Le polype endométrial est une lésion hyperplastique localisée de l’endomètre, considérée comme l’une des plus fréquentes pathologies gynécologiques. Cependant, sa physiopathogénie est encore incomplètement élucidée, même si diverses anomalies biomoléculaires associées ont été récemment rapportées. Il peut entraîner des saignements anormaux, des douleurs et une infertilité. Son diagnostic a bénéficié des progrès de l’imagerie, mais l’hystéroscopie reste l’examen de référence. Son incidence varie selon l’âge, les symptômes et les critères diagnostiques retenus. L’association des polypes à l’infertilité ne manque pas de susciter de nombreuses questions. Une étude réalisée chez un primate confirme l’impact du polype sur la fertilité. Les données épidémiologiques montrent que les EP sont fréquents chez la femme infertile, avec une incidence variable selon le contexte clinique. Elle est encore plus élevée chez les patientes présentant une endométriose. Divers mécanismes tendant à expliquer l’altération de la fertilité ont été proposés, le plus pertinent semble être l’altération de la réceptivité endométriale. Les données thérapeutiques, longtemps limitées à des études observationnelles, sont aujourd’hui un peu plus consistantes, suggérant l’amélioration des performances reproductives après polypectomie. Finalement, compte tenu de l’innocuité de cette intervention, il paraît légitime de proposer son utilisation en cas de polype identifié chez une femme infertile, en particulier dans le contexte d’une assistance médicale à la procréation ; néanmoins, le niveau de preuve est encore limité, justifiant la réalisation d’études contrôlées rigoureuses.
SMMR
La société marocaine de médecine de la reproduction
- Call Us: +212 (0) 691 660 672
- contact@smmrmaroc.ma
Polype endométrial et hypofertilité : quels niveaux de preuve ?
Jul 11 2014 Rédaction-
font size
decrease font size
increase font size
About The Author
27848 comments
-
-
Comment Link Leo Papps Sunday, 25 October 2026 21:12
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.
-
Comment Link Diann Aleman Sunday, 25 October 2026 21:12
For decades, optical discs like CDs, DVDs, and Blu-rays were the gold standard for digital archiving. We trusted them with our most irreplaceable digital assets: family camcorder footages, wedding photography albums, legacy software, financial records, and vital business backups.
-
Comment Link Minna Beerling Sunday, 25 October 2026 21:12
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.
-
Comment Link Devon Litwiler Sunday, 25 October 2026 21:12
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.
-
Comment Link Teddy Matherly Sunday, 25 October 2026 21:12
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.
-
Comment Link Dominique Paule Sunday, 25 October 2026 21:12
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.
-
Comment Link Janita Lofman Sunday, 25 October 2026 21:12
For decades, optical discs like CDs, DVDs, and Blu-rays were the gold standard for digital archiving. We trusted them with our most irreplaceable digital assets: family camcorder footages, wedding photography albums, legacy software, financial records, and vital business backups.
-
Comment Link Laronda Townzen Sunday, 25 October 2026 21:12
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.
-
Comment Link Lucienne Lopuzzo Sunday, 25 October 2026 21:12
For decades, optical discs like CDs, DVDs, and Blu-rays were the gold standard for digital archiving. We trusted them with our most irreplaceable digital assets: family camcorder footages, wedding photography albums, legacy software, financial records, and vital business backups.
Leave a comment
Make sure you enter all the required information, indicated by an asterisk (*). HTML code is not allowed.
However, optical media has a quiet, ticking clock inside it. Unlike solid-state drives or cloud storage, physical discs are highly vulnerable to everyday handling. A single accidental drop, a poor storage choice, or natural environmental degradation can render a disc completely unreadable by standard computer drives.