Endometrial Polyps and Infertility
Endometrial polyps are generated from the endometrial cells, project into the endometrial cavity and are diagnosed as subtle lesions during hysteroscopy. Polyps located at the fundus and tubocornua inevitably affect fertility mechanically and disturb normal cellular function mainly by causing chronic inflammation. 3D ultrasound and contrast sonography can detect the majority of endometrial polyps and provide important information prior to hysteroscopy. Diagnosis and hysteroscopic polypectomy can be performed efficiently and safely without general anaesthesia in an office setup. Hysteroscopic surgery for large polyps can be performed using bipolar resectoscopes, hysteroscopic morcelators and shavers. They are equally efficient and safe under general anaesthesia. Fundal polyps need higher surgical skills, training and experience to prevent sub-endometrial injury. Frequent spontaneous pregnancies are seen in women following polypectomy if the polyp is the sole reason for infertility.
KeywordsEndometrial polyps and infertility Infertility and endometrial polyps Hysteroscopy and endometrial polyps Polypectomy and fertility Polyps in endometrium
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