Endometrial polyps smaller than 1.5 cm do not affect ICSI outcome

Işıkoğlu, Mete; Berkkanoğlu, Murat; Senturk, Z.; Coetzee, Kevin; Özgür, Kemal

doi:10.1016/s1472-6483(10)60861-9

Cited by 82 publications

(55 citation statements)

References 11 publications

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“…Fertility should always be taken into consideration for this generation. The absence of an influence of small EMP on intracytoplasmic sperm injection (ICSI) has been reported, but an increase in the pregnancy rate by polyp removal has also been reported [20][21][22][23]. Many clinicians agree for polyp removal before initiation of reproductive treatment [24,25].…”

Section: Discussionmentioning

confidence: 99%

Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection

Kanda¹,

Hasegawa²,

Hoshi³

et al. 2018

J Preg Child Health

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Objective: This study aimed to investigate the frequency and characteristic of patients who was pathologically diagnosed with malignancy or premalignancy in women undergoing hysteroscopic endometrial polypectomy for endometrial polyps. Method:We retrospectively investigated 115 patients who were diagnosed as endometrial polyp by transvaginal ultrasonography or sonohysterography and underwent hysteroscopic surgery at our hospital in two years. All surgical specimens were examined histopathologically. Characteristics of the patients including age, size of the largest polyp, desire to bear children, presence of abnormal uterine bleeding and the result of preoperative endometrial cytology were analyzed.Results: Regarding the age, 49 (42.6%) of the EMP patients were in their 30s, which was most common and 65 patients (56.5%) desired to bear children. The polyp size was evaluated before surgery in105 patients and 65patients (56.5%) were medium size (1 cm or larger but below 2 cm). Abnormal uterine bleeding was observed in 46, accounting for 40.0% of all EMP patients. Seven of 115 patients were diagnosed premalignant (3 patients) or malignant (4 patients) on postoperative histopathological examination and 4 of them (premalignant: 3, malignant: 1) desired to bear children. One of the four patients who was diagnosed with malignancy, was a 35 year old nulligravida wishing to bear children with the chief complaint of abnormal uterine bleeding. Endometrial cytology was negative for malignancy, but the very small specimen was subsequently diagnosed as endometrioid adenocarcinoma on pathological examination. Conclusion:We suggest that when masses are found inside the uterine cavity by transvaginal sonography, it is important to carefully examine under sonohysterography and perform pathological examination and treatment using hysteroscopy. Masses should also be examined even if the endometrial cytology is negative for malignancy or the tumor is small, regardless of whether the woman exhibits abnormal uterine bleeding.

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Section: Discussionmentioning

confidence: 99%

Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection

Kanda¹,

Hasegawa²,

Hoshi³

et al. 2018

J Preg Child Health

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“…According to some research studies, endometrial polyps less than 1.5cm do not negatively influence the pregnancy outcome, whereas increased loss of pregnancy has been reported in others (Lass et al, 1999;Isikoglu et al, 2006). Endometrial damage by endometrial sampling (Barash et al, 2003) or hysteroscopic polypectomy (Varasteh et al, 1999;Spiewankiewicz et al, 2003;Stamatellos et al, 2008) may significantly improve the pregnancy rates.…”

Section: Appropriate Evaluation Of the Uterine Cavitymentioning

confidence: 95%

“…Polyps are the most common structural pathologies in the uterine cavity (Isikoglu et al, 2006) which it's incidental finding during ovarian stimulation, in either IVF or intracytoplasmic sperm injection (ICSI) cycles, is a challenge.…”

Section: Appropriate Evaluation Of the Uterine Cavitymentioning

confidence: 99%

“…Polyp size (Lass et al, 1999;Isikoglu et al, 2006) and location (Yanaihara et al, 2008) may influence the success of embryo implantation during assisted reproductive treatment cycles. According to some research studies, endometrial polyps less than 1.5cm do not negatively influence the pregnancy outcome, whereas increased loss of pregnancy has been reported in others (Lass et al, 1999;Isikoglu et al, 2006).…”

Section: Appropriate Evaluation Of the Uterine Cavitymentioning

confidence: 99%

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Increasing Pregnancy by Improving Embryo Transfer Techniques

Madani¹,

Jahangiri²

2012

Advances in Embryo Transfer

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“…For example, the size of an asymptomatic endometrial polyp is considered a prognostic parameter for its malignancy potential [14][15][16]; thus, a small size (<15 mm), asymptomatic polyp may just be followed as an alternative to its removal [14][15][16]. Endometrial polyps may impact implantation and pregnancy rates after IVF depending on their size [17,18].…”

Section: Significancementioning

confidence: 99%

Hysterohydrosonoscopy—an integrated modality for uterine imaging

et al. 2010

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Office hysteroscopy and hydrosonography have long been viewed as competitive methods. This study was aimed to find out whether a combined approach of hysteroscopy followed by hydrosonography could provide more accurate information about the uterine lumen. Consecutive patients referred for diagnostic hysteroscopy were recruited to the study. Each patient had a transvaginal ultrasound scan, hysteroscopy, and immediately thereafter hydrosonography. Additional information retrieved by hydrosonography was recorded. When hysteroscopy revealed a normal uterine cavity, no further information was gained from hydrosonography. However, in 80% of the cases where hysteroscopy showed an abnormal uterine cavity (e.g., septum, adhesions, fibroid, endometrial polyp), hydrosonography added significant information regarding the size of the lesion, degree of fibroid encroachment, or luminal contour. We conclude that a combination of diagnostic hysteroscopy and hydrosonography could serve as a simple "one-stop" approach for full evaluation of the uterine cavity.

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Endometrial polyps smaller than 1.5 cm do not affect ICSI outcome

Cited by 82 publications

References 11 publications

Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection

Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection

Increasing Pregnancy by Improving Embryo Transfer Techniques

Hysterohydrosonoscopy—an integrated modality for uterine imaging

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