ABSTRACT

The most common intrauterine lesions causing excessive uterine bleeding are endometrial polyps and submucous fibroid. An endometrial polyp is a localized overgrowth of endometrial tissue covered by epithelium, and contains variable amounts of glands, stroma, and blood vessels, forming a projection above the endometrial surface (Figures 30.1 and 30.2). The prevalence of endometrial polyps in women with abnormal uterine bleeding is 10-20%. Polyps might be sessile or pedunculated, and rarely include foci of neoplastic growth.