High Frequency of Endometrial Polyps in Endometriosis

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This study investigated the prevalence of endometrial polyps in women diagnosed with endometriosis.

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Abstract

Study objectiveTo evaluate the effectiveness of hysteroscopy and the frequency of endometrial polyps in women with endometriosis.DesignRetrospective clinical study (Canadian Task Force classification II-2).SettingInfertility unit at a university-affiliated hospital.PatientsOne hundred eighty-three infertile women, 92 with endometriosis and 91 controls without the disease.InterventionLaparoscopy and scoring of endometriosis according to the American Fertility Society classification, and confirmation of endometrial polyps by pathologic examination.Measurements and main resultsThere 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.ConclusionsWe 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.

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Condition tags

endometriosis

MeSH descriptors

Endometrial Neoplasms Endometriosis Polyps Adult Age Distribution Case-Control Studies Comorbidity Confidence Intervals Endometrial Neoplasms Endometrial Neoplasms Endometriosis Endometriosis Female Follow-Up Studies Humans Hysterosalpingography Hysterosalpingography Hysteroscopy Hysteroscopy Polyps

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Cited by (37)

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