Prevalence of Endometrial Polyp by Office Hysteroscopy at a Tertiary Care Centre in Western Maharashtra: A Prospective Cohort Study

Abstract

Introduction: Endometrial polyps occur in different reproductive age groups and make it a distinct pathological entity with diverse clinical manifestations. Aim: To determine the prevalence of endometrial polyp detected by office hysteroscopy, among different cohorts of patients attending the Gynaecology outpatient department at a tertiary care centre in western Maharashtra, India. Materials and Methods: A prospective cohort study was conducted in women who underwent office hysteroscopy, in view of infertility and Abnormal Uterine Bleeding (AUB) at a tertiary care centre in western Maharashtra, India from November 2020 to October 2021. The study included a total of 227 patients which were divided into four cohorts of women namely, infertility patients (aged 25-35 years) (N=115), AUB patients (aged 40- 44 years) (N=29), AUB patients (aged 45-50 years) (N=49) and in postmenopausal women (aged more than 51 years) (N=34). Results were expressed in terms of frequency and percentages. Results: Endometrial polyp was detected among 45 patients (19.82%) out of a total 227 patients who underwent office hysteroscopy. The prevalence rate was 16 (13.9) among women with infertility, 5 (17.2) among 40-44 years old women with AUB, 15 (30.6) among 45-50 years old women with AUB and 9 (26.5) among postmenopausal women. Conclusion: Endometrial polyp has a significant prevalence in patients with infertility as well as in patients with AUB. It can be easily detected by diagnostic office hysteroscopy, which should be included in the work-up of such patients.