Uterine Polyps: Causes, Symptoms, and Treatment 

Clinically Reviewed by
Image of dr pankhuri gautam senior lady gynecologist and laparoscopy surgeon in jaipur

Dr. Pankhuri Gautam

Gynecologist & Obstetrician

Uterine polyps are soft, red tissue growths that form on the endometrial lining. They are usually caused by too much estrogen. Intermenstrual spotting, heavy periods, and infertility are the most common uterine polyps symptoms. In Jaipur, the best way for uterine polyps treatment is through a minimally invasive hysteroscopic removal. This method is precise, keeps the uterine cavity intact, and makes it easy to get back to normal activities quickly. 

Understanding Polyps in the Uterine Cavity 

Endometrial polyps, also called uterine polyps, are growths that come from the inside of the uterus (endometrium). These growths are connected to the wall of the uterus by either a thin stalk (pedunculated) or a wide, flat base (sessile). Most polyps are not harmful, but they can mess up the hormonal balance and structure of the reproductive system a lot. 

In the Rajasthan region, data from urban healthcare centers shows that 52.5% of gynecological cases need surgery because of abnormal uterine bleeding (AUB), which is often caused by polyps. The first step for women in Jaipur to get better is to figure out the difference between the different types of uterine polyps. 

Identifying the Warning Signs: Uterine Polyps Symptoms 

Recognizing symptoms early is important for stopping systemic problems like iron-deficiency anemia, which now affects 54.4% of women in Rajasthan. 

1. Abnormal Uterine Bleeding (AUB) 

The most sensitive indicator of uterine polyps is a change in the menstrual cycle. This includes: 

  • Intermenstrual Spotting: Bleeding that occurs between regular periods. 
  • Menorrhagia: Excessively heavy flow that requires changing a sanitary pad every hour. 
  • Polymenorrhea: Unpredictable or very frequent menstrual cycles. 

2. Postmenopausal Bleeding: A Critical Red Flag 

For women who have reached menopause, any vaginal spotting—regardless of volume—is a high-acuity symptom. Regional studies in India indicate that postmenopausal bleeding (PMB) occurs in merely 5.5% of surgical cases, yet 90% of these instances are linked to underlying malignancy. It is necessary to do an immediate diagnostic evaluation to rule out endometrial cancer. 

3. Infertility and Recurrent Pregnancy Loss 

Uterine polyps can work as an intrauterine contraceptive device by stopping the embryo from implanting. Additionally, they can block the openings of the fallopian tubes, making it harder for fertilization to happen. Clinical evidence indicates that the excision of uterine polyps can markedly enhance natural conception rates and the efficacy of assisted reproductive techniques. 

Biological and Lifestyle Triggers: Uterine Polyps Causes 

The precise etiology is intricate, yet the causes of uterine polyps are significantly affected by hormonal and metabolic factors. 

  • Estrogen Sensitivity: Polyps are tissues that are sensitive to estrogen. Chronic estrogen dominance, which is common during perimenopause or in women with PCOS, makes them grow. 
  • Obesity and Metabolic Syndrome: The rise of “couch potato syndrome” (a sedentary lifestyle) in urban Jaipur is making more people overweight. Adipose tissue is a source of extra-gonadal estrogen, which raises the risk of endometrial overgrowth. 
  • Age and Medical Factors: The highest rates are seen in people between the ages of 40 and 50. Using Tamoxifen to treat breast cancer is also a well-known risk factor for getting different kinds of uterine polyps. 
  • Regional Nutritional Factors: The Rajasthan government’s “Niramay Rajasthan” campaign for 2025 stresses cutting back on dietary oil by 10% to help fix hormonal imbalances caused by lifestyle choices that lead to gynecological problems. 

Navigating the Types of Uterine Polyps 

A precise diagnosis requires understanding the physical characteristics of the overgrowth: 

Polyp Type Description Surgical Impact 
Pedunculated Attached by a thin stalk. Generally easier to exercise during uterine polyp surgery
Sessile Broad-based and flat against the wall. Requires high-definition visualization to ensure complete removal. 
Functional Responds to the menstrual cycle. May partially shed during menses but typically persists. 
Non-Functional Independent of hormonal shifts. Constant presence requires definitive surgical intervention. 

