Management of Endometrial Polyps: A Synthesis of Modern Diagnostic and Therapeutic Strategies

Highlights

• Endometrial polyps are significant contributors to abnormal uterine bleeding (AUB-P), with intermenstrual bleeding being the hallmark symptom in premenopausal women.
• Transvaginal ultrasonography (TVUS) remains the initial screening tool, but sonohysterography offers superior sensitivity and specificity for confirming intrauterine focal lesions.
• The therapeutic paradigm has shifted toward hysteroscopic polypectomy, preferably performed in a clinic or office setting to minimize costs and avoid systemic anesthesia.
• Malignant transformation is rare in reproductive-aged women but increases significantly in postmenopausal patients and those using tamoxifen.

Background