Demographic and Clinical Features of Endometrial Polyps in Patients with Endometriosis.

Ningning Wang,Bin Liu,Yufeng Zhang

doi:10.1155/2016/1460793

Ningning Wang, Bin Liu + Show 1 more

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https://doi.org/10.1155/2016/1460793

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Abstract

Aims. To compare the clinical features of endometrial polyps (EPs) between patients with endometriosis (EM) (EM group) and without EM (non-EM group). Methods and Results. Seventy-six cases in the EM group and 133 cases in the non-EM group underwent laparotomy or hysteroscopy and laparoscopy; later, it was confirmed that the results by pathology from July 2002 to April 2008 in the Department of Gynecology and Obstetrics at the First Affiliated Hospital of Sun Yat-sen University. The recurrence of EPs was followed up after the surgery until 2013. The following parameters were assessed: age, gravidity, parity, infertility, and menstrual cycle changes, as well as polyps diameters, locations, number, association with the revised American Fertility Society (r-AFS) classification, and their recurrence. On review, 76 EPs cases of EM group histologically resembled EPs but the majority of EPs with EM occurred in primary infertility cases and in fewer pregnancy rate women who had stable and smaller EPs without association with the AFS stage. The recurrence rate of EPs in EM group was higher than that in non-EM group. Conclusion. It is important to identify whether infertile patients with EM are also having EPs. Removing any coexisting EPs via hysteroscopy would be clinically helpful in treating endometriosis-related infertility in these patients.

Highlights

Endometriosis (EM) is defined as functional endometrial glands and stroma tissue that are located outside the uterine cavity
Hysteroscopy is superior to other treatment methods because hysteroscopic polypectomy appears to improve fertility and increase pregnancy rates by using direct visualization to completely remove the polyps while leaving the adjacent endometrium intact [14,15,16,17,18,19]
A retrospective comparison was conducted of the data from 76 patients (EM group) who had been diagnosed with EM with endometrial polyps (EPs) and 133 patients who had been diagnosed with EPs without EM based on pathology, all of whom had undergone laparotomy or hysteroscopy and laparoscopy between July 2002 and April 2008 in the Department of Gynecology and Obstetrics at the First Affiliated Hospital of Sun Yat-sen University

Summary

Introduction

Endometriosis (EM) is defined as functional endometrial glands and stroma tissue that are located outside the uterine cavity. It affects approximately 2–17% of women in their reproductive years, and it typically manifests as chronic pelvic pain, congestive dysmenorrhoea, heavy menstrual bleeding, and deep dyspareunia. Its pathogenesis is not clear, endometriosis associated with infertility is gradually accepted to be partially related to endometrial polyps (EPs) [3,4,5,6]. EPs can contain smooth muscle fibers called adenomyomatous polyps [11]. They are frequently encountered with abnormal uterine bleeding (AUB). Hysteroscopy is superior to other treatment methods because hysteroscopic polypectomy appears to improve fertility and increase pregnancy rates by using direct visualization to completely remove the polyps while leaving the adjacent endometrium intact [14,15,16,17,18,19]

Methods

Results

Conclusion