The Diagnostic Pathway 

  1. Contemporary protocols in Jaipur prioritize non-invasive screening succeeded by direct visualization. 
  1. Transvaginal ultrasound (TVS) is the main way to measure the thickness of the endometrium. 
  1. Saline Infusion Sonography (SIS): This method uses saline to make the uterine cavity bigger so that you can see the polyp’s location in three dimensions. 
  1. Diagnostic Hysteroscopy: This is the “gold standard” because it uses a thin, lighted camera to look at the cavity in high definition through the cervix. The paper by FOGSI says that hysteroscopy is necessary to correctly diagnose intracavitary lesions. 

The Surgical Gold Standard: Uterine Polyp Treatment 

When polyps cause pain, heavy bleeding, or infertility, uterine polyp treatment moves from observation to intervention. 

Hysteroscopic Polypectomy 

This is the most up-to-date way to remove uterine polyps. Unlike traditional “D&C” (Dilation and Curettage), which is a blind procedure, hysteroscopic removal allows for:  

  • Direct Visualization: The surgeon can see the polyp and takes it out exactly at the base. 
  • No Cuts: The procedure is done through the natural vaginal route, so there are no cuts or scars on the abdomen. 
  • Tissue preservation is very important for women who want to have children in the future because it protects the healthy endometrium around it. 

Advanced “See-and-Treat” Protocols 

A lot of specialized centers in Jaipur have started using “see-and-treat” hysteroscopy in late 2025. With the right morcellators, polyps can be taken out in an outpatient setting in as little as 6.5 minutes, and most of the time, general anesthesia isn’t even needed. 

Post-Operative Care and Preventing Recurrence 

Most people who have surgery to remove a uterine polyp heal quickly and can go back to work within 24 to 48 hours.5 But stopping the disease from coming back is a big part of clinical care. 

  • Recurrence Rates: If the underlying hormonal trigger isn’t treated, statistics show that there is a 15% to 50% chance of recurrence within 1–3 years. 
  • Levonorgestrel Intrauterine System (LNG-IUS): For women who are not planning to get pregnant right away, putting an LNG-IUS in place after surgery has been shown to greatly lower the risk of new polyps forming by stopping endometrial hyperplasia. 
  • Integrated Management: By combining surgery with protocols, you can be sure that if a polyp was making it hard to get pregnant, the next pregnancy will be watched over with the best care possible. 

Conclusion 

Uterine polyps are a common but treatable problem that can get in the way of a woman’s health and reproductive goals. If your cycles are irregular or you have been diagnosed with AUB, don’t wait to get checked out. Hysteroscopy and laparoscopic myomectomy surgery are two examples of modern, minimally invasive procedures that can help you live a pain-free life with little downtime. 

You can be sure that your recovery will be safe and effective by using international diagnostic standards and the newest surgical techniques available in Jaipur. Talk to a specialist who knows a lot about the health situation in your area and puts your long-term reproductive health first. 

FAQ 

1. Can uterine polyps turn into cancer? 

Most of them are not harmful, but a small number (especially in women who have gone through menopause) can be. It is important to send all removed tissue for a biopsy to make sure it is what it is. 

2. How long is the recovery after uterine polyp removal? 

Most patients go home the same day because it is a “no-cut” procedure. You can usually start doing light activities again within 24 hours and your normal routine again within a week. 

3. Can I get pregnant after uterine polyp surgery? 

Yes. In fact, getting rid of polyps that change the shape of the uterus often doubles the chances of getting pregnant naturally or through assisted reproduction. 

4. What is the average cost of uterine polyp treatment in Jaipur? 

Hysteroscopic procedures in Jaipur are very affordable, usually costing between ₹25,000 and ₹60,000, which covers the cost of the hospital stay and high-definition imaging. 

5. Does the procedure require a hospital stay? 

No, a hysteroscopic polypectomy is usually done in a day care setting. After surgery, patients are watched for a few hours and can usually go home that same night. 

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About The Author

Image of dr pankhuri gautam senior lady gynecologist and laparoscopy surgeon in jaipur

Dr. Pankhuri Gautam

MBBS and MS in Obstetrics & Gynaecology
Dr Pankhuri Gautam is a Best Gynecologist in Jaipur, offering a comprehensive range of women’s health services. With a commitment to personalised care, Dr. Pankhuri ensures patients receive the best treatment tailored to their unique needs. Located in Nirman Nagar, Jaipur, Dr. Pankhuri is known for her empathetic approach and dedication to improving women’s health in the community.

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