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Endometrial Polyps and Subfertility.

Ali Al Chami1, Ertan Saridogan1

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Endometrial polyps may affect fertility and pregnancy outcomes through various mechanisms. Current evidence is insufficient to guide management during assisted reproduction, necessitating further research.

Keywords:
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Area of Science:

  • Reproductive Medicine
  • Gynecology

Background:

  • Endometrial polyps are common in subfertile women, potentially impacting fertility and pregnancy loss.
  • Mechanisms include mechanical interference, intrauterine inflammation, and altered endometrial receptivity.

Purpose of the Study:

  • To review diagnostic modalities and management options for endometrial polyps in infertility.
  • To discuss the current evidence and clinical practice regarding polyp management.

Main Methods:

  • Review of diagnostic techniques: transvaginal ultrasound, saline infusion sonography, hysteroscopy.
  • Analysis of management strategies in natural conception, intrauterine insemination, and in vitro fertilization (IVF).

Main Results:

  • Diagnostic modalities show good detection rates for endometrial polyps.
  • Clinical approaches to polyp management vary, with hysteroscopy and removal often suggested before assisted reproduction.
  • Evidence supporting specific management options during IVF cycles is conflicting.

Conclusions:

  • Insufficient evidence exists to recommend a definitive management strategy for endometrial polyps during IVF.
  • A randomized controlled trial is needed to establish optimal treatment options.
  • Further research is required to understand the impact of polyps on fertility and guide clinical decisions.