Fibroids-uterine-polyps
Fibroids and Polyps: Diagnosis, Treatment & Key Differences

Fibroids and polyps are common growths found in the uterus. Fibroids are non-cancerous muscle tumors. Whereas polyps are small tissue growths in the uterine lining. Both can cause heavy bleeding, pain, and fertility issues. Many women may not know they have them until they face symptoms or struggle to get pregnant. Though these conditions are not always dangerous but can affect a woman’s quality of life.  

 

At RISAA IVF, Dr. Rita Bakshi has helped many women manage fibroids and polyps. In this blog, we will explain everything about these two conditions. We will cover their symptoms, causes, and available treatments. Understanding these conditions is important to take care of your health and planning a pregnancy. Let’s get to know about these two in detail.

Fibroids and Polyps: Meaning and How Common They Are?

Fibroids and uterine polyps are abnormal growths found in the uterus. Fibroids are non-cancerous tumors made of muscle and fibrous tissue. Whereas polyps are small, soft overgrowths of the uterine lining. Both can affect menstrual cycles, cause discomfort, and affect fertility.Fibroids can grow inside the uterus or on the outside.  However, polyps are usually found in the inner lining. These conditions are generally not life-threatening but may require treatment if they cause serious symptoms.  

 

Fibroids and polyps are very common among women. Studies suggest that up to 70–80% of women develop fibroids by the age of 50, though many do not experience symptoms. Uterine polyps are also common, especially in women over 40. Both conditions can occur due to hormonal changes, genetics, or other health factors. Regular check-ups help in early detection and management and also ensures better reproductive health.

Fibroids and Polyps Causes

​Fibroids and polyps are non-cancerous growths in the uterus. Their exact causes aren’t fully understood. But several factors can play a role in their growth.

 

Causes of Fibroids:

 

  • Genetic Changes: Many fibroids have changes in their genes that make them different from normal muscle cells in the uterus.
  • Hormonal Factors: Estrogen and progesterone are hormones that regulate the uterine lining. They appear to promote fibroid growth.
  • Family History: A family history of fibroids may increase the chances of developing them.
  • Lifestyle Factors: Obesity and alcohol consumption have been linked to a higher risk of fibroids.

 

Causes of Polyps:

 

  • Hormonal Influence: Uterine polyps are estrogen-sensitive. It means that they grow in response to estrogen levels in the body.
  • Age: They are more common in women between 40 and 50 years old.
  • Obesity and Hypertension: These conditions have been linked with an increased risk of causing uterine polyps.

Fibroids vs Polyps Symptoms

Fibroids and polyps are both non-cancerous growths in the uterus. However, they do have different symptoms. Fibroids develop in the uterine muscle, while polyps grow in the inner lining. Here’s a comparison of their symptoms:

 

Symptoms

Fibroids Symptoms

Uterine Polyps Symptoms

   

Menstrual Changes

Heavy or prolonged periods

Irregular periods, spotting

Pelvic Pain

Pelvic pain or pressure

Usually mild or no pain

Bleeding Between Periods

Rare

Common 

Pain During Intercourse

Possible 

Sometimes

Urinary Issues

Frequent urination due to pressure

Not common

Digestive Issues

Constipation or bloating

Not common

Postmenopausal Bleeding

Rare

Common 

Fertility Problems

May cause infertility

May prevent implantation

 

Important Note: If you experience any of the above symptoms, then it’s better to consult a doctor. You can also consult the best gynecologist in South Delhi, Dr. Rita Bakshi.

How to Diagnose Polyps and Fibroids?

Doctors use different methods to diagnose fibroids and polyps because their symptoms can be similar. Below are some ways to identify and manage each condition:

Fibroids Diagnosis

Fibroids are diagnosed by checking its size, shape, and location of growths in the uterus. Some common diagnostic methods include the following:

 

  • Pelvic Exam: This helps to identify an enlarged uterus or any unusual lumps.
  • Ultrasound (Transvaginal or Abdominal): It uses sound waves to create images of the uterus and detect fibroids.
  • MRI (Magnetic Resonance Imaging): It provides a detailed view of fibroid size, location, and type.
  • Sonohysterography (Saline Infusion Ultrasound): Fluid is inserted into the uterus for a clearer image of fibroids.

