Uterine polyps are a common concern among women trying to conceive, yet many don’t realise they have one until a fertility evaluation is done. At Janini IVF, Delhi, we help patients understand what polyps mean for their fertility, how they affect implantation, and what the right treatment can do to improve pregnancy outcomes.
A polyp is an abnormal outgrowth of tissue that forms when there is an imbalance between tissue growth and regression.
Polyps can appear in different organs — including the uterus, stomach, and intestines — and may range from a few millimetres to a few centimetres in size.
When polyps develop inside the uterus, they are called uterine (endometrial) polyps.
Some women experience clear symptoms, while others have none at all. Common signs include:
Heavy menstrual bleeding (menorrhagia)
Irregular periods or spotting between cycles
Abnormal white vaginal discharge
Recurrent miscarriages
Infertility (the most important symptom)
Polyps may also be diagnosed incidentally with no symptoms
According to Janini IVF, polyps form due to a local imbalance between proliferative and regressive forces in the endometrium.
High local concentrations of estrogen are an important factor, and some women simply have a long-standing tendency to form polyps repeatedly.
In some cases, there may also be a genetic predisposition.
Uterine polyps are made of endometrial glands and stroma and can interfere with conception in several ways:
They cause inflammation in the lining, disrupting implantation
They act like a foreign body inside the uterus (similar to a Copper-T)
An embryo cannot implant on a polyp, only on healthy endometrium
Polyps occupy space, reducing the area available for the embryo to attach
Even if pregnancy occurs, the risk of miscarriage is higher
High-quality published data confirms that removing polyps (polypectomy) improves fertility, IVF success rates, and reduces miscarriage rates.
If you have infertility or symptoms suggesting a polyp, it’s important to consult a specialist.
At Janini IVF, Delhi NCR, diagnosis is carried out carefully and accurately using the following:
A transvaginal scan is the most convenient and commonly used method. Experienced sonologists can detect even small polyps using a high-resolution machine.
If the endometrium is thickened or multiple polyps are suspected, Saline Infusion Sonography (SIS) or HyCoSy can provide a clearer view.
This is the gold standard because it allows direct visualisation.
It is used mainly for treatment, not routine diagnosis, because it is invasive.
When a polypectomy is performed, the tissue is sent for histopathological examination to rule out malignancy, especially in peri-menopausal or post-menopausal women.
At Janini IVF, only relevant and necessary tests are done with accuracy, transparency, and expert clinical evaluation by Dr. Dalal.
If you are struggling to conceive, both partners should undergo a full evaluation at Janini IVF, Delhi.
Uterine polyps are one of the important factors affecting fertility, and once diagnosed, they should be treated promptly.
At Janini IVF:
Your history and previous reports are reviewed thoroughly
A customised treatment plan is created for your specific case
The focus is on achieving the best possible result in the shortest time
With the expertise of Dr. Rutvij Dalal and the exceptional embryology skills of Dr. Akanksha Mishra, Janini IVF strives to deliver excellent success rates and help you move past the difficult phase of infertility.
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