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Follow-up and hysteroscopic evaluation of the uterine cavity after hysteroscopic polypectomy
Abstract
Objective. To assess the results of resection of endometrial polyps by means of diagnostic hysteroscopy. Material and methods. This was a prospective long-term follow-up study in a tertiary teaching hospital. A total of 102 patients were included, of whom 83 completed follow-up. Results. Eighty-three patients (81.4%) completed follow-up and underwent hysteroscopic evaluation. The recurrence rate was 2.5% (2/83) and the pregnancy rate after hysteroscopic polypectomy 60.9% (14/23). Further treatment was needed in 3 patients in the premenopausal group. Conclusions. Hysteroscopic resection of endometrial polyps is safe and effective, and should be encouraged. With regard to treatment of infertility, results were promising. A levonorgestrel-releasing intra-uterine device can be considered when polyps recur or menstrual abnormalities persist.
