Prevalence of Endometrial Polyp by Office Hysteroscopy at a Tertiary Care Centre in Western Maharashtra: A Prospective Cohort Study
Published: November 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/58702.17007
Bidhan Roy, Aruna Menon, Soumen Das Poddar, Ritam Bhattacharya
1. Associate Professor, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India.
2. Professor, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India.
3. Associate Professor, Department of Obstetrics and Gynaecology, Command Hospital (SC), Pune, Maharashtra, India.
4. Clinical Tutor, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India.
Correspondence
Dr. Bidhan Roy,
Associate Professor, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India.
E-mail: majorbidhanroy@gmail.com
Introduction: Endometrial polyps occur in different reproductive age groups and make it a distinct pathological entity with diverse clinical manifestations.
Aim: To determine the prevalence of endometrial polyp detected by office hysteroscopy, among different cohorts of patients attending the Gynaecology outpatient department at a tertiary care centre in western Maharashtra, India.
Materials and Methods: A prospective cohort study was conducted in women who underwent office hysteroscopy, in view of infertility and Abnormal Uterine Bleeding (AUB) at a tertiary care centre in western Maharashtra, India from November 2020 to October 2021. The study included a total of 227 patients which were divided into four cohorts of women namely, infertility patients (aged 25-35 years) (N=115), AUB patients (aged 40-44 years) (N=29), AUB patients (aged 45-50 years) (N=49) and in postmenopausal women (aged more than 51 years) (N=34). Results were expressed in terms of frequency and percentages.
Results: Endometrial polyp was detected among 45 patients (19.82%) out of a total 227 patients who underwent office hysteroscopy. The prevalence rate was 16 (13.9) among women with infertility, 5 (17.2) among 40-44 years old women with AUB, 15 (30.6) among 45-50 years old women with AUB and 9 (26.5) among postmenopausal women.
Conclusion: Endometrial polyp has a significant prevalence in patients with infertility as well as in patients with AUB. It can be easily detected by diagnostic office hysteroscopy, which should be included in the work-up of such patients.
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