ENDOMETRIAL POLYPS
Pathophysiology
ENDOMETRIAL POLYPS
Predisposing Factors Precipitating Factors
Hormonal Imbalance: Menstrual Cycle
Estrogen dominance Variations:
Progesterone Irregular cycles
Hormonal Influence Use of Tamoxifen:
deficiency
Estrogen Overproduction Treatment for
Age:
Progesterone Deficiency breast cancer
Most common in
women aged 40-50 Endometrial
Obesity: Hyperplasia:
Associated with higher Endometrial Gland and Precursor condition
estrogen levels Stroma Hyperplasia
Family History: Glandular Hyperplasia
Genetic predisposition Stromal Hyperplasia
Hypertension:
Related to hormonal
imbalances
Polyp Formation
Localized Growth
Vascular Changes
Structural Change
Polyp Structure
Histological Features Medical and
Surgical
Interventions
Diagnosis Medication:
Transvaginal Functional Impact Hormonal
Ultrasound (TVUS): Disruption of Endometrial therapies (e.g.,
To visualize polyps Function progestins,
Hysteroscopy: Impact on Implantation hormonal IUDs) to
Direct visualization reduce symptoms
and biopsy of
polyps Surgical Options:
Endometrial Biopsy: Inflammatory
Hysteroscopic
To rule out Response Polypectomy:
malignancy Localized Removal of polyps
Sonohysterography: Inflammation through
Saline infusion hysteroscope
sonogram for better Follow-Up:
visualization Signs and Symptoms Regular
Abnormal Uterine Bleeding: monitoring to
Intermenstrual bleeding check for
Menorrhagia (heavy menstrual recurrence
bleeding)
Pelvic Pain:
Discomfort or cramping
Infertility:
Potential interference with
implantation