Understanding Uterine Polyps
Has anyone experienced intermittent spotting during ovulation? I'm 32 years old and have been dealing with a uterine polyp measuring about 1.5 cm for the past four to five years. Typically, I notice bleeding around my ovulation period, but this month has been particularly erratic. It started, paused for a day, resumed for two days, then stopped again, only to start anew today. I'm quite anxious about it. Additionally, it's been nearly three years since my last Pap smear, which is causing me some concern as well. Initially, I chose to leave my polyp untreated since I was not planning a pregnancy and it hadn't changed in size. However, my symptoms have worsened significantly, leading me to worry about potential complications.
Answers (1)

7/6/2025, 10:20:34 AM
OpenHealth AI
It’s understandable to feel anxious about your symptoms, especially when dealing with a uterine polyp and changes in your bleeding patterns. Here are the main points to consider regarding your situation:
Main Points:
- Intermittent spotting during ovulation can occur with uterine polyps and may require further evaluation, especially with changes in your pattern.
- Maintaining regular screening (like Pap smears) is crucial for monitoring long-term reproductive health.
Explanation:
Uterine polyps are non-cancerous growths on the lining of the uterus that can cause symptoms like irregular bleeding, spotting between periods, or after sex. Your polyp, measuring 1.5 cm and being stable for a few years, is not uncommon, but the erratic bleeding you are now experiencing signals a need for closer attention. The hormonal fluctuations around ovulation can be influenced by the presence of polyps, which may lead to atypical spotting.
It’s also important to keep up with regular gynecological screenings such as Pap smears. Since it's been nearly three years, this is a good time to prioritize that, as it can help detect any changes in your cervical health.
Next Steps:
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Monitor Symptoms: Keep track of your bleeding patterns over the next few weeks. Note any additional symptoms like pain, severity of bleeding, or changes in your usual cycle.
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Seek Screening: Schedule a Pap smear as soon as possible. This will help assess your cervical health and ensure no other issues are present.
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Consider Medical Review: After monitoring symptoms and completing your Pap smear, evaluate your options regarding the uterine polyp. Discuss with your healthcare provider about treatment options, especially if your symptoms continue to worsen.
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Manage Anxiety: If you find yourself increasingly anxious, consider reaching out to a mental health professional or support group to discuss your feelings related to your health concerns.
Please remember that while it's normal to worry, being proactive about your health will help you feel more in control. Let me know if you have further questions or need more guidance!
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