Abnormalities of the Endometrium, Uterine Polyps, endometrial hyperplasia and endometrial carcinoma.



Hi guys, welcome to another Post. This time I am covering Abnormalities of the Endometrial cavity.

Abnormalities on the Uterine cavity are crucial on the process of getting pregnant because is a possible cause of  Miscarriages and/or Infertility.

The last post I talk about Fibroids and how Submucosal fibroids can be a cause of miscarriage on the first trimester. I will link that post down below for you.

All you need to know about Fibroids.

Today’s topic starts here:

Abnormalities of the Endometrium.


 Benign Endometrial polyps.

Benign endometrial polyps occur in about 10% of women and they may cause significant vaginal bleeding. These polyps contain Endometrial glands, Fibrous stroma, and Blood vessels and they may be sessile or pedunculated, they may be small or large in size.




endometrial polyp inside the cavity

The white round structure seen in the middle of this picture is a polyp within the endometrial cavity inside the uterus


Endometrial polyps are most often Benign as mention before however they may be cancerous or develop into cancer if they are not treated, Hormonal factors play a role in polyps, Polyps can affect all women but are more frequent on women between the age of 40 to 55.

Most polyps Should be removed because of the small risk of cancer, They can be removed by a procedure called Hysteroscopy or Dilatation and curettage ( D & C) where a Biopsy is also done to Rule out Malignancy.

Symptoms and Signs and symptoms of uterine polyps include:

  1. Irregular menstrual bleeding for example, having frequent, unpredictable periods of variable length and heaviness.
  2. Bleeding between menstrual periods
  3. Excessively heavy menstrual periods
  4. Vaginal bleeding after menopause
  5. Infertility

To have a better assessment on small endometrial polyps and/or small submucosal Fibroids most of the time a Sonohystogram is ordered to make a clear diagnosis.

endometrial polyps seen within the cavity through a sonohystogram

Sonohystogram is the procedure where through a thin catheter Saline Solution is injected into the cavity to open it up, so everything is clearly evaluated.

polyp within uterine cavity

Big polyp within the cavity.

polyp seen within uterine cavity

Blood flow within the polyp, this is known as the Polyp Feeding Vessel.

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endometrial pathologies, endometrial polyp, endometrial hyperplasia and endometrial carcinoma

OK, so for my Postmenopausal readers here are 2 other Endometrial Abnormalities to be aware of.

Endometrial Hyperplasia:

endometrial hyperplasia

Thick Heterogeneous endometrial cavity with cystic changes inside.

Endometrial Hyperplasia is Often related to chronic Estrogen Stimulation, on Ultrasound is seen as thick Endometrial cavity with Cystic changes.

Abnormal symptoms for endometrial hyperplasia: Perimenopausal or Postmenopausal women with Abnormal Vaginal Bleeding and thick endometrial cavity measuring 0.5 cm or more. An Endometrial Biopsy is required for confirming the diagnosis.

And Last, but certainly not least Endometrial carcinoma.

the pathology seen is endometrial carcinoma

Most Adenocarcinomas of the Endometrium (90%) arise in postmenopausal women. It is the most common Gynecological malignancy in North America.

Ultrasound Findings are ” Thick endometrial cavity” measuring 0.5 cm or more and Increased Blood Flow within the cavity, a biopsy is required to confirm the diagnosis of Endometrial cancer.

If you are a Postmenopausal woman and find yourself having Abnormal vaginal bleeding or spotting, please check your doctor right away.

So this is the summary of Endometrial Abnormalities, Next post we will talk about Most common types of Ovarian cysts, leave a comment below if you have any question, Thank you very much if you stay until the end and I hope this post was helpful to you.

Zadi XO.

Disclaimer: Due to HIPPA compliance and regulations all patient information is protected on this site. Also the information provided on my blog is designed to provide helpful information about the topic and are made with the best of my knowledge therefore is not intended to diagnose or treat any medical condition, For diagnosis or treatments on any medical problems consult your own physician. The author is not responsible or liable for any mistreated pathologies or wrong treatments.

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Ultrasound sonographer for many years and mommy of 2 boys, I love my kids therefore I love what I do, help other women to achieve a healthy and successful pregnancy is my goal.

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