Recurrent endometrial polyps – influencing factors and treatment

E.A. Bordea, M. Cosma, D. Mihai, R. Dragomir, A. Carp-Velișcu, B. Marinescu, E. Brătilă

Rezumat: An endometrial polyp (EP) is a frequently encountered gynecologic disease, and the two main symptoms are abnormal uterine bleeding and infertility. Hysteroscopic polypectomy is an effective method to remove them. The postoperative polyp recurrence might result in the reappearance of abnormal uterine bleeding or infertility. There is limited data on the factors that influence postoperative recurrence. Progesterone appears to be a valid therapeutic alternative for the management of recurrent endometrial polyps. Levonorgestrel intrauterine device is not an option for women who want to conceive. Infertile women should be counseled to achieve a pregnancy in the next couple of months after hysteroscopic polypectomy, and as soon as possible before polyp recurrence.
Cuvinte cheie: recurrent endometrial polyps, infertility, hysteroscopy.