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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Removing The Uterus The Only Option In Case Of Endometrial Polyp Atrophic?

I have been diagnosed with endometrical polyp, atropic type. The microscopic description : sections show a polypoid portion of schlerotic fibrovascular stroma containing numerous thick-walled lood vessels and scattered irregular and dilated endometriali-type glands lined by attenuated epithelium. Foci of endometrial type stroma are also prsent. The features are consistent with endometrial polyp, atrophic type. My doctor told me I should remove my uterus, please let met know if I should get a second opinion or go ahead and remove my uterus.

Thanking you for your answer.
Thu, 24 Jul 2014
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OBGYN,  's  Response
Hello and welcome,
Endometrial polyps are caused by overgrowth of the uterine lining. The commonest cause is hormonal imbalance. A very small risk of endometrial cancer is there is such women as both the polyp and cancer are caused by excess estrogen hormone.

The management depends upon the age of the patient, family history and uterine size, desire for future pregnancy and so on. If a women is more than 45 years with completed family and bleeding heavily then hysterectomy is preferred.

In younger women use of progesterone hormone can be tried as it leads to atrophy of the endometrium and helps in cure in many cases. So please discuss this with your doctor and then decide the proper management line as per your history, examination and ultrasound findings.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Recent questions on Uterus


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Is Removing The Uterus The Only Option In Case Of Endometrial Polyp Atrophic?

Hello and welcome, Endometrial polyps are caused by overgrowth of the uterine lining. The commonest cause is hormonal imbalance. A very small risk of endometrial cancer is there is such women as both the polyp and cancer are caused by excess estrogen hormone. The management depends upon the age of the patient, family history and uterine size, desire for future pregnancy and so on. If a women is more than 45 years with completed family and bleeding heavily then hysterectomy is preferred. In younger women use of progesterone hormone can be tried as it leads to atrophy of the endometrium and helps in cure in many cases. So please discuss this with your doctor and then decide the proper management line as per your history, examination and ultrasound findings. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist