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.
Polype endométrial et hypofertilité : quels niveaux de preuve ?
Jul 11 2014 Rédaction-
font size
decrease font size
increase font size
About The Author
1475406 comments
-
-
Comment Link Dan Fertitta Monday, 10 August 2026 23:31
Wow that was odd. I just wrote an incredibly long comment but after I clicked submit my comment didn't appear. Grrrr... well I'm not writing all that over again. Anyways, just wanted to say excellent blog!
-
Comment Link Myles Hanno Monday, 10 August 2026 23:28
Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.
-
Comment Link Annamaria Houf Monday, 10 August 2026 23:21
At this time it looks like Drupal is the best blogging platform out there right now. (from what I've read) Is that what you are using on your blog?
-
Comment Link Dion Hornoff Monday, 10 August 2026 23:03
Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.
-
Comment Link Jacquiline Canale Monday, 10 August 2026 23:00
Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.
-
Comment Link Wilson Vandeveble Monday, 10 August 2026 22:57
Hello there, You've performed an incredible job. I'll certainly digg it and personally recommend to my friends. I am sure they'll be benefited from this site.
-
Comment Link Wilson Gropp Monday, 10 August 2026 22:52
Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.
-
Comment Link Cristine Sutcliff Monday, 10 August 2026 22:42
Hello there, You've done an incredible job. I will certainly digg it and individually recommend to my friends. I am confident they will be benefited from this web site.
-
Comment Link Vance Mithcell Monday, 10 August 2026 22:33
Aw, this was a really nice post. Spending some time and actual effort to make a superb article… but what can I say… I hesitate a whole lot and never manage to get anything done.
Aw, this was an extremely good post. Taking the time and actual effort to make a good article… but what can I say… I put things off a whole lot and never seem to get nearly anything done.