High frequency of endometrial polyps in endometriosis.
OBJECTIVE
To evaluate the effectiveness of hysteroscopy and the frequency of endometrial polyps in women with endometriosis.


METHODS
Retrospective clinical study (Canadian Task Force classification II-2).


METHODS
Infertility unit at a university-affiliated hospital.


METHODS
One hundred eighty-three infertile women, 92 with endometriosis and 91 controls without the disease.


METHODS
Laparoscopy and scoring of endometriosis according to the American Fertility Society classification, and confirmation of endometrial polyps by pathologic examination.


RESULTS
There was no significant difference between groups with regard to age, mean duration of infertility, and frequency of primary or secondary infertility. Endometrial polyps were found in 43 women (46.7%) with endometriosis and in 15 controls (16.5%, p = 0.0000). Their frequency did not differ significantly according to stage of endometriosis.


CONCLUSIONS
We strongly recommend hysteroscopy if endometriosis is detected in a woman undergoing evaluation for infertility, even if hysterosalpingography and transvaginal ultrasonography do not suggest endometrial polyps.
Kim
Mi Ran
MR
Department of Obstetrics and Gynecology, Ajou University School of Medicine, San 5, Wonchon-dong, Paldal-gu, Suwon 442-749, Korea.
Kim
Young Ah
YA
Jo
Mi Yeong
MY
Hwang
Kyung Joo
KJ
Ryu
Hee Sug
HS
D000328:Adult; D017677:Age Distribution; D016022:Case-Control Studies; D015897:Comorbidity; D016001:Confidence Intervals; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000453:epidemiology*; D004715:Endometriosis / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods; D015907:Hysteroscopy / Q000379:methods; D011127:Polyps / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D011336:Probability; D012016:Reference Values; D012189:Retrospective Studies; D018570:Risk Assessment