Follow-up and hysteroscopic evaluation of the uterine cavity after hysteroscopic polypectomy

Objective. To assess the results of resection of endometrial polyps by means of diagnostic hysteroscopy. Material and methods. This was a prospective long-term follow-up study in a tertiary teaching hospital. A total of 102 patients were included, of whom 83 completed follow-up. Results. Eighty-three patients (81.4%) completed follow-up and underwent hysteroscopic evaluation. The recurrence rate was 2.5% (2/83) and the pregnancy rate after hysteroscopic polypectomy 60.9% (14/23). Further treatment was needed in 3 patients in the premenopausal group. Conclusions. Hysteroscopic resection of endometrial polyps is safe and effective, and should be encouraged. With regard to treatment of infertility, results were promising. A levonorgestrel-releasing intra-uterine device can be considered when polyps recur or menstrual abnormalities persist.