Period tak normal - endometrial polyp

#endometrialpolyp #heavymenses

Endometrial polyps, although small, are sometimes enough to give problems. I've seen patients who came with mid-cycle bleeding, irregular period and recently, a patient with heavy periods to the extent she needed a blood transfusion.

Besides causing abnormal periods, endometrial polyps can also cause fertility problems.

It may prevent the implantation of an embryo - (baby tak boleh menampal ke rahim sebab polyp).

The picture on the left shows multiple polyps. This patient came to me because of heavy and non-stopped periods. Her bleeding was so heavy that her Hb dropped to below 10. She felt tired all the time.

She chose medical treatment initially; she was scared of surgery. Unfortunately, because she had multiple polyps and they were big - medical treatment did not work for her. After a lengthy discussion, she finally agreed to surgical treatment.

The picture on the right shows the endometrial cavity without the polyps. The polyps were removed surgically using a hysteroscope ( a device with camera - inserted through the vagina --> cervix --> uterus) + Bigatti Shaver ( a device to resect the polyps). The procedure took about 30mins.

The patient is now well with regular and normal periods 😀.

The exact cause of endometrial polyps is unknown. It is more common in women >40. Women with obesity, hypertension or using hormones such as tamoxifen or HRT have higher risks of getting endometrial polyps.

Seek medical advice if your period is heavy.