Most are benign and harmless in nature, but in a small percentage (1.5% to 4.5%) they can also undergo malignant transformation.

The cause of polyp formation is unclear, they often do not cause problems and are discovered incidentally during transvaginal ultrasound examination, but they can be the cause of irregular vaginal bleeding. Polyps in postmenopause must be removed, especially if they are large and bleeding.

Treatment

The gold standard in polyp treatment is their removal within the framework of outpatient hysteroscopy.

This is a procedure that we perform in less than 15 minutes without anesthesia and the patient goes home immediately after the operation.

However, if the polyp is very large and entry into the uterus is difficult due to narrowing (stenosis) of the cervix, for example after surgery (conization) or in menopause, we recommend the procedure under sedation. We similarly recommend this to all those who have pronounced pain in the pelvis and lower back.

The hysteroscopic procedure is minimally invasive, accompanied by very few complications, patients go home immediately after the procedure and can go to work the next day. After the procedure, they still report mild to moderate cramping pain or pressure in the pelvic area (like menstrual cramps), and mild vaginal bleeding may continue for several days after the procedure.