Endometrial polyps are significant contributors to abnormal uterine bleeding (AUB-P), with intermenstrual bleeding being the hallmark symptom in premenopausal women.
Transvaginal ultrasonography (TVUS) remains the initial screening tool, but sonohysterography offers superior sensitivity and specificity for confirming intrauterine focal lesions.
The therapeutic paradigm has shifted toward hysteroscopic polypectomy, preferably performed in a clinic or office setting to minimize costs and avoid systemic anesthesia.
Malignant transformation is rare in reproductive-aged women but increases significantly in postmenopausal patients and those using tamoxifen.
