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Related Experiment Videos

Does hysteroscopic polypectomy without cycle cancellation affect IVF?

Sertac Batioglu1, Oktay Kaymak

  • 1Zekai Tahir Burak Mother Health Training and Research Hospital, Turkey.

Reproductive Biomedicine Online
|June 23, 2005
PubMed
Summary

Hysteroscopic polypectomy before IVF embryo transfer in six patients resulted in three pregnancies. Further research is needed to confirm if this approach is safe for managing endometrial polyps during IVF cycles.

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Area of Science:

  • Reproductive Medicine
  • Gynecology

Background:

  • Endometrial polyps are common in women undergoing in vitro fertilization (IVF).
  • Current management strategies for endometrial polyps in IVF cycles lack consensus.
  • Common approaches include cryopreservation, cycle cancellation, or embryo transfer before polypectomy.

Purpose of the Study:

  • To evaluate the safety and efficacy of hysteroscopic polypectomy preceding oocyte retrieval in patients undergoing IVF.

Main Methods:

  • Six patients diagnosed with endometrial polyps (<2 cm) via transvaginal ultrasonography underwent hysteroscopic polypectomy.
  • Polypectomy was performed before oocyte retrieval under general anesthesia.
  • All patients followed a long luteal protocol for ovulation induction and luteal support.

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Main Results:

  • Three out of six patients achieved pregnancy (one multiple, two singleton).
  • One pregnancy resulted in a term delivery; two are ongoing.
  • Three cases were unsuccessful.

Conclusions:

  • Hysteroscopic polypectomy prior to oocyte retrieval may be a viable option for managing endometrial polyps in IVF.
  • The safety and efficacy of this approach require further investigation in larger patient cohorts.
  • Establishing clear treatment guidelines for endometrial polyps in IVF is crucial.