Ultrasound polyp despite negative hysteroscopy?

[neverdance]

Quite a few times during ultrasound scans (for both FET and egg collection), they found an echoic area that they were worried it is a polyp. I've done a hysteroscopy it is all clear.

But after that, I am still keep being told there is a polyp looking lining (always in the same location). When my clinic reviewed the scans, they were worried and wanted to cancel the cycle. Therefore I did a second hysteroscopy, and it came back negative again. I have videos recorded this time.

I am still worried, because I know there will still be polyp looking lining showing up in my future ultrasound scans. It will be a distraction and an annoying thing.

Anyone have similar experience? Did you figure out what was causing it? Do you think it affects implantation?

[Poop84]

not got any experience of repeat hysterscopy but had the same between two clinics one said no hysterscopy needed or polyp seen on ultrasound. The other said I did as looks like a small polyp but never had any symptoms etc it’s a real shame as I had a biopsy the other month and could have had the hysterscopy done at the same time if both clinics were aligned. I’d be keen to hear what responses you get on this thread too. Thanks ❤️🙌🏼

[neverdance in reply to Poop84]

Have you tried doing a scan at the beginning of the cycle? I’ve been told it is clearer to view them when lining is thin in ultrasound. I have high E2 level sometimes I suspect this has made my lining looking uneven which looks like a polyp in scans.

[Poop84 in reply to neverdance]

hi lovely yes I had on on day 7 then again the next cycle. It was still something they felt was needed. Funnily I did a era biopsy at my new clinic and they were like no polyp etc and even talked me through the scans. I’ve had so many ultrasounds I’d be surprised noone noticed it until now ( if I have one).

X

[Sunshine809]

On my third round at transfer it was noted I may have two polyps, so I had a scan before round 4 and the nurse said she could see one, in a different place to where the other two had been. My consultant said she didn't need to do a scan to confirm it herself - if the nurse said it was there then I needed a hysteroscopy.

We were gutted as there was then a delay to book that in, followed by my consultant deciding she DID want to do a second scan herself before the hysteroscopy got booked, which caused a further delay, to then be told after that scan that there was no polyp! A 4 month delay for nothing, very frustrating. Although I'm very glad I didn't pay for and have the hysteroscopy for no reason, so I'm obviously glad the second scan was done.

I think I remember the consultant told me that it's just one of those things that affects certain people - the lining not being smooth so can look like polyps sometimes?? But either way when I had my transfer and they thought I had 2 small polyps they said it wasn't a problem as they just put the embryo into a different part of my uterus. It didn't take, but that was nothing to do with the polyps (or non polyps!).

I know exactly how you feel because I feel like this is likely to keep happening to me, and will they listen to me when I say it's nothing to worry about? And would I want to risk convincing the doctor/nurse of that if actually it could be something to worry about? I'm not the expert, they are. 😬☹

I really hope it doesn't cause any issues for you and everything runs smoothly (and your lining is smooth too!!) xx

[neverdance in reply to Sunshine809]

It is annoying that clinics can be so inconsistent sometimes. And it is really frustrating that cycle being cancelled for no real reason. I totally understand you!

I’ve been told ultrasound can over diagnose on polyps. Lining not being flat apparently can cause false positives. But I would expect them to be confident after a negative hysteroscopy (given the polyp looking lining has been always at the same place).

Hope everything goes well on your cycle too! It sounds to me yours are false positives. All the best!! xxx

[neverdance in reply to Sunshine809]

May I ask were you on hormone replacement cycle or natural cycle when polyps were suspected? And were you in a different cycle when they disappeared?

I think high estradiol levels can affect lining pattern for some people (perhaps including me!).

[Sunshine809 in reply to neverdance]

Sorry, I haven't been back on the forum for ages! I was on Buserelin then Menopur when they first spotted them. They then did a scan before I started my next round when I was on no medication and saw it/them again (even though they later decided there was nothing there!). When they scanned me again and said there was no longer anything there I'd been off the meds for maybe 3 or 4 months, so I don't know if that made a difference x

[ttcsolomummytobe]

On one of my scans they saw a polyp so went for the hysteroscopy and there was nothing there, I was told they can naturally shed with your lining or sometimes it can just be a fold in your lining at certain times in your cycle. Couple of years on (delays due to COVID) and starting treatment and they saw 2, this time they were there on the hysteroscopy and were removed. I asked the question what happens if they occur regular will it keep delaying treatment and was advised that they can't do a hysteroscopy everytime they see one, it could be a case of the placement that is more of a cause for concern.

On my most recent scan (new clinic) they could see a "shadow"of where the polyp was removed, as I saw that with my previous clinic they have accepted that it is just a mark and not another polyp.

[neverdance in reply to ttcsolomummytobe]

That’s great your new clinic has accepted it. Hope no more polyps for us all! 🤞

[ttcsolomummytobe in reply to neverdance]

Unfortunately my words have come back to bite me, there is something showing there now that's 8mm, unclear if it's a polyp or scarring. As it's less than 1cm I've been given the go ahead with a fresh if I want to, just a big decision.

[neverdance in reply to ttcsolomummytobe]

Wondering if you can previous records so you can compare if location/ size matches?

I have been told the same - repeated Hysteroscopy can cause scarring tissues, so not great either. 8mm sounds like quite small to me. I’ve been told less than 1cm polyp shouldn’t affect implantation chance. I would make the same decision if I were you.

[Jdsbaby]

I am in the exact same situation as you. I have been told that I have at least one polyp (up to 10mm) on ultrasound scans for the last 6 months during medicated cycles and during egg retrieval by multiple doctors/ nurses. However, my sonohysterogram (which is supposed to be on par I with hysteroscopy in detecting polyps) showed nothing, so we proceeded with the transfer of a highly graded euploid embryo last month and that ended in a chemical pregnancy. I suspect it had something to do with a potential polyp although my doctor is confident that it is not the reason. I scheduled for another sonohysterogram this week and will potentially follow with a hysteroscopy in case they see anything. I can let you know if I get any answers later this week as to why this might be happening. I am also hoping that it is just that high estrogen might be blurring the endometrial visibility but I am spooked by failed FET with a euploid embryo.

[neverdance in reply to Jdsbaby]

Sorry, I was away from the forum for quite awhile. Hope things went well with your sonohysterogram/hysteroscopy!

I proceed with transfer cycle after my second hysteroscopy, and luckily no more polyp looking lining in all the scans. I have been told by doctors that ultrasound can over diagnose polyps. Hysteroscopy should be the golden standard, so if hysteroscopy shows nothing, tthenultrasound diagnose should be irrelevant (if given it was the same place/size before, and after hysteroscopy). Also I find it is useful to have video recorded for the procedure so that you can show it to doctors in different clinics.

[ttcsolomummytobe]

Jdsbaby can I ask how things went with your follow up sonohysterogram, did they find a polyp or not ? I'm due for EC on Friday and today on the scan they were unsure if it was a polyp or not. I have history of them but also history of scaring from my last one.

[Jdsbaby in reply to ttcsolomummytobe]

There was nothing to see on the sonohysterogram, no polyps or abnormalities, so we proceeded with a second FET of another highly rated pgt tested embryo and that failed too. After the second failed transfer I had a hysteroscopy and that did not show anything either - no polyps. I am at a complete loss as to why this is happening with euploid embryos.