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

Taha, Sayed Ahmed Mohammed; ElAlrashidy, Mahmoud Ibrahim Almolakab; Mohamed, Sayed Abo Elabaas

doi:10.21608/ejhm.2022.249320

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

Document Type : Original Article

Authors

¹ Obstetrics & Gynaecology Department, Faculty of Medicine, South Valley University, Egypt,

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

10.21608/ejhm.2022.249320

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.