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249320

Mechanical Versus Unipolar Hysteroscopic Removal of Endometrial Polyp before Intracytoplasmic Sperm Injection: Review Article

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Last updated: 03 Jan 2025

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Abstract

Background: Endometrial polyps (EPs) are stromal and endometrial gland hyperplastic growths. Both premenopausal and postmenopausal women have a lack of apoptotic regulation and an increase of oestrogen and progesterone receptors. An embryonic age-synchronized receptive endometrium is necessary for successful implantation. By specific mechanisms, EPs impair endometrial receptivity and implantation. Because a polyp delays the hormonal response that an endometrium in good health ordinarily elicits, implantation is put at risk. Additionally, when EPs are present, a different set of endometrial markers participate in the decasualization, implantation, and trophoblast invasion processes. Objective: The study's goal was to evaluate the results of endometrial hysteroscopic polyps' removal surgery via the unipolar electrodes versus mechanical (scissor) under hysteroscopy. Conclusion: Both compared mechanical and unipolar were safe and effective in hysteroscopic removal of endometrial polyp. The mechanical hysteroscopic removal was preferable in terms of operative time, polypectomy time and pain tolerance. Mechanical hysteroscopic removal non-significantly improve the clinical pregnancy.

DOI

10.21608/ejhm.2022.249320

Authors

First Name

Sayed Ahmed Mohammed

Last Name

Taha

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Affiliation

Obstetrics & Gynaecology Department, Faculty of Medicine, South Valley University, Egypt,

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First Name

Mahmoud Ibrahim Almolakab

Last Name

ElAlrashidy

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Affiliation

2Obstetrics & Gynaecology Department, Faculty of Medicine, AL-Azhar University, Egypt,

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First Name

Sayed Abo Elabaas

Last Name

Mohamed

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Affiliation

Obstetrics & Gynaecology Department, Faculty of Medicine, South Valley University, Egypt,

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Volume

88

Article Issue

1

Related Issue

33970

Issue Date

2022-07-01

Receive Date

2022-03-10

Publish Date

2022-07-01

Page Start

3,598

Page End

3,601

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_249320.html

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https://ejhm.journals.ekb.eg/service?article_code=249320

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210

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Mechanical Versus Unipolar Hysteroscopic Removal of Endometrial Polyp before Intracytoplasmic Sperm Injection: Review Article

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Article

Created At

22 Jan 2023