Endometrial polyps are a recognised finding in women struggling to conceive. This page outlines the clinical scenario and the evidence-based approach used when an endometrial polyp is identified in the context of infertility or subfertility.
This protocol applies to women diagnosed with an endometrial polyp who are also experiencing infertility or subfertility. Infertile women are more likely to be diagnosed with an endometrial polyp, making this a clinically significant and frequently encountered combination. The presence of the polyp is addressed as part of the fertility workup.
The primary clinical objective is the achievement of pregnancy. Polypectomy in the subfertile woman is effective in improving fertility, with reported pregnancy rates varying between 43% to 80%.
The recommended intervention is a surgical procedure performed through the uterine cavity. This approach is considered the gold standard for addressing the polyp in this setting — the complete protocol, including procedural details and clinical decision steps, is available via the link below.
DOI: 10.1016/j.jmig.2011.09.003