Brief Answer: Polyps are a common benign cause of bleeding. Detailed Answer: Hi, Thanks for your query. Polyps are a benign growth. They do not represent a malignancy. They commonly bleed, and cause cramping depending on their location. All your symptoms should resolve with the removal of the polyp. All that said though it is important to make sure there's no other cause for your abnormal bleeding. A pelvic ultrasound that shows a thin endometrial lining less than .5 cm is very reassuring that a malignancy is not present. If bleeding recurs an office endometrial biopsy will be warranted. Cervical cancer has no hereditary component. Normal Pap smears all your life make it unlikely that you will ever have cervical cancer now that you were in your 60s. Current recommendations discontinue Pap mere surveillance at 65 for women who have had normal Pap smear's at least three times in the last decade. Endometrial cancer caused by hormone replacement therapy was prior to the understanding that progesterone was necessary when estrogen was administered for symptoms. This is not a modern practice. Women taking combined hormonal contraception are actually at the same or less risk for endometrial cancer when taken as directed. I hope you find this information reassuring. If the endometrial polyp is benign, and they almost always are, the pelvic ultrasound is reassuring, that should be the end of this episode. Nothing further is needed. Regards,

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