I am a long-term cancer survivor. My cancer is a blood cancer called multiple myeloma. While I know comparatively little about endometrial polyps, I do believe that I have an overall sense of oncology and how cancer doctors/oncologists, think about both pre-cancer as well as full-blown cancer.
For the record, endometrial polyps are NOT cancer. They are a type of pre-cancer in the same way that
are types of pre-cancer or cancer stage 0. These types of diagnoses increase your risk of the associated cancer (DCIS and BC for example) but they are not cancer. I am NOT minimizing the seriousness of endometrial polyps, DCIS, etc. I believe there are a host of evidence-based, non-toxic therapies shown to reduce the risk of cancer stage 0 becoming full-blown cancers.
If you are diagnosed with endometrial polyps, what should you do? Treat or watch and wait? If you choose to treat, how should you treat your polyps?
While the ultimate decision is up to the individual, the article and comments below give some basic info to those women trying to think through their choices. Three questions to ask yourself are:
“Women who were menopausal with polyps had an almost 4-fold higher likelihood of that polyp being malignant than when polyps were diagnosed in reproductive-aged women,” said Dr. Kaunitz. Correspondingly, a polyp was 2-fold more likely to be malignant in women with bleeding than in those who were asymptomatic…
What Happens When You Watch and Wait?
From January to July of 2010, Dr. Hartman examined 300 women who had been diagnosed with endometrial polyps in the previous 2 to 43 months.
Results of these examinations showed that
“Malignant polyps represented 2.5% of the total sample. Postmenopausal bleeding and age greater than 60 years were the only factors that remained associated with a higher risk of malignancy with a prevalence ratio of 3.67 (95% CI, 1.69–7.97) and 1.5 (95% CI, 1.01–1.09), respectively…”
To summarize: If you are diagnosed with endometrial polyps:
1) 13.7% of the time the polyps resolve on their own-
2) 41.7% of the time the polyp size stays the same-
3) 20.3% of the time the polyps shrinks at least 1mm-
4) 16.3% + 8.0% of the time the polyps grow at least 50% larger