Endometrial polyps effect on pregnancy outcomes in infertile women with minimal/mild endometriosis: A retrospective study

• Published in: The journal of obstetrics and gynaecology research 2023-12, Vol.49 (12), p.2946-2951
• Main Authors: Hu, Yuanyuan, Xiang, Yingchun, Huang, Wei
• Format: Article
• Language: English
• Subjects: endometrial polyps; Endometriosis; Endometrium; Fertility; infertility; Laparoscopy; Patients; Polyps; Pregnancy; pregnancy outcome; Statistical analysis
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/jog.15794

Objective To assess the pregnancy outcomes and associated influencing factors of pregnancy after hysteroscopy combined with laparoscopy treatment in infertile patients with minimal/mild endometriosis. Design A retrospective study. Setting West China Second University Hospital of Sichuan University. Patients We enrolled 898 infertile women who had their minimal/mild endometriosis lesions removed by laparoscopy, including 271 patients additionally diagnosed with endometrial polyps who also underwent hysteroscopic polypectomy. Methods Based on the existence of endometrial polyps, patients with minimal/mild endometriosis were enrolled and divided into polyps group and non‐polyps group. Main Outcome Measures Pregnancy outcomes. Results A total of 271 women with minimal/mild endometriosis were included in polyps group while 491 women with minimal/mild endometriosis were included in non‐polyps group. The pregnancy rate of polyps group was not statistically significant compared with non‐polyp group (60.15% vs. 58.25%). The pregnancy rate was higher among patients with polyps ≥1 cm (76.06%, 54/71) than patients with polyps