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Endometrial Polyps Treatment with Footsteps To Fertility Centre

Endometrial polyps are a common cause of abnormal uterine bleeding in women of all ages. An endometrial polyp is a growth found within the uterine cavity. It is different from a uterine fibroid (leiomyoma).

Fibroids originate from the uterine musculature and therefore can occur in any part of the uterus—inside (submucous), outside (subserous) or in the wall (intramural).

Polyps originate from the lining of the uterus itself. Since the lining of the uterus is within the cavity –also known as the endometrial cavity—polyps are always located in the interior of the uterus.

At Footsteps To Fertility Centre located  in Nairobi, Kenya, we provide highly personalized and comprehensive care to make an accurate diagnosis and present workable treatments to enhance your quality of life.

Feel free to contact us, chat with us  or directly reserve an appointment below. We are more than happy to counsel you on the best course of action in dealing with your endometrial polyps.

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Signs and symptoms of endometrial polyps

Endometrial polyps are more common after menopause, although younger women may also be affected.

Endometrial polyps are often associated with abnormal uterine bleeding. They can cause bleeding in between periods (intermenstrual bleeding or spotting), irregular periods (metorrhagia), post-coital bleeding (bleeding following intercourse) and post-menopausal bleeding. Occasionally endometrial polyps can also cause severe cramping during menses (dysmenorrhea).

Causes of endometrial polyps

Although the exact cause of endometrial polyps is unknown, they may be linked to hormones and estrogen production.

Other factors that may affect the growth of endometrial polyps may include:

  • Menopause

  • Obesity

  • High Blood Pressure

  • Use of Tamoxifen (a drug used to treat breast cancer)

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Effects of Endometrial Polyps on Fertility

Endometrial polyps can have an adverse effect on fertility and fertility treatment outcome. Polyps may create an inflammatory reaction inside the uterine cavity or cause irregular bleeding at the time of implantation.

These effects create a hostile environment for the implanting embryo and possibly prevent pregnancy or potentially cause miscarriages. It is still not well understood whether polyps cause infertility or recurrent pregnancy loss.

Treatment of endometrial polyps

In some cases, endometrial polyps that are small and cause no symptoms may not be treated at all.

Your doctor may just monitor the size of the polyps over time. Other cases may be treated with hormonal medications that may shrink the polyps and lessen symptoms.

Polyps that continue to grow and cause symptoms are often removed through surgery.

Endometrial Polyps Removal

The best method to remove polyps is hysteroscopy because the entire endometrial cavity can be surveyed and all polyps removed completely.

The hysteroscope is an instrument that allows us to look directly into the uterine cavity and operate at the same time.

At the tip of the hysteroscope is a wire loop that allows us to cut away endometrial polyps, remove them and send them for analysis.

What can be done to reduce the likelihood of polyp recurrence?

There appear to be 2 proven ways to reduce the likelihood of polyp recurrence—the insertion of a Mirena IUD and endomyometrial resection (EMR).

The Mirena IUD is an excellent choice for women who wish to preserve their childbearing options. Endomyometrial resection may be a preferred method of preventing recurrence in selected women with endometrial polyps. It is also possible to perform a partial endomyometrial resection in appropriate candidates.

The removal of endometrial polyps can improve fertility outcome by spontaneous conception, intrauterine insemination (IUI) and by in vitro fertilization (IVF).

When pregnancy rates are compared before and after removal of endometrial polyps, higher pregnancy rates have been observed following hysteroscopic removal.

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