Surgical Management of Endometrial Polyps in Infertile Women: A Comprehensive Review. Review uri icon

Overview

abstract

  • Endometrial polyps are benign localized lesions of the endometrium, which are commonly seen in women of reproductive age. Observational studies have suggested a detrimental effect of endometrial polyps on fertility. The natural course of endometrial polyps remains unclear. Expectant management of small and asymptomatic polyps is reasonable in many cases. However, surgical resection of endometrial polyps is recommended in infertile patients prior to treatment in order to increase natural conception or assisted reproductive pregnancy rates. There is mixed evidence regarding the resection of newly diagnosed endometrial polyps during ovarian stimulation to improve the outcomes of fresh in vitro fertilization cycles. Hysteroscopy polypectomy remains the gold standard for surgical treatment. Evidence regarding the cost and efficacy of different methods for hysteroscopic resection of endometrial polyps in the office and outpatient surgical settings has begun to emerge.

publication date

  • August 2, 2015

Identity

PubMed Central ID

  • PMC4537769

Scopus Document Identifier

  • 84964220906

Digital Object Identifier (DOI)

  • 10.1155/2015/914390

PubMed ID

  • 26301260

Additional Document Info

volume

  • 2015