Endometrial Polyp Presenting as Painful Heavy Menstrual Bleeding

Clinical History

A 48-year old lady presented with a history of heavy and painful menstrual bleeding with the presence of clots. 

Gynaecological ultrasound was requested to assess for uterine fibroids or any related causes.

Case Description

Transvaginal ultrasound revealed a 2 cm polyp within the endometrial cavity of the retroverted uterus with a feeder vessel seen extending from the adjacent myometrium.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient was referred to gynaecology where she had hysteroscopy to confirm the polyp prior to its removal (polypectomy)

Sonograms