CLINICAL CHARACTERISTICS, DIAGNOSIS, AND REPRODUCTIVE OUTCOMES OF ENDOMETRIAL POLYPS

Authors:

Abstract:

Endometrial polyps are common benign endometrial lesions that may impair female reproductive function and are often asymptomatic, leading to delayed diagnosis. This study assessed the clinical features of endometrial polyps, their impact on reproductive outcomes, and diagnostic and therapeutic effectiveness. Sixty-eight women with histologically confirmed endometrial polyps and twenty-four controls were examined. Evaluation included transvaginal ultrasonography, sonohysterography, and hysteroscopy. Treatments consisted of hormonal therapy and expectant management, with outcomes measured by polyp regression and recurrence. Abnormal uterine bleeding was the most frequent symptom, while some patients were asymptomatic. Multiple and larger polyps were associated with more severe clinical manifestations. Hormonal therapy showed variable efficacy, with combined oral contraceptives more effective than progestins. Hysteroscopy demonstrated the highest diagnostic accuracy, and recurrence was common. Endometrial polyps significantly affect reproductive health, especially in multiple lesions, emphasizing the need for accurate diagnosis and individualized management.

Keywords:

endometrial polyps reproductive function infertility hysteroscopy hormonal therapy diagnosis clinical characteristics

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Publication:

«World of Medicine and Biology» Vol. 22 No. 96 (2026) , с. 102-107
УДК 618.14-006.5:618.177

DOI:

https://doi.org/10.26724/2079-8334-2026-2-96-102-107