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An endometrial polyp or uterine polyp is a mass in the inner lining of the uterus. [1] They may have a large flat base or be attached to the uterus by an elongated pedicle (pedunculated). [2] [3] Pedunculated polyps are more common than sessile ones. [4] They range in size from a few millimeters to several centimeters. [3]
In postmenopausal women, hyperthecosis may also contribute to the pathogenesis of endometrial polyp, endometrial hyperplasia, and endometrioid adenocarcinoma due to the association of hyperestrinism (excess estrins in the body) and hyperthecosis. [10]
While endometrial hyperplasia and endometrial cancer occur most commonly among post-menopausal women, most patients with endometrial cancer have abnormal bleeding, and thus the diagnosis must be considered in women during the reproductive years. [4] [21] COEIN - Non-structural causes of uterine bleeding
White women with endometrial cancer have a five-year survival rate of 84%, she says, but the same figure for Black women is only 62%. ... When a postmenopausal patient comes in with abnormal ...
Cancer of the uterus is always a concern, specifically when the bleeding occurs after menopause. Other types of cancer include cervical cancer; bleeding in that case can sometimes be triggered by postcoital bleeding. Cancers of the vagina or fallopian tubes are rare causes of hemorrhage.
Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea (pain during menstruation) or amenorrhea (lack of menstruation), while postmenopausal women are more likely to be asymptomatic. [3] Due to the accumulation of blood in the uterus, patients may develop low blood pressure or a vasovagal ...
(Read more about menopause and hair loss in women.) Poor sleep: ... Polyps can also cause bleeding, she says. "Doctors like to rule out things like uterine cancer, which is the most concerning ...
Endometrial polyp; Painful (i.e. associated with dysmenorrhea): Pelvic inflammatory disease; Adenomyosis - extension of the endometrial tissue into the outer muscular wall of the uterus which can cause pain and abnormal bleeds when the endometrium sheds; Pregnancy related complication (i.e. miscarriage) Short cycle (less than 21 days) but ...