Are the occurrence of uterine fibroids and polyps related? A cross-sectional study among the Iranian infertile population

Purpose: This study was designed to determine the frequency of endometrial polyp and fibroid co-occurrence in infertile patients referred to Royan Research Institute, Tehran, Iran. Method: This was a cross-sectional study. The statistical population includes all infertile women with inclusion criteria who have referred to the imaging department of Royan Institute for infertility evaluation from October ۲۰۲۰ to the end of October ۲۰۲۱. Information about patients was extracted from the electronic patient records in Hakim and Rashen software and recorded in a questionnaire. SPSS۲۰ software was used for statistical analysis of the data. Results & Conclusion: During the period of interest, a total of ۶۲۵ infertile women met the inclusion criteria and were included in the study. Among these patients, ۱۲۳ patients had various types of fibroids on vaginal ultrasound and were studied as research units. The mean age of the patients was ۳۸.۹۱±۴.۱۱ years, an women experienced ۶.۰۳±۳.۰۱ years infertility in average. Type of infertility was primary in ۱۰۷ (۸۷%) patients and secondary in ۱۶ (۱۳%) of women. In total, ۵۹ of these cases had submucosal fibroids, ۵۳ had intramural fibroids, and ۱۱ had sub-serosal fibroids. In the study, ۱۵ of the ۵۹ cases had fibroids equivalent to ۲۵.۴% submucosal and polyps simultaneously. Comparing the TVS findings with hysteroscopy and pathology results demonstrated that, ۴۷ cases (۳۸.۲%) had fibroids with compressive effect, ۶۴ cases (۵۲.۰%) had only polyps. In hysteroscopic examination, out of all cases, only ۱۲ cases (۹.۸%) had polyps and submucosal fibroids.

کلیدواژه ها:

infertility ، polyp ، fibroma ، transvaginal sonography ، hysteroscopy