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Complications
By Mayo Clinic staffWhether uterine polyps lead to infertility remains controversial. However, if you have uterine polyps and you've been experiencing infertility, removal of the polyps might boost your fertility. In one study, infertile women who underwent surgical polyp removal (hysteroscopic polypectomy) had much higher pregnancy rates — 63 percent versus 28 percent — after intrauterine insemination (IUI) than did women with uterine polyps who underwent IUI alone.
Uterine polyps also may present an increased risk of miscarriage in women undergoing in vitro fertilization (IVF). If you're undergoing IVF treatment and you have uterine polyps, your doctor will probably recommend polyp removal before embryo transfer.
- Ellenson LH, et al. The female genital tract. In: Kumar V, et al. Robbins and Cotran Pathologic Basis of Disease. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/191233107-3/0/2060/258.html?tocnode=57531643&fromURL=258.html. Accessed March 25, 2010.
- Drinville JS, et al. Benign disorders of the uterine corpus. In: DeCherney AH, et al. Current Diagnosis & Treatment Obstetrics & Gynecology. 10th ed. New York, N.Y.: McGraw-Hill Medical; 2009. http://www.accessmedicine.com/content.aspx?aid=2389400. Accessed March 25, 2010.
- Stewart EA. Endometrial polyps. http://www.uptodate.com/home/index.html. Accessed March 24, 2010.
- Hoffman BL. Abnormal uterine bleeding. In: Schorge JO, et al. Williams Gynecology. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aid=3153117. Accessed March 29, 2010.
- Hillard Adams PJ. Benign diseases of the female reproductive tract. In: Berek JS. Berek & Novak's Gynecology. 14th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2007:431.
- Sonohysterography. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=hysterosono. Accessed March 25, 2010.
- Perez-Medina T, et al. Endometrial polyps and their implication in the pregnancy rates of patients undergoing intrauterine insemination: A prospective, randomized study. Human Reproduction. 2005;20:1632.
- Stamatellos I, et al. Pregnancy rates after hysteroscopic polypectomy depending on the size or number of the polyps. Archives of Gynecology and Obstetrics. 2008;277:395.
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