Large endometrial polyps in postmenopausal women lacking hormonal influence: a case study and review of existing literature - Takeaways - MDSpire

Large endometrial polyps in postmenopausal women lacking hormonal influence: a case study and review of existing literature

  • By

  • Danlin Wang

  • Li Wang

  • Ning Zhou

  • Yan Fang

  • April 20, 2026

  • 0 min

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  • 1

    Giant endometrial polyps in postmenopausal women without hormonal exposure are rare but predominantly benign.

  • 2

    Fifteen cases of giant endometrial polyps were reviewed, with diameters ranging from 4.0 to 12.0 cm and ages from 55 to 70 years.

  • 3

    Postmenopausal bleeding was the most common symptom, with all patients undergoing surgical intervention for management.

  • 4

    Transvaginal sonography is the first-line evaluation method, while diagnostic hysteroscopy is the gold standard for treatment.

  • 5

    Most polyps (11/15) were benign, highlighting the importance of accurate histopathological assessment to avoid unnecessary surgeries.

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