Detection of changes in endometrial polyps by sonohysterography.

Lee, Hee Suk; Kim, Joo Myung; Lee, Soo Yoon; Woo, Jang Hwan; Cho, Yeon Jean; Joo, Kwan Young; Choi, Kyo Hong

doi:2012.55.3.166

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(3):166-171.
DOI: https://doi.org/10.5468/KJOG.2012.55.3.166 Published online March 1, 2012.

Detection of changes in endometrial polyps by sonohysterography.

Hee Suk Lee, Joo Myung Kim, Soo Yoon Lee, Jang Hwan Woo, Yeon Jean Cho, Kwan Young Joo, Kyo Hong Choi

Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. Jeanjane@naver.com

Abstract

OBJECTIVE
To assess changes in endometrial polyps by sonohysterography. METHODS: We conducted a retrospective analysis of 57 premenopausal women who were suspected to have endometrial polyps and were examined by sonohysterography from October 2005 to July 2008. We evaluated changes in endometrial polyps by sonohysterography after observation for two or more menstrual cycles. RESULTS: The mean age of the patients was 37.7, and all patients were premenopausal. Forty-two patients had bleeding symptoms, the most common being intermenstrual spotting. Endometrial polyps regressed spontaneously in 15 out of 57 patients (26.3%). The endometrial polyp regression rate was not associated with symptoms, age, body mass index, gravida, parity, initial largest polyp diameter or interval between sonohysterography. Of the 42 patients with persistent polyps, 29 received surgical treatment. None of the patients had malignant lesions. CONCLUSION: Endometrial polyps in premenopausal patients with low malignant potential may be observed for about two menstrual cycles in the hope of spontaneous regression.

Key Words: Endometrial polyp, Regression rate, Sonohysterography