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The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
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The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
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Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
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Endometrial polyps.

Costin Berceanu1, Nicolae Cernea, Răzvan Grigoraş Căpitănescu

  • 1Department of Obstetrics and Gynecology, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania; razvancapitanescu@gmail.com; stefanppaitici@gmail.com.

Romanian Journal of Morphology and Embryology = Revue Roumaine De Morphologie Et Embryologie
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Endometrial polyps (EPs), common in women, are diagnosed via imaging and treated with hysteroscopic resection. While mostly benign, EPs can become hyperplastic or malignant, necessitating careful management and follow-up.

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Area of Science:

  • Gynecological pathology
  • Reproductive medicine
  • Oncologic imaging

Background:

  • Endometrial polyps (EPs) are a common gynecological condition affecting approximately 25% of women.
  • Risk factors include advanced age, hyperestrogenism, hypertension, and Tamoxifen use.
  • The exact etiopathogenesis is unclear, but diabetes mellitus, hormonal factors, and hypertension are implicated.

Purpose of the Study:

  • To provide an integrated approach to endometrial polyps.
  • To cover natural history, diagnosis, management, morphology, malignancy risk, recurrence, and clinical outcomes.
  • To offer a pictorial review for enhanced understanding.

Main Methods:

  • Diagnosis primarily relies on imaging techniques.
  • Transvaginal ultrasound is the initial investigation of choice.
  • Hysteroscopic resection is the gold standard for treatment.

Main Results:

  • The majority of endometrial polyps are benign.
  • A histological pattern is observed in EPs.
  • There is a potential for hyperplastic and malignant alterations.

Conclusions:

  • Hysterectomy offers definitive treatment but requires careful patient selection and counseling.
  • Understanding the morphological aspects and risk of malignancy is crucial.
  • Integrated management improves clinical outcomes for endometrial polyps.