Endometrial polyps are localised hyperplastic overgrowths of glands and stroma that form a projection above the uterine surface. They may be sessile or pedunculated and rarely include foci of neoplastic growth. (1) They are common during the reproductive years, occurring in up to 24% of women, and the rate increases with age. (2) The most common symptom is abnormal uterine bleeding (AUB), but patients may be totally asymptomatic. Endometrial polyps may cause infertility. Although the precise mechanism by which they do this is unclear, their removal has been reported to increase fertility. (3) Hysteroscopy is the only technique that provides direct visualisation of the uterine cavity, and it is therefore more effective than other procedures in the diagnosis and treatment of endometrial disease. (4) Further research should support and encourage this useful procedure. (5) The aim of the present study was to assess the efficacy of treatment of endometrial polyps by operative hysteroscopy, and determine reproductive benefits and the recurrence rate.
