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Lee, Kim, Lee, Woo, Cho, Joo, and Choi: Detection of changes in endometrial polyps by sonohysterography
Original Article
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(3): 166-171.

Published online: 15 March 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.3.166

Detection of changes in endometrial polyps by sonohysterography

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

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

Corresponding author: Yeon Jean Cho, MD. Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, 17 Seoae-ro 1-gil, Jung-gu, Seoul 100-380, Korea. Tel: +82-2-2000-7609, Fax: +82-2-2000-7686, Jeanjane@naver.com

Received 4 August 2011       Revised 20 November 2011       Accepted 9 December 2011

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Endometrial polyp, Regression rate, Sonohysterography

Figures and Tables

Table 1
Demographic characteristics of patients
kjog-55-166-i001

Values are presented as mean ± standard deviation or number (%).

Table 2
Initial symptoms between groups
kjog-55-166-i002

Values are presented as number (%).

Fisher's exact test, P<0.05.

NS, not significant.

Table 3
Comparison of the characteristics
kjog-55-166-i003

Values are presented as mean ± standard deviation.

Student's t-test, P<0.05.

BMI, body mass index; NS, not significant.

Table 4
Histologic results of 29 patients performed surgical procedure
kjog-55-166-i004

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