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In this mini-review, we provide an overview of the impact of endometrial polyps on fertility and the impact of endometrial polypectomy on natural pregnancy and pregnancy via IUI or IVF. We also suggest the most appropriate approach to the management of endometrial polyps in infertile women.
More specifically, the presence of endometrial polyps in infertile women, the management of endometrial polyps before assisted reproduction techniques as well as the clinical impact of the presence of asymptomatic endometrial polyps needs a consensus.
1 Μαΐ 2021 · Recommendations. Transvaginal ultrasonography (TVUS) should be the imaging modality of choice for the detection of endometrial polyps in woman of fertile age (level B). Its accuracy increases when color-doppler, 3D investigation and contrast are used (level B).
5 Φεβ 2024 · Endometrial polyps are common, and can present with abnormal uterine bleeding, infertility, or postmenopausal bleeding. Many are found incidentally on imaging. Investigations for endometrial polyps typically start with transvaginal ultrasound, but diagnostic capability may be improved with SIS or 3D ultrasound.
1 Μαρ 2024 · Patients diagnosed with an endometrial polyp should be offered hysteroscopic resection to improve their fertility potential if they are experiencing infertility, regardless of polyp size (strong, high).
Introduction. Endometrial polyps are commonly seen in infertile women [1]. However, there is considerable disagreement regarding whether en-dometrial polyps should be removed before attempting natural pregnancy and pregnancy via intrauterine insemination (IUI) or in vi-tro fertilization (IVF) [2-4].
Through a literature review, we obtained information on the impact of endometrial polyps and polypectomy on fertility outcomes. Several observational studies have suggested that women with unexplained infertility may benefit from endometrial polypectomy for a future natural pregnancy.