- Academic Editor
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Objective: Endometrial polyps are one of the most often diagnosed
gynecological pathologic findings, affecting women from reproductive age to
advanced menopause. In women of childbearing age, they can cause infertility,
although a clear cause-and-effect relationship is not always evident. In
postmenopausal women, endometrial polyps may manifest primarily with abnormal
uterine bleeding (AUB). They are usually benign lesions, and the malignant
transformation, especially in menopausal women, occurs infrequently increasing
with age. The ultrasound suspicion of an endometrial polyp requires a better
definition of its size, position, and nature through hysteroscopy. Hysteroscopy
performed as an outpatient procedure, in addition to diagnosis may be followed by
the simultaneous removal of the polyp (see & treat approach). If this is not
possible in an outpatient setting, polypectomy can be performed in the operating
theatre by means of resectoscopy or mechanical hysteroscopic tissue removal
(mHTR) system. This critical study about the management of endometrial polyps,
intends to examine what is still being discussed in this regard.
Mechanism: A narrative review was conducted analyzing the available
literature regarding the management of endometrial polyps in infertile
childbearing age and pre and postmenopausal women. Findings in Brief:
There is no agreement that all endometrial polyps should be removed. Polyps