Management of endometrial polyps in 21st century TOG 2012

Question 1

What are endometrial polyps?

Answer 1

localised hyperplasic overgrowths of endometrial glands and stroma which form projections from the surface of the endometrium, can be single multiple, few mm or several cm

Question 2

Presentation polyps

Answer 2

Incidental finding
Menorrhagia
PMB
Prolapse through Cx
Abnormal discharge
Breakthrough bleeding HRT

Question 3

What proportion of women with abnormal bleeding are Dx with endometrial polyp

Answer 3

10%

Question 4

What proportion of women on HRT have endometrial polyp

Answer 4

36%

Question 5

Which polyps are more likely to be malignant

Answer 5

> 10mm
Postmenopasual
Abnormal bleeding

Question 6

Risk of atypic and malignancy in polyps

Answer 6

Atypia 0.8%
Malignancy 3.1%

Question 7

Impact of removing polyps of fertility

Answer 7

Hysteroscopic polypevtomy of any number and size of polyp improve rates of spont conception

Question 8

Gold standard Dx polyp

Answer 8

Hystetoscopy

Question 9

Flow diagram for management of endometrial polyps

Answer 9