Understanding Endometrial Hyperplasia & Polyp: Causes, Symptoms, and Management

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Endometrial Hyperplasia & Polyp

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - Disordered proliferative endometrium - Complex Endometrial Hyperplasia without Atypia - Endometrial Hyperplasia with Atypia - Simple Endometrial Hyperplasia without Atypia - Benign Endometrial Hyperplasia

General

Endometrium is the lining of the inside of your womb (uterus). An overgrowth of this lining can create *polyps*, which are finger-like growths attached to the inner wall of the uterus, or *hyperplasia* which is an abnormal growth that thicken the entire endometrium. *Endometrial polyps* can be as small as a sesame seed or larger than a golf ball. You can have just one, or many of them at once. While both endometrial polyps and hyperplasia are not usually cancerous, they can become or be a sign of uterine cancer. The chance of cancer is higher if you are postmenopausal, on Tamoxifen, or have heavy or irregular periods.

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Signs & symptoms

The most common symptom of endometrial polyp and hyperplasia is unusual vaginal bleeding. In the case of uterine polyps, you might experience trouble getting or staying pregnant.

Diagnosis

Your doctor will ask you about your symptoms and perform a physical exam. Based on your medical history, he or she will likely proceed with some diagnostic tests: -*Vaginal Ultrasound* to create an image of your uterus and check for endometrial thickening or polyps. -*Hysteroscopy*- thin, flexible lighted tube will be inserted through your vagina into your uterus, in order to check for the presence of polyps or hyperplasia and remove them if possible. -*Endometrial biopsy*- a small piece of your womb’s lining or polyp will be taken out to examine under the microscope.

Treatment

In the case of *uterine polyps*, many of them should be removed in a *hysteroscopy* because of the small risk for cancer. In the case of *endometrial hyperplasia* treatment generally consists of *hormone therapy* or *surgery*.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

National Institutes of Health ∙ World Health Organization ∙ MedlinePluse ∙ Centers for Disease Control and Prevention

☝ All information has been reviewed by certified physicians from Alike

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