Polyps Diagnosis

Polyps are diagnosed by examining the uterine lining to check abnormal growths. Common diagnostic methods include the following:

 

  • Ultrasound (Transvaginal or Abdominal): It helps to detect polyps in the uterine lining.
  • Hysteroscopy: A thin camera is inserted into the uterus to directly view and confirm polyps.
  • Sonohysterography (Saline Infusion Ultrasound): Fluid expands the uterus for better imaging of polyps.
  • Endometrial Biopsy: A small tissue sample is taken to check for abnormal or cancerous cells.

Fibroids and Polyps Treatment

The treatment for fibroids and polyps depends on their size, symptoms, and overall impact on health. Some cases require only managing the symptoms. However, others may need medical or surgical intervention.

Fibroids Treatment

    • Regular Monitoring: If fibroids are small and not causing any symptoms then doctors may suggest routine check-ups to track their growth.
    • Medications: Hormonal treatments like birth control pills or GnRH agonists can help shrink fibroids and reduce heavy bleeding.
  • Minimally Invasive Procedures:

 

  • Uterine Fibroid Embolization (UFE): It cuts off the blood supply to fibroids which helps them to shrink.
  • MRI-Guided Focused Ultrasound: It uses heat energy to destroy the fibroid tissue.


  • Surgery:

 

  • Myomectomy: It helps to remove fibroids while preserving the uterus. This is best for women who are planning to get pregnant.
  • Hysterectomy: It removes the uterus in severe cases or when other treatments fail.

Uterine Polyps Treatment

  • Observation and Follow-Up: Small polyps with no symptoms may not need immediate treatment but should be monitored over time.
  • Medications: Hormonal treatments like progestins may help manage symptoms but do not eliminate polyps.
  • Hysteroscopic Polypectomy: A minimally invasive procedure using a thin camera to remove polyps.
  • Dilation and Curettage (D&C): A surgical procedure to scrape the uterine lining and remove multiple polyps.

 

Important Note: Treating fibroids and polyps early can prevent complications like infertility and excessive bleeding. Consulting a doctor ensures the best treatment approach. They will guide you according to your health history and current condition.

Polyp vs Fibroid vs Cyst

Polyps, fibroids, and cysts are different kinds of growths. They can affect a woman’s reproductive system. All three are usually non-cancerous but they can develop in different areas. They also have different symptoms and treatments. Understanding the differences can help in early diagnosis and proper treatment.



Feature

Polyps (Uterine Polyps)

Fibroids (Uterine Fibroids)

Cysts (Ovarian Cysts)

    

Location

Inner lining of the uterus

Uterine muscle wall

Ovaries

Composition

Overgrowth of endometrial tissue

Muscle and fibrous tissue

Fluid-filled sac

Size

Usually small (a few mm to cm)

Can grow large (up to several cm)

Varies (small to large)

Symptoms

Irregular bleeding, spotting, infertility

Heavy periods, pelvic pain, frequent urination

Pain, bloating, irregular periods

Cancer Risk

Low, but some may become cancerous

Very low, mostly benign

Mostly benign, but some can be cancerous

Diagnosis

Ultrasound, hysteroscopy

Ultrasound, MRI

Ultrasound, pelvic exam

Treatment

Hormonal therapy, hysteroscopic removal

Medication, embolization, surgery (if large)

Often resolve on their own, surgery if needed

 

Closing Line

In this blog, we have explained everything about fibroids and polyps. We have included their symptoms, causes, diagnosis, and treatment. We have also highlighted the key differences between fibroids, polyps, and cysts to help you understand these conditions better. If you are experiencing any related symptoms, early diagnosis and the right treatment can help.  

 

At RISAA IVF, Dr. Rita Bakshi and her expert team provide advanced care for uterine health and fertility concerns. We ensure the best diagnosis and treatment for fibroids, polyps, and other reproductive issues. Contact us today for expert advice and better health.

Frequently Asked Questions (FAQs)

  • Can you have fibroids and polyps at the same time?

Yes, you can have both fibroids and polyps at the same time, as they grow in the uterus but are made of different tissues.


  • What is worse fibroids or polyps?

Fibroids grow larger and cause more pain and heavy bleeding, while polyps are smaller and mostly affect bleeding and fertility. Impact varies by size and location.


  • Should I be worried if I have a polyp in my uterus?

Uterine polyps are usually harmless, but they can cause irregular bleeding or affect fertility. It’s best to consult a doctor to check if treatment is needed.


  • What is the best home remedy for polyps?

There is no proven home remedy to shrink uterine polyps, but eating a healthy diet and managing hormones may help prevent them.


  • Can exercise reduce uterine polyps?

Exercise can support overall hormonal balance and improve blood flow, but it won’t directly shrink polyps. Always consult a doctor for proper treatment.