Association between endometrial polyps and chronic endometritis

Abstract

Background Chronic endometritis (CE) is a persistent inflammatory disorder of the endometrium. It is now diagnosed by observing the presence of plasma cell infiltration in the stromal tissue of the endometrium. Aim This study aimed to examine the potential correlation between endometrial polyps (EPs) and CE. Patients and methods This prospective cohort study was carried out on 60 women, aged from 20 to 50 years old, diagnosed to have EP by three dimensional transvaginal ultrasound with color doppler, during a diagnostic workup for abnormal uterine bleeding, infertility, or accidentally discovered by ultrasound. Results Suspicious manifestation of CE in patients with EP as (hyperemia and stromal oedema) was significantly higher in patients with CE than patients without CE (P value<0.001) by hysteroscopy. Regarding histopathology, simple EP was present in 33 (55%) patients, Adenomyomatous polyp was present in eight (13.33%) patients, angiofibromatous polyp was present in one (1.67%) patients and polypoid endometrial hyperplasia was present in 18 (30%) patients. regarding the relation between EP and CE 15 (25%) patients had CE by histopathology. Conclusions In pCE, -menopausal women identified with EP by three dimensional transvaginal ultrasonography, CE and EPs may be dependent and two phases of the same pathogenic process. Either single or many EPs positively correlate with CE. CE prevalence was comparable for single- and multiple-polyp individuals.