By Fernando Akerman, MD
O ne of the topics that causes the most confusion among my patients is understanding the difference between fibroids, polyps, and cysts. Although they sound similar, they are distinct conditions that can affect your reproductive health. Let's clarify.
Polyps are growths that develop inside the uterine cavity, resembling a finger-like projection, growing from the endometrium, the inner layer of the uterus. While most polyps are benign, some can be malignant. However, in your case, when you're of childbearing age, the likelihood of them being malignant is very low.
Unlike polyps, fibroids are always benign. They are growths that develop from the muscle of the uterine wall. They can grow towards the inner cavity of the uterus, within the wall itself (intramural), or outward from the uterus, known as subserosal fibroids.
Lastly, cysts are fluid-filled sacs that usually form in the ovaries. In the vast majority of cases, especially when you're trying to conceive, cysts are also benign. Although there are cases where they can be malignant, this is extremely rare at your age. It's worth mentioning that although cysts typically appear in the ovaries, they can also form inside the uterus.
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