Publication:

The effectiveness of hysteroscopic polypectomy in cases of female infertility

Background The position of hysteroscopy in current fertility practice is under debate. There are many randomized controlled trials on technical feasibility and patient compliance demonstrating that the procedure is well tolerated and effective in the treatment of intrauterine pathologies. However, no consensus on the effectiveness of hysteroscopic surgery in improving the prognosis of sub fertile women is available.  The aim of this study is to evaluate the effectiveness of hysteroscopic polypectomy in cases of female infertility.

Methods This is a cross-sectional descriptive study. This study was carried out on 63 patients the find out about the population including female patients in the department of obstetrics and gynecology, Evercare Hospital, Dhaka, Bangladesh. The duration of the period from July 2020 to June 2023. The period from data was entered in MS Excel and statistical analysis was done using SPSS-24.

Results The distribution of study patients according to indication of polypectomy and mode of anaesthesia where 37 (58.7%) patients had endometrial polyp and 26 (41.3%) patients had submucous fibroid and 52 (82.53%) patents were given spinal anaesthesia. Pregnancy after hysteroscopic polypectomy where 29 (46.03%) patients became pregnant with endometrium polyp and 34 (53.96%) patients became pregnant with submucous fibroid.

Conclusions The efficacy of surgery in infertile women with intrauterine polyp suggests potential benefit. More randomized controlled trials are needed before the widespread use of hysteroscopic surgery in the general population.