Polyps and Infertility

What is a Polyp?

Polyp is an abnormal outgrowth of tissue caused by an imbalance of proliferation and regression. Polyps occur when there is excessive local stimulation for tissue proliferation. Polyps can occur in various organs of the body like uterus, stomach, intestines, etc. and vary in size from a few millimetres to a few centimetres.

What are the symptoms of Uterine Polyps?

  • Heavy menstrual periods (menorrhagia)
  • Irregular menstrual periods or spotting in between periods
  • Abnormal white discharge from vagina
  • Recurrent miscarriages after conceiving
  • Sometimes polyps do not cause any symptom and they are diagnosed incidentally
  • Infertility is the most important symptom
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What are the causes of Uterine Polyps?

Listen from the best fertility centre in Delhi - Polyps are caused when there is a local imbalance between the proliferative and regressive forces. Local high concentration of Estrogen hormone is an important reason for formation of polyps. Some women have a long standing tendency to form polyps repeatedly. Polyps can also have a genetic cause.

Uterine Polyps and their role in infertility

Uterine polyps are an outgrowth of the endometrium and are composed of both endometrial glands and stroma. If they occur during the peri-menopausal age or after menopause, it could be serious as then one needs to rule out cancer by sending the polyp for pathological examination. But in a young patient wanting fertility the most important concern with a polyp is Infertility. Even if the patient conceives with a polyp there is an increased chance of miscarriages occurring in the pregnancy. Hence, it is important to tackle endometrial polyps once they are diagnosed.

So How do Polyps cause Infertility?

  • Polyp brings about an inflammatory reaction in the endometrium hindering implantation.
  • The polyps acts like a foreign body (like a Copper-T) inside the uterus physically preventing the embryo to implant.
  • The embryo cannot implant in the polyp - it has to implant in the normal endometrium. By occupying space the polyp reduces chances of embryo implanting.
  • There are numerous well-powered high quality scientific data published in medical literature that prove that removal of uterine polyps definitely improve fertility and chances of successful pregnancy after IVF.
  • Not only the Fertility improves the miscarriage rate also comes down after Polypectomy.

How is the diagnosis of Uterine Polyp or Endometrial Polyp made?

If you are facing Infertility or you have been told that you have Uterine Polyp or there is a suspicion of Polyp based on symptoms, you should consult a good Fertility specialist like Janini IVF, the most renowned IVF clinic in Delhi NCR.

Ultrasound scan using TVS (trans vaginal sonography) is the most convenient method of diagnosing Uterine polyps. Any experienced Sonologist would be able to see even the tiniest polyps using a good resolution ultrasound machine. However rarely, one may find it difficult to accurately diagnose polyps if they are multiple and if the endometrium is thickened. Then there are techniques like Saline Infusion Sonography (SIS) or HyCoSy with which the polyps can be discerned clearly.

Hysteroscopy is the gold standard in diagnosing polyps as it enables direct visualisation and also video recording. Hysteroscopy is not only diagnostic but also therapeutic, i.e. one can go ahead and treat (remove) the polyps in the same sitting. However today Hysteroscopy is used only for treating polyps (Polypectomy) and not merely for diagnosis as it is not prudent to do an invasive procedure just for the sake of diagnosing polyps when good resolution scan machines are available. If Hysteroscopic Polypectomy (removal of polyp) is being done it is important to send the polyp tissue for Histopathological examination to rule out malignancy.

If there is a slightest doubt do get your testing done at a good clinic like Janini IVF. Hailed as the best IVF Centre of Delhi NCR, only relevant and necessary tests are done at Janini IVF with 100% accuracy in reports. At Janini IVF you will find the most qualified, experienced personnel handling your case with utmost care, transparency and proficiency. Also, please do not forget to bring all your past reports as they will be thoroughly reviewed by Dr Dalal along with a meticulous history of your case to ascertain proper diagnosis and formulate most appropriate treatment suited to your needs.

Treatment at Janini IVF - Best treatment for Uterine Polyps:

If you are facing problems in trying to conceive, you should get yourself and your spouse evaluated at the Delhi based clinic - Janini IVF. Out of many factors that may cause Infertility, Uterine Polyp is one of them. At Janini IVF, incorporating the best infertility doctor in Delhi, we assure you of meticulously going through your case history, reviewing your previous reports and formulating a customised treatment plan suited to your individual case. This individualised treatment is aimed at giving you a successful result in the shortest possible time. With the qualifications and experience of Dr Dalal, and with the magical hands of our embryologist Dr Akanksha Mishra, Janini IVF promises you to deliver excellent success rates so that you won’t have to spend agonising days of childlessness any longer.

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Janini IVF
A3/12, First Floor Paschim Vihar, New delhi - 110063
+91 9717 99 66 55
011-25 25 66 55
info@janiniivf.com

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