|Presence of Endometrial Polyps|
When using a hysteroscope for patients with repeat implantation failure, you will find a high rate of polyps.
At Oak Clinic, the endometrial polyp is categorized into 2 groups by:
- Previous exams with hysteroscope, sonohysterogram, ultrasound and uterotubal contrasting, the endometrial macro polyps that exist can be estimated.
- Endometrial micro polyps small in size can be for the first time discovered by careful observation using a hysteroscope.
These 2 types of polyps have their own treatment;
- Macro polyp → polyp resection
- Micro polyp → often multiple, they are too small to have a resection. there are many complications of chronic endometritis described above (about 60%, which will be described later), and effective antibiotic treatment in such cases
- No polyps group → endometrial biopsy
Embryo transfer results after each treatment has improved, macro polyp, micro polyps, and reported to be similar to the non-polyp group (Kitaya K, et al., Human Reproduction, in press, 2012; doi: 10.1093 ⁄ humrep ⁄ des323).
In other words, it is important to select a course of treatment by the type when it comes to the presence of polyps.