Uterine Polyps: Symptoms, Treatment, and Follow-Up Care - Obstetrics and Gynecology

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Uterine polyps are growths that occur on the inner lining of the uterus, known as the endometrium. They can vary in size and number, and while many women with uterine polyps may not experience any symptoms, some may notice irregular bleeding, such as heavy periods, bleeding between periods, or prolonged menstrual bleeding. In your case, the prolonged bleeding and the discovery of polyps during your examination are significant and warrant careful monitoring and management.

The treatment for uterine polyps often depends on the symptoms and the size of the polyps. In many cases, if the polyps are small and not causing significant symptoms, doctors may recommend a watchful waiting approach. However, if the polyps are large, symptomatic, or if there is a concern about cancer, surgical removal may be necessary. This can be done through a procedure called hysteroscopy, where a thin, lighted tube is inserted into the uterus to remove the polyps.

In your situation, since you have been experiencing abnormal bleeding for over a month and have not yet started the prescribed birth control pills, it is essential to follow up with your healthcare provider sooner rather than later. The fact that you have had prolonged bleeding, especially if it is dark brown and scant, could indicate that the polyps are affecting your menstrual cycle or that there may be other underlying issues that need to be addressed.
It is also important to consider that hormonal imbalances can contribute to irregular bleeding, and since you were prescribed birth control pills, your doctor may have intended to help regulate your cycle and manage the bleeding. However, if you have not started the medication due to the ongoing bleeding, it is crucial to communicate this with your doctor. They may want to reassess your condition, possibly perform an ultrasound or other imaging studies, and determine if further intervention is necessary.

In terms of follow-up care, it is essential to keep track of your symptoms, including the duration and nature of the bleeding, any pain or discomfort, and any other changes you may notice. If the bleeding continues or worsens, or if you experience any new symptoms such as severe pain, dizziness, or signs of infection (such as fever or foul-smelling discharge), you should seek medical attention immediately.

In summary, while uterine polyps can often be managed effectively, your current situation with prolonged abnormal bleeding requires prompt attention. It is advisable to contact your healthcare provider to discuss your symptoms, the delay in starting the prescribed medication, and the need for potential further evaluation or treatment. Regular follow-up is crucial to ensure that any changes in your condition are addressed promptly and to prevent complications.