03/07/2023
🔬 What is an endometrial polyp and does it cause infertility?
Meet Irakli Simonia, a leading obstetrician-gynecologist, and surgeon-endoscopist at the Reproductive Medicine Center "Universe." უნივერსი - რეპროდუქციული მედიცინის ცენტრი • Universe - Reproductive Center Today, we'll delve into the topic of endometrial polyps and their potential impact on fertility.
Endometrial polyps are focal growths that develop within the inner layer of the uterus, known as the endometrium. They consist of endometrial glands, stroma, and blood vessels (Kurman RJ, Carcangiu ML, Herrington CS, Young RH, editors. WHO Classification of Tumors of Female Reproductive Organs. 2014). These polyps are found in approximately 10% of the female population (Clark TJ, Middleton L, Cooper N, et al. 2015).
Clinical manifestations of endometrial polyps often include menstrual cycle disorders such as intensified or excessive menstruation, as well as intermenstrual bleeding. Infertility can also be associated with these polyps. However, it is important to note that many cases are asymptomatic, and polyps are discovered during routine gynecological examinations.
The direct link between endometrial polyps and female subfertility remains a topic of debate. While some women with endometrial polyps are still able to conceive and carry a pregnancy to term, there is a significant number of cases where the removal of the polyp leads to spontaneous pregnancy soon after. The exact mechanism by which endometrial polyps can cause infertility is not fully understood, but various factors are considered. These factors include s***m migration disruption, impaired embryo implantation, induction of inflammatory reactions, disruption of glycodelin secretion, and ultrasound changes (Ali Al Chami and Ertan Saridogan Endometrial Polyps and Subfertility 2016).
Endometrial polyps are primarily diagnosed through gynecological ultrasound examinations, including 2D-3D ultrasound imaging. For treatment, hysteroscopic polypectomy is considered the gold standard, particularly for women of reproductive age. Unlike uterine cavity scraping, hysteroscopic polypectomy allows for the removal of the pathological tissue (polyp) while preserving the surrounding areas of the endometrium.
The average duration of a hysteroscopic polypectomy is 5-7 minutes, performed under intravenous anesthesia. Patients are typically discharged 2-3 hours after the operation.
If you suspect or have been diagnosed with endometrial polyps and are concerned about their potential impact on fertility, we highly recommend consulting with our expert, Irakli Simonia, at the Reproductive Medicine Center "Universe." With his vast experience and advanced techniques, he can guide you towards the most appropriate course of action and help you on your journey to parenthood.
Remember, understanding your reproductive health is crucial, and our team is here to provide you with personalized care and support. Don't hesitate to reach out and schedule a consultation. Your dreams of starting a family can become a reality. 💫🌸