Gynaecological polyp

Question 1

Define gynaecological polyp.

Answer 1

An overgrowth of cells.

An endometrial polyp is where the cell overgrowth is located in the endometrium of the uterus. A cervical polyp is an overgrowth that develops in the cervix.

Question 2

Explain the aetiology/risk factors of gynaecological polyp.

Answer 2

Increased oestrogen

Question 3

Summarise the epidemiology of gynaecological polyp.

Answer 3

Relatively common

Question 4

Recognise the presenting symptoms of gynaecological polyp. Recognise the signs of gynaecological polyp on physical examination.

Answer 4

Generally no symptoms and found incidentally on USS

Oligomenorrhoea

Vaginal bleeding

Heavy periods

Question 5

Identify appropriate investigations for gynaecological polyp and interpret the results.

Answer 5

USS

Sonohysterography

Hysteroscopy

Question 6

Generate a management plan for gynaecological polyp.

Answer 6

Small polyps (<1cm) may be managed expectantly because they may spontaneously regress. Polyp removal should be considered in symptomatic women, postmenopausal women or women with fertility issues.