Significance of endometrial polyps detected hysteroscopically in eumenorrheic infertile women

Shokeir, Tarek; Shalan, Hesham; Elshafei, Mohamed

doi:10.1111/j.1447-0756.2003.00163.x

Cited by 152 publications

(94 citation statements)

References 13 publications

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“…so hysteroscopy is highly valuable and should be applied to all such patients especially with failed ICSI. [18][19][20] Fatemi et al) and Karayalcin et al demonstrated that uterine cavity abnormalities in their study population were low (11% for the 1st one and 22.9% for the 2nd one) while Gaviño-Gaviño et al found very high incidence of uterine pathology in their studies (64%) with repeated IVF failure. [21][22][23] Despite these drawbacks of non-using hysteroscopy before ICSI, many IVF clinics were reluctant in use of hysteroscopy for uterine cavity evaluation for difficulty or cost.…”

Section: Discussionmentioning

confidence: 96%

Chromohysteroscopy after failed intracytoplasmic sperm injection

Khalifa

Samra

Said

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 96%

Chromohysteroscopy after failed intracytoplasmic sperm injection

Khalifa

Samra

Said

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…17 Endocervical polyps were detected in 4.62% infertile patients and endometrial polyps were diagnosed in both primary and secondary infertility groups with a combined jsafoms incidence of around 8% (Table 4). The probable role and incidence of endometrial polyps in infertile patients is not clear as most of them remain clinically asymptomatic, but Shokeir et al 18 reported endometrial polyps in 16% of their infertility cases and found such lesions to be more common in the unexplained infertility group. They also reported a 50% pregnancy rate after hysteroscopic polypectomy, confirming the adverse role of endometrial polyps in causing infertility.…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopic Management of Intrauterine Pathologies: A Case Series of 296 Patients

Pathak¹,

Yadav²

2017

Journal of SAFOMS

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Aim:To discuss the incidence of various hysteroscopic findings in patients of infertility, abnormal uterine bleeding (AUB), and postmenopausal bleeding and to compare the prevalence of various uterine pathologies in patients of primary and secondary infertility. Materials and methods:This is a retrospective observational study, which evaluated 296 patients who underwent diagnostic hysteroscopy for evaluation of primary or secondary infertility, AUB, and postmenopausal bleeding over a period of 18 months in a Gynae-endoscopy Unit. Detailed hysteroscopic evaluation of the endocervical canal and uterine cavity in all recruited cases was done by the same surgeon and the data were collected by reviewing the case records.Results: Among the 296 cases analyzed, 157 cases were of primary infertility, 81 cases were of secondary infertility, 45 cases were of AUB, and 13 cases presented with postmenopausal bleeding. Among the primary infertility patients, 58.6% had abnormal findings on hysteroscopy, while among the secondary infertility patients, hysteroscopy revealed abnormalities in as high as 72.5% cases. In the present study, uterine synechiae was the most common abnormality detected among the infertile patients. Endometrial polyps were the most common pathology detected among patients with AUB and postmenopausal bleeding. Conclusion:Hysteroscopy is a minimally invasive and highly safe technique to directly visualize the endocervical canal, uterine cavity, and tubal ostia. It has an added advantage of treating the pathology in the same sitting, thus improving the clinical outcomes. Based on our findings, we conclude that uterine pathologies are a major contributor in causing infertility and menstrual irregularities, which are missed on blind modalities like hysterosalpingography and dilatation and curettage.Clinical significance: This article stresses on the use of hysteroscopy as a primary diagnostic modality in evaluating patients of infertility, AUB, and postmenopausal bleeding in order to increase the detection rates of uterine pathologies.

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“…A prospective study of 224 infertile women who underwent hysteroscopy observed a 50% pregnancy rate after polypectomy. 12 Another study by Hinckley et al who did hysteroscopy in 1000 cases and found that 22% had endometrial polyp and concluded that a significant percentage of patients had uterine pathology detected by routine hysteroscopy that may impair the success of fertility treatment. 13 In our study out of 93 abnormal cases in laparoscopy interventions were done in 51 cases and out of 108 abnormal cases in hysteroscopy interventions were done in 49 cases.…”

Section: Discussionmentioning

confidence: 99%