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High frequency of endometrial polyps in endometriosis
Mi Ran Kim1, Young Ah Kim, Mi Yeong Jo
1Department of Obstetrics and Gynecology, Ajou University School of Medicine, San 5, Wonchon-dong, Paldal-gu, Suwon 442-749, Korea.
Study Objective:
To evaluate the effectiveness of hysteroscopy and the frequency of endometrial polyps in women with endometriosis.
Design:
Retrospective clinical study (Canadian Task Force classification II-2).
Setting:
Infertility unit at a university-affiliated hospital.
Patients:
One hundred eighty-three infertile women, 92 with endometriosis and 91 controls without the disease.
Intervention:
Laparoscopy and scoring of endometriosis according to the American Fertility Society classification, and confirmation of endometrial polyps by pathologic examination.
Measurements And Main Results:
There was no significant difference between groups with regard to age, mean duration of infertility, and frequency of primary or secondary infertility. Endometrial polyps were found in 43 women (46.7%) with endometriosis and in 15 controls (16.5%, p = 0.0000). Their frequency did not differ significantly according to stage of endometriosis.
Conclusions:
We strongly recommend hysteroscopy if endometriosis is detected in a woman undergoing evaluation for infertility, even if hysterosalpingography and transvaginal ultrasonography do not suggest endometrial polyps.