پولیپ و ناباروری

Uterine polyps and infertility

Effects of uterine polyps on infertility:
Uterine polyp is one of the most common benign uterine masses that can be inside the uterine cavity or cervix. The incidence of asymptomatic endometrial polyps in women suffering from infertility has been reported to be around 6-8%, but it may reach 32%. Polyps reduce the receptiveness of the uterus for embryo implantation. A polyp alone is not the cause of infertility, but removing it in infertile people before starting fertility treatments improves the outcome and increases the probability of pregnancy after IUI and IVF. Therefore, infertility specialists usually remove polyps before starting fertility treatments.
Does uterine polyp cause miscarriage?
  Polyps do not increase miscarriages in pregnant women and do not have a negative effect on the outcome of pregnancy, but women who have frequent miscarriages should be examined for uterine cavity lesions.
If a uterine polyp is detected in a color photograph of the uterus, hystersonography, or vaginal sonography, it must be removed before trying to conceive, which is preferably done by hysteroscopy.
Is it always necessary to remove uterine polyps?
Symptomatic polyps at any age and any size should be removed, but asymptomatic polyps are removed only if:
1. Polyps hanging from the cervix.
2. Polyps are larger than 1.5 cm.
3. In infertile people
4. In people who have frequent miscarriages
5. The presence of multiple polyps
6. Menopausal people
The best treatment for uterine polyps:
Uterine polyps may regress by themselves, but it is not known in which people and to what extent this regression occurs. Small polyps are more likely to disappear, while larger polyps cause more abnormal bleeding. Although some polyps regress on their own, the possibility of their malignancy should be considered
Medicinal treatment of polyps:
Polyps usually do not heal with medication. Of course, some hormonal drugs that are prescribed for other reasons may cause polyps to disappear or shrink temporarily, but they recur after stopping the drug.
  Surgical treatment of polyps:
The definitive treatment of uterine polyps is to remove them. If the polyp is completely removed, the probability of its recurrence is less. In rare cases, the polyp may recur after removal. In these cases and Tamoxifen users (who are at risk of malignancy), in addition to being under observation, appropriate treatment and action are performed by the doctor.