A Silent Intruder: Diagnosing and Managing a Uterine Polyp in a Young Female

Endometrial polyps are asymptomatic benign neoplasms of the uterine lining that often result in Abnormal Uterine Bleeding (AUB), an illness that is frequently encountered in clinical practice [1]. While the polyps are generally asymptomatic, when symptomatic, they can have a profound impact on a woman’s reproductive life if undetected or untreated. Prompt diagnosis, usually with non-invasive imaging modalities, and treatment are necessary to avoid further morbidity [2]. The case illustrates the diagnosis and management of a benign endometrial polyp in a 39 year old female patient presenting with abnormal uterine bleeding for more than 3 months. She also had mild lower abdominal pain but no associated fever or systemic symptoms. Her menstrual cycle was regular, and she was not on hormonal therapy. Since her symptoms were chronic, an abdomen-pelvis ultrasound was done, and this was positive for a well-defined hyperechoic lesion measuring approximately 12 mm in diameter in the endometrial cavity. This report was provisionally suggestive of the presence of an endometrial polyp. Differential diagnoses for the lesion were endometrial hyperplasia, submucosal fibroids, and endometrial carcinoma. The focal type of the lesion, soft echotexture, and absence of alarming systemic symptoms also indicated the exclusion of malignancy [3].