition for diagnosing the condition is bleeding lasting more than 7 days or the loss of more than 80 mL of blood heavy flow. [3] Treatment depends on the cause, severity, and interference with quality of life. [4]