Uterine Polyps

Our Doctors Can Help if Uterine Polyps Are Interfering with Your Dream of Parenthood 

Typically, polyps in the uterus are not cancerous. However, they can make it more difficult for an embryo to implant in the endometrium (uterine lining). Thankfully, our Dallas-Fort Worth infertility doctors have the knowledge and tools to diagnose and treat these growths. Doing so often allows patients to become parents. 

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What are Uterine Polyps? 

Uterine polyps occur when there is an overgrowth of cells in the endometrium. For this reason, people sometimes refer to these growths as endometrial polyps. 

Polyps can be as small as a sesame seed or as big as a golf ball. The size of the stalk or base that attaches them to the uterine wall can also vary in size. Another characteristic of polyps that can vary from woman to woman is the amount. Some patients only have one polyp, while others have multiple. 

Polyps are more common among women who are going through or who have completed menopause. However, women of reproductive age can also get them. 

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Uterine Polyps Causes: What Drives Their Formation 

What causes uterine polyps? The honest answer is that medicine and science still have unanswered questions. What experts do understand is that hormones, especially estrogen, influence the uterine lining throughout the menstrual cycle. 

When the lining repeatedly thickens, some individuals develop a focal area of tissue that forms a polyp. Risk tends to rise with higher lifetime estrogen exposure and with age, including the years around menopause, though polyps can also appear during reproductive years. 

While this answer may be unfulfilling at first when curious about how to prevent polyps, specialists have been able to build practical advice based on the context we do have. This includes: 

• Regular gynecologic checkups, even when cycles feel “mostly fine” 

• Tracking bleeding patterns, spotting days, and cycle length shifts 

• Seeking evaluation promptly for bleeding after menopause 

• Asking for uterine cavity imaging if conception takes longer than expected 

If you have cycle changes or fertility concerns, schedule an evaluation so your care team can connect symptoms, history, and imaging into one clear plan. 

Uterine Polyps Symptoms: Signs Your Body May Be Sending 

Some people feel nothing at all, and polyps show up during testing for another concern. Others notice pattern changes that feel hard to pin down. These common uterine polyps symptoms are worth tracking and sharing: 

• Irregular timing or unpredictable flow 

• Heavier bleeding during periods 

• Spotting between periods 

• Bleeding after intercourse 

• Spotting after menopause 

• Difficulty becoming pregnant or carrying a pregnancy 

Large polyps may also cause a dull ache in the lower abdomen or back, similar to cramps, though pain is less common overall. 

Bring a few cycle notes to your visit – such as timing, flow changes, and spotting days – so your provider can move faster toward answers. 

Uterine Polyps Treatment: Targeted Options That Respect Your Timeline 

These uterine growths can cause frequent and unpredictable menstrual bleeding as well as heavy periods and infertility. However, some women may not have any clue they have polyps until they have trouble conceiving. 

If you have these problems, you should make an appointment with one of our Dallas-Fort Worth infertility doctors. At your first appointment, your doctor will ask about your medical history and perform a physical exam. They may then order a transvaginal ultrasound or a hysteroscopic procedure to examine your uterus. 

If your test results reveal that you have uterine polyps, your doctor can perform minimally invasive surgery to remove them. In fact, your doctor can perform this surgery during your initial hysteroscopic evaluation. 

During a hysteroscopy, your doctor will place a thin, lighted camera through the vagina and cervix to reach your uterus. They will also place surgical tools through the vaginal opening to remove the uterine growths. This method does not require incisions or stitches, so you will recover quickly. 

Once your polyps are gone, your doctor will let you know when you can start trying for a baby on your own or with help from other fertility treatments. 

Learn More About Uterine Polyps 

If you’d like to learn more about how our Dallas-Fort Worth infertility doctors can diagnose and treat these uterine growths, contact the Fertility Specialists of Texas for an appointment. We’re here to answer your questions and help you take the first step toward parenthood. 

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