title: [Superficial hysteroscopic resection for polypoid endometrium: preliminary results of an innovative approach for women of childbearing age].
abstract: OBJECTIVE
  To evaluate the reproductive safety and long-term efficacy of hysteroscopic superficial endometrial resection for polypoid endometrium in symptomatic patients (menorrhagia, dysmenorrhea and unexplained infertility).
  
  
  METHODS
  The present retrospective descriptive case series study included 44 patients of reproductive age who underwent superficial hysteroscopic endometrial resection between January 1st, 2004 and December 31, 2009. Reproductive outcome, and the patients' perceptions of menstrual symptoms after the surgical intervention were collected from the clinical notes and a semi-structured telephone interview.
  
  
  RESULTS
  Of the patients presenting abnormal uterine bleeding, 59% reported long-term improvement of this symptom; of those with dysmenorrhea, 52% reported long-term relief. Among 26 infertile women who wanted to become pregnant immediately after the procedure, 58% succeeded (n=15), with a live-born rate of 38%. The pregnancy rate in primary and secondary infertility cases was respectively 53% (n=8/15) and 64% (n=7/11).
  
  
  CONCLUSIONS
  Superficial endometrial resection is an alternative for treating polypoid endometrium when it is associated with menorrhagia, dysmenorrhea and infertility. It treats menstrual symptoms successfully, with no adverse impact on fertility.
authors: Service de gynécologie-obstétrique, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France. herve.fernandez@bct.aphp.fr
authors: H
authors: H
authors: Fernandez
authors: S
authors: S
authors: Bendifallah
authors: S
authors: S
authors: Salama
authors: E
authors: E
authors: Faivre
authors: X
authors: X
authors: Deffieux
authors: A
authors: A
authors: Nazac
mesh_terms: D000328:Adult; D004717:Endometrium / Q000473:pathology / Q000601:surgery*; D005260:Female; D059247:Fertility Preservation / Q000379:methods; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008423:Maternal Age; D010865:Pilot Projects; D011127:Polyps / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D035703:Therapies, Investigational / Q000379:methods; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*; D055815:Young Adult