Treatment of Endometrial Polyp with Abnormal Uterine Bleeding (Premenopausal or Postmenopausal)

Clinical Scenario

This protocol applies to women — premenopausal or postmenopausal — who have a symptomatic endometrial polyp presenting with abnormal uterine bleeding. Removal is indicated in this setting both to address symptoms and to allow histologic assessment of the polyp tissue.

Symptomatic polyp Abnormal uterine bleeding Premenopausal or postmenopausal

Primary goal: resolution of abnormal uterine bleeding — achieved in 75% to 100% of cases after surgical removal.

Approach (partial overview)

The established approach involves a targeted surgical procedure performed under direct visualisation to remove the polyp and obtain tissue for histologic assessment. The complete protocol specifies the procedural standard, patient selection considerations, and post-procedure evaluation steps.

Full regimen details, sequencing, and evidence levels are available in the complete protocol below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jmig.2011.09.003

Symptomatic polyps should be removed in the premenopausal or postmenopausal woman because evidence reports improvement in symptoms, with abnormal uterine bleeding after hysteroscopic polypectomy resolving in 75% to 100% of cases.

Hysteroscopic polypectomy remains the gold standard for treatment (Level B).

Removal for histologic assessment is appropriate in postmenopausal women with symptoms (Level B).

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