Vaginal polypoid endometriosis

Endometriosis is the presence of endometrial-like glands and stroma outside of the uterine cavity. It is associated with pelvic pain and infertility and occurs in 10%-15% of patients of reproductive age. Polypoid endometriosis is an uncommon variant of endometriosis. It usually presents on the colon and ovaries, and occasionally in the vagina, appearing as large polypoid masses; cancer is often suspected before histologic examination. The most common manifestation of vaginal polypoid endometriosis is postcoital spotting, occasionally leading to hemorrhage. Treatment options for vaginal polypoid endometriosis are similar to those for pelvic endometriosis, with emphasis on symptom control using progestin- or estrogen-suppressive therapies.