Pearl obstetrics | gynaecology


Endometrial polyp

  • polyp in womb
    Endometrial polyp
    Call us to have a polyp removed by keyhole surgery.

Polyps – endometrial, uterine, womb, cervix | Glengarry, Perth

An endometrial polyp is a growth from the lining of the womb. These polyps or growths are usually benign, but can occasionally be cancerous. They cause symptoms like irregular bleeding and heavy periods. They do need to be removed using keyhole surgery in older age groups. This is to stop symptoms and to rule out endometrial cancer (cancer of the womb).

Polyps that are cancerous usually look very different to benign polyps at hysteroscopy, but we do get occasional surprises. Because of this, we remove all the growth so it can be analysed in the lab afterwards.

Sometimes, polyps are discovered when doing a scan for another reason. There is controversy whether small polyps found this way can be ignored, as they are usually benign.

Research shows that ultrasound is not perfect at predicting which ones are benign and which are cancerous, so most women will opt for removal. Because hysteroscopy is so straightforward, there is little point in waiting and worrying about leaving a polyp, when they can be removed so easily here in Glengarry hospital, Perth.

Sometimes polyps occur lower down in the uterus or womb. They can grow inside the cervix (the neck of the womb), where they are called endocervical polyps. Again, they need to be removed if discovered here.

In younger women, small polyps can be suppressed by using a high-dose combined oral contraceptive for a month or two, for instance just before an IVF cycle. However, if the polyp doesn’t resolve, it’s presence lower the chance of embryos implanting, so it would then be removed by hysteroscopy.

Following removal the chances of recurrence are slim, particularly if the polyp has been resected from the base with the hysteroscope. However, others may grow at a later date.

If the periods are heavy, then an endometrial ablation can be done at the same time as the hysteroscopy & polyp removal, which is very convenient and adds little to the recovery time.


Hysteroscopy

Most polyps can be removed using hysteroscopy. Even large polyps can be removed by mechanical or electric resection through the hysteroscope. The surgery is usually done as a day case procedure. Smaller polyps can be removed under local anaesthesia using the 4mm operating hysteroscope. Recovery is extremely rapid, and complications are very rare.


Endometrial polyp

Call us to have a polyp removed using keyhole surgery.


PEARL obstetrics | gynaecology

Our office is situated opposite Glengarry Private Hospital in Perth. We provide easy free parking. We're easily accessible from Joondalup, Hillarys, Stirling, Currambine, Ocean Reef, Beldon, Connolly, Edgewater, Wanneroo, Burns Beach, Sorrento, Padbury, Marmion, Watermans Bay, North Beach, Karrinyup, Gwelup, Carine, Balcatta, Westminster, Mirrabooka, Malaga, Hamersley, Koondoola, Girrawheen, Marangaroo, Greenwood, Warwick, Madeley, Darch, Wangara, Kallaroo, Craigie, Heathridge, Woodvale, Scarborough, Doubleview, Innaloo, Osbourne Park, Wembley Downs, Tuart Hill, Trigg, North Beach. The Western suburbs (Cottesloe, Claremont, City Beach, Floreat, Swanbourne) are all within easy reach.