ArticleBMC women's health2023
Chronic endometritis increases the recurrence of endometrial polyps in premenopausal women after hysteroscopic polypectomy.
Article in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Chronic Endometritis and Endometrial Polyps in Female Infertility: Etiological Mechanisms, Diagnostic Insights, and Prognostic Implications.Journal of clinical medicine · 2026Review
- A predictive model for recurrence after hysteroscopic endometrial polypectomy: a combined analysis of clinical and ultrasound parameters.BMC women's health · 2026Article
- Endometrial polyps recurrence: risk factors, prevention, and management.Open medicine (Warsaw, Poland) · 2026Review
- Endometrial hyperplastic changes as an independent predictor of recurrence after hysteroscopic polypectomy: a retrospective cohort study.American journal of translational research · 2026Article
- Impact of Short-Term Estrogen Therapy on Endometrial Polyps Recurrence in Women with Intrauterine Adhesion and Endometrial Polyps: A Retrospective Cohort Study.International journal of women's health · 2026Article
- Prediction of Recurrence After Endometrial Polypectomy in Women of Childbearing Age Based on Machine Learning Algorithm.International journal of women's health · 2026Article
- Comprehensive Analysis of Risk Factors for Recurrence in Women of Reproductive Age Undergoing Hysteroscopic Polypectomy.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Article
- Exploring the Inflammatory Basis of Endometrial Polyps: Clinical Implications of Hematological Biomarkers in a Retrospective Study.Journal of clinical medicine · 2025Article
- Risk factors for endometrial polyps to transform into endometrial cancer: insights from a bibliometric analysis.Journal of health, population, and nutrition · 2025Review
- Clinical efficacy study of the IBSWorld journal of surgical oncology · 2024Article
- Endometrial microbiota alteration in female patients with endometrial polyps based on 16S rRNA gene sequencing analysis.Frontiers in cellular and infection microbiology · 2024Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe reported recurrence rate of endometrial polyps (EPs) after hysteroscopic polypectomy varied widely, and the factors influencing the recurrence of EPs are still controversial. Furthermore, the known definite independent risk factors are almost unchangeable, such as the number of EPs and previous polypectomy history. The aim of this study was to evaluate the impact of chronic endometritis (CE) on the recurrence of EPs in premenopausal women who underwent hysteroscopic polypectomy.
methodsA retrospective study was conducted at a university-affiliated hospital. Premenopausal women who underwent hysteroscopic polypectomy were enrolled, and those with definite confounding factors for polyp recurrence were excluded, including endometriosis and previous polypectomy history. A total of 233 women were enrolled in this study, including 64 (27.5%) cases with CE and 169 (72.5%) cases without CE. CE was diagnosed via immunohistochemical detection of CD138 on the endometrial specimen. Comparison of the recurrence rate of EPs was performed in women with or without CE at each monitoring stage (i.e., at 3, 6, 9 and 12 months) after hysteroscopic polypectomy.
resultsThe recurrence rates of EPs at one year in patients with and without CE were 26.6% (95% confidence interval [CI] 15.8-37.4%) and 9.5% (95% CI 5.0-14.0%), respectively, with an overall recurrence rate of 14.2% (95% CI 9.7-18.7%). The hazard ratio (HR) for EPs recurrence in the EPs with CE cohort versus the EPs without CE cohort was 3.08 (95% CI 1.56-6.09) (P = 0.001). Similarly, the recurrence rate of EPs was significantly higher in women with CE than in those without CE at each monitoring stage (i.e., 3, 6 and 9 months). CE and multiple EPs were risk factors for EPs recurrence. The HR for EPs recurrence in the EPs with CE cohort compared with the EPs without CE cohort was 3.06, after adjustment for the number of EPs.
conclusionsCE was a harmful factor for the recurrence of EPs in premenopausal women after hysteroscopic polypectomy. Thus, routine screening for CE during hysteroscopic polypectomy was needed. Frequent monitoring was needed for multiple EPs as the number of EPs also contributed to polyp recurrence.
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