Uterine polyps, also known as endometrial polyps, are growths in the lining of the uterus (the endometrium). These growths are typically non-cancerous and can range from a few millimeters to several centimeters in size. They can develop as single polyps or as multiple polyps, attached to the uterine wall by either a thin stalk or a broad base.
While most uterine polyps are benign, they can still affect your health, especially when it comes to fertility.
What Are the Symptoms of Uterine Polyps?
Some women with uterine polyps may have no noticeable symptoms. However, common signs include:
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Irregular menstrual bleeding, such as heavy periods or prolonged bleeding
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Bleeding between menstrual cycles
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Spotting after menopause
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Infertility or difficulty conceiving
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Pain during intercourse (rare)
If you’re experiencing any of these symptoms, it’s important to talk with a fertility specialist. Learn more about treatment for abnormal uterine bleeding.
How Do Uterine Polyps Impact Fertility?
Uterine polyps can interfere with fertility in several ways:
- Disrupting Implantation:
Polyps can change the uterine environment, making it harder for a fertilized egg to implant and grow. - Increasing Risk of Miscarriage:
They can disrupt the uterine lining, increasing the chances of miscarriage. - Causing Hormonal Imbalances:
Polyps may contribute to hormonal changes that complicate ovulation and conception. - Physically Blocking the Reproductive Tract:
Larger polyps or multiple growths can block the cervix or fallopian tubes, preventing sperm from reaching the egg.
Diagnosing Uterine Polyps
To determine if uterine polyps are causing symptoms or fertility issues, your doctor may recommend:
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Transvaginal Ultrasound: Visualizes the uterine lining to detect polyps.
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Hysteroscopy: A thin, lighted scope is inserted through the cervix to view and remove polyps directly. Learn more about hysteroscopic surgery.
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Endometrial Biopsy: A tissue sample is taken for analysis.
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Sonohysterography: A special ultrasound using saline to improve imaging of the uterine cavity. Understand why a sonohysterogram might be recommended.
Treatment Options for Uterine Polyps
Treatment depends on your symptoms, polyp size, and fertility goals:
- Polypectomy
Removal of polyps during hysteroscopy. This can significantly improve fertility outcomes. - Hormonal Therapy
Medications like progestins or GnRH agonists can temporarily shrink polyps. - Watchful Waiting
If polyps are small and don’t cause symptoms, your doctor may recommend monitoring them.
Uterine Polyps and Fertility Treatments
If you’re dealing with infertility, removing polyps may be key to boosting your chances of pregnancy. Studies show that removing polyps can increase success rates for fertility treatments like IUI (intrauterine insemination) and IVF (in vitro fertilization).
At NCCRM, we’ll develop a personalized treatment plan to help you reach your family-building goals.
When to See a Specialist
If you think you may have uterine polyps or are experiencing symptoms affecting your fertility, early evaluation is essential. Timely treatment can make a big difference in your ability to conceive and carry a healthy pregnancy.
Compassionate Care at NCCRM
At NCCRM, our fertility specialists offer advanced diagnostics and minimally invasive treatments for uterine polyps. We’re here to provide expert guidance and support throughout your fertility journey.
Take the Next Step Today
Contact us to schedule your consultation. Let’s work together to overcome fertility challenges and achieve your dream of becoming a parent.
- Call us at 919-233-1680
- Request an appointment here.
Frequently Asked Questions (FAQs)
What causes uterine polyps?
Uterine polyps often develop due to hormonal factors, particularly estrogen.
Can polyps come back after treatment?
Yes, polyps can recur. Regular monitoring and follow-up with your healthcare team are essential.
Are uterine polyps always linked to cancer?
Most uterine polyps are benign, but your doctor may recommend testing to rule out cancerous changes, especially after menopause.
Do uterine polyps always need to be removed?
No, small and asymptomatic polyps may not need removal unless they’re affecting fertility or causing significant symptoms.
Ready to learn more?
Reach out to the NCCRM team and take the first step toward your family-building dreams!


