AI Article Synopsis
- Chronic endometritis (CE) is an inflammatory condition that may be linked to intrauterine abnormalities like endometrial polyps and adhesions, leading to increased risk of developing the condition.
- A study of 335 infertile women undergoing hysteroscopy revealed that over half showed signs of endometritis, with those having polyps having 5.2 times and those with adhesions having 4.6 times greater odds of the condition compared to those without these abnormalities.
- The findings suggest that treating or removing these intrauterine issues could potentially lower the risk of chronic endometritis and enhance fertility, indicating a need for further investigation.
Article Abstract
Objective: Chronic endometritis (CE) is an inflammatory condition with several different risk factors. We aimed to examine whether intrauterine abnormalities, such as endometrial polyps, submucosal myomas, intrauterine adhesions, or a septate uterus, were associated with an increased likelihood of developing chronic endometritis.
Methods: A cross-sectional study was conducted on 335 infertile women who underwent hysteroscopy surgery at the Ayatollah Taleghani Hospital Infertility Center, affiliated by Shahid Beheshti University of Medical Sciences, in 2022. All participants in the study underwent hysteroscopic surgery, which allowed for direct visualization of the intrauterine cavity, and endometrial biopsies were taken for further analysis. To characterize endometritis, plasma cell infiltration was assessed. Patients with ≥5 plasma cells observed in 10 high-power fields were defined as having chronic endometritis.
Results: Endometritis was observed in 51.3% of the patients, totaling 172 individuals. Logistic regression analysis revealed that patients with endometrial polyps had 5.2 times higher odds of developing endometritis compared to patients without polyps (95% CI = 2.9, 9.2) (p-value <0.001). Similarly, patients with intrauterine adhesions had a significant increase in the odds of endometritis (OR = 4.6, 95% CI = 2.1, 10.1) (p-value <0.001).
Conclusions: Treatment or removal of endometrial abnormalities through hysteroscopic procedures may help to reduce the risk of chronic endometritis and improve fertility outcomes. Further research is necessary.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349266 | PMC |
| http://dx.doi.org/10.5935/1518-0557.20240011 | DOI Listing |
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