Does it make a difference for women with endometrial polyps to go for IVF?

Mondo Health Updated on 2024-01-31

Endometrial polyps are a common disease among women of childbearing age, and many of the Jimei people who usually consult have this kind of problem, so what kind of endometrial polyps exist?How much does it affect female fertility?Will it affect IVF?

What is an endometrial polyp?

Endometrial polyps are a common condition caused by excessive local growth of the endometrium. It appears as a single or multiple smooth masses protruding from the uterine cavity with varying pedicle lengths. It can cause irregular bleeding and infertility. Women from childbearing age to postmenopause are all at high risk of endometrial polyps. At present, it is not clear, some scholars believe that it is related to endocrine disorders, mainly ultrasound diagnosis, intrauterine cavity sonography is more sensitive, and hysteroscopy is the gold standard for diagnosing endometrial polyps. Effect of endometrial polyps on fertility?Menstrual disorders: heavy menstrual bleeding and prolonged menstruation or abnormal uterine bleeding before menopause, but the severity of symptoms is not related to the number, diameter, and location of polyps.

Abnormal vaginal discharge: a small number of patients with large polyps may have increased leucorrhea or blood-streaked leucorrhoea.

Infertility: Mechanical blockage of the fallopian tube opening by polyps can affect and hinder the union of sperm and egg, thus affecting the pregnancy rate.

If the polyp is too large, it will affect the shape of the uterine cavity and affect the blood circulation of the endometriumIf the polyp is inflamed, it will affect the receptivity of the endometrium, interfere with the implantation of the embryo, and lead to miscarriage, thus causing infertility. If the test tube Jimei detects that there are endometrial polyps, whether it will affect the test tube depends on the size, location and shape of the polyp.

Ultrasonography of endometrial polyps, ultrasonography is convenient, non-invasive and widely used in the diagnosis of endometrial polyps**The application of ultrasound has greatly improved the detection rate of endometrial polyps, and combined with color Doppler, it can effectively diagnose endometrial polyps.

Do endometrial polyps affect IVF?

For women with IVF plans, endometrial polyps must be performed before becoming IVF** because the uterus is the basis for a woman to conceive a fetus, and polyps are caused by excessive endometrial hyperplasia, which is where the embryo is implanted. If the implant environment is unstable, the success rate of IVF will be relatively reduced. In addition, having uterine polyps can also lead to endometrial polyps complicated by infection, altering the intrauterine environment, leading to early miscarriage, which can affect the pregnancy rate of IVF.

In general, women with endometrial polyps should determine whether the polyps will affect the implantation of the embryo before the transferIf the size and shape of the polyp have affected the uterine cavity environment, the embryo transfer can only be carried out after surgical resection, otherwise the success rate of IVF will be reduced, in addition, there is a possibility of endometrial polyps after surgery, and the rate is about 25%~3.7%, mainly due to the fact that the polyp is generated** has no place to go, followed by the polyp root is not cut clean. In order to reduce the rate, it must be carried out in a regular professional medical treatment, and then it is best to recheck it once every 3 months after surgery.

Tips:

Endometrial polyps can cause infertility, but as long as the polyps are handled well, they will not affect the IVF

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