Tubal intramural polyps and their relationship to infertility

In a search for polyps in the intramural portion of the fallopian tubes, 2156 hysterosalpingograms were reviewed. In 54 cases polyps of different size and form were detected. Correlation of the findings with fertility histories and follow-up revealed that about one-half (46%) of the women with polyps did not conceive. Among both women who conceived and those who did not were women who had been treated for some other cause of infertility and also women of infertile couples who were classified as infertile normal. The results of this study suggest that women with tubal polyps should be regarded as having relative subfertility and should be treated for other causes of infertility if such exist. However, when treatment fails, and also in cases of unexplained infertility, the polyps should be regarded as a possible causal factor and surgical treatment should be considered.