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Endometrial Polyps

Q: I had a strange discharge of matter during my last cycle and am waiting to get in to see my gynecologist. I was looking for information on endometrial polyps and whether these were something that can be passed during monthly cycles and if so, what might they look like?

Dr. Donnica:
In general, when women have what they perceive as a "strange" discharge of matter during a menstrual cycle, it's often simply clumped or clotted blood with a bit of endometrial tissue.  While this can be associated with endometrial hyperplasia (an overgrowth of the lining of the uterus or womb), it is rarely associated with endometrial polyps.Endometrial polyps are localized overgrowths of the endometrium that project into the uterine cavity. There are different types of polyps and they are rarely cancerous.

Endometrial polyps are fairly common (10 to 24% of women get them). As with uterine fibroids, they increase with age, then decrease after menopause.The most frequent symptom of endometrial polyps is metrorrhagia (irregular, acyclic uterine bleeding). Post-menstrual spotting is also common. Overall, endometrial polyps account for 25% of abnormal bleeding in both premenopausal and postmenopausal women. The diagnosis of endometrial polyps is usually made by microscopic examination of tissue obtained after an endometrial biopsy or a D&C (dilation and curettage).  If treatment is required, most cases are cured by thorough curettage, which involves removing the endometrial lining of the uterus.  For more information, visit www.fibroids.net

With best regards,
Donnica L. Moore, MD
President, DrDonnica.com

Created: 9/15/2002  -  Donnica Moore, M.D.

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