Symptoms

Often polyps in the uterus do not cause any symptoms at all and therefore represent a chance diagnosis in an examination performed for a different reason. Sometimes they are not detected at all, so polyps are found in about 10% of all uteruses that are removed. Symptoms that can occur are Occasionally there is also pain in the abdomen or lower abdomen, which can become worse, especially during sexual intercourse.

Particularly in the case of large polyps, it can sometimes happen that they grow out of the cervical canal and thus become visible from the outside.

Intermediate bleedings, which are either permanent or irregular
Outflow (light to dark brown)
Foreign body sensation.

In the case of polyps in the uterus, some women’s bleeding can be enormously increased, making the period not only uncomfortable for the woman but sometimes painful. However, this bleeding in itself is not serious and does not necessarily mean that the polyps in the uterus are malignant.

Nevertheless, bleeding usually only occurs when the polyps in the uterus have already reached a certain size or when there are several polyps. In this case, the patient should consider having the polyps removed, otherwise the bleeding will occur repeatedly and can be triggered without mechanical irritation. In addition, the cycle may be delayed, resulting in a more frequent or less frequent period.

It is also possible, however, that there is no bleeding but reddish-brownish discharge. Too frequent bleeding due to polyps in the uterus can lead to anaemia or iron deficiency. Nevertheless, it is important to know that even after an operation on the uterus, bleeding can occur again for a short time.

This does not mean that the operation was not successful, but rather that it is a reaction of the injured mucous membrane, similar to a small wound on the skin, which bleeds for a short time and then closes again. Uterine polyps or endometrial polyps cause various symptoms. In addition to infertility and irregular or heavy bleeding, other unpleasant symptoms can occur.

However, most polyps remain undetected for a very long time, firstly because they cause little or no symptoms and secondly because many patients over a certain age visit the gynecologist less frequently. However, the polyps in the uterus can cause pain like that of contractions. This pain is caused by the fact that the uterus recognizes the polyps as foreign and wants to push them away with the help of “contractions“.

These pains caused by polyps in the uterus are extremely rare, but they do occur and are an absolute reason to consult your gynaecologist at the latest then, otherwise the pain will recur again and again. Some women also complain that they feel pain after or during sexual intercourse due to irritation of the mucous membrane and polyps. This is also a reason for a gynaecological examination.

Nevertheless, it is important to know that most polyps do not cause any pain at all, but that attention should be paid to the other symptoms mentioned above, as they are much more frequent and specific to the polyps. Back pain is not one of the typical symptoms that uterine polyps can cause. They are also not in close proximity to the spine or important nerves that could cause back pain. Uterine polyps are only a few millimeters in size, so their growth could not cause such painful symptoms.