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Endometrial Polyps

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Minimally Invasive Gynecological Surgery

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Abstract

Endometrial polyps are frequent findings during the evaluation of women suffering from abnormal uterine bleeding (AUB). Endometrial polyps are also frequently detected in women without such symptoms. The widespread use of transvaginal ultrasound (TVUS) and saline infusion sonography (SIS) during gynaecological examination will most likely lead to the diagnosis of endometrial polyps in an increasingly number of asymptomatic women in the future. Consequently, the management of endometrial polyps seems to be a growing clinical issue.

In this chapter, the pathogenesis, diagnosis, symptomatology and treatment of endometrial polyps are described. Furthermore, the risk of malignancy in endometrial polyps is discussed. Finally, clinical guidelines for the treatment of endometrial polyps in pre- and postmenopausal women with or without symptoms are provided.

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Abbreviations

3D:

Three-dimensional

AUB:

Abnormal uterine bleeding

BMI:

Body mass index

CEUS:

Contrast-enhanced ultrasonography

GF:

Growth factors

GIS:

Gel installation sonography

HT:

Hormone therapy

IGF:

Insulin-like growth factor

IVF:

In vitro fertilization

SHBG:

Sex-hormone-binding globulin

SIS:

Saline infusion sonography

TCRP:

Transcervical resection of endometrial polyps

TVUS:

Transvaginal ultrasonography

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Authors and Affiliations

  1. Department of Gynaecology, Oslo University Hospital, Oslo, Norway

    Marit Lieng MD, PhD

  2. Institute of Clinical Medician, University of Oslo, Oslo, Norway

    Marit Lieng MD, PhD

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  1. Marit Lieng MD, PhD
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Correspondence to Marit Lieng MD, PhD .

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  1. Fredriksberg, Denmark

    Olav Istre

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Lieng, M. (2015). Endometrial Polyps. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_6

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