Introduction: Significant vascular malformations of uterus are rare but can cause serious menorrhagia.
Case report: We present the case of a 40-year-old multiparous woman who presented with perimenopausal bleeding due to cavernous hemangiomatous polyp successfully treated by polypectomy.
Conclusion: Cavernous hemangioma can be a rare cause of perimenopausal bleeding. The same found in a polyp may be treated successfully by polypectomy.