Is there a difference between an endocervical polyp and an endometrial polyp?
The two look somewhat different under a microscope and endocervical polyps are generally smaller and attached to the cervical entrance into the uterus. Endometrial polyps can be larger and are attached to the inside of the uterus itself, but otherwise both types similar. Both can cause abnormal menstrual bleeding and their removal often permanently cures the bleeding. About 20-30% of the time polyps can recur but it may be years later. Small endocervical polyp in canal leading into the uterine cavity Hysteroscopic view showing an endometrial polyp What if a fibroid is found at the time of hysteroscopy, can it be removed? If the fibroid is on a stalk like a polyp (submucosal fibroid) it can almost always be removed at the time of hysteroscopy and D&C. If it is a very broad based fibroid that is mostly in the muscle of the uterus but it is deforming the cavity of the uterus, it may not be able to be removed at all without significant risk of perforating the entire uterine wall. Hysterosc
