Endometrial polyps during menopause: Characterization and significance

Raoul Orvieto, Itai Bar-Hava, Dov Dicker, Jacob Bar, Zion Ben-Rafael, Alexander Neri

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

Background. To characterize postmenopausal women with endometrial polyps and to evaluate their significance. Methods. The study population included all consecutive postmenopausal patients with a diagnosis of endometrial polyp, treated at our center over a two-year period. Demographic, medical and gynecological data were assessed with regard to the endometrial histologic findings. Results. Of the 146 eligable patients, 15 had endometrial hyperplasia (four with atypia); there were no cases of endometrial carcinoma. The 20 patients (13.7%) using hormone replacement therapy had a significantly higher rate of endometrial hyperplasia than non-hormone users (p < 0.006). No differences were observed among the endometrial histological categories for any of the presenting symptoms and signs, ultrasonographic findings, or medical histories. Conclusions. Postmenopausal endometrial polyp is a common, mostly benign entity. However, the relatively high rate of concomitant endometrial hyperplasia, especially in patients receiving hormone replacement therapy, dictates a thorough histological evaluation in all cases.

Original languageEnglish
Pages (from-to)883-886
Number of pages4
JournalActa Obstetricia et Gynecologica Scandinavica
Volume78
Issue number10
DOIs
StatePublished - 1 Jan 1999
Externally publishedYes

Keywords

  • Endometrial polyp
  • Menopause
  • Ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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