Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Jinekoloji Obstetrik, cilt.27, sa.2, ss.45-48, 2017 (Scopus)
© 2017 by Türkiye Klinikleri.Objective: The aim of the present study was to address the question whether histologic evaluation is always necessary for women with a suspicion of an endometrial polyp at the postmenopausal period. Material and Methods: Between August 2007 and February 2014 a total of three hundred twenty seven postmenopausal women with a suspicion of endometrial polyp at the trans-vaginal ultrasound with or without a complaint of uterine bleeding were included to the study. Data were collected retrospectively from clinic records. All of the patients treated with hysteroscopy. Pathologic results were the main outcome measure. Results: Two cases of 158 asymptomatic polyps, 16 cases of 169 symptomatic polyps were malign and premalignant. The relative risk of symptomatic polyps is 1,79. The complication rate was 3,05% for all cases. At the symptomatic group 2 cases and at the asymptomatic group 8 cases have a complication. The complication rate was increased nearly by 4 times (p=0,027). Conclusion: Management strategies for postmenopausal endometrial polyps are controversial. In the light of our data, we suggest symptom-based interpretation for choosing management options. We believe that the management choice of an asymptomatic postmenopausal polyp is expectant instead of excision. Nevertheless, further work needs to be done more broadly to establish expectant management alternatives about the asymptomatic postmenopausal endometrial polyps.