•   Call Us: +212 (0) 691 660 672
  •  contact@smmrmaroc.ma

Polype endométrial et hypofertilité : quels niveaux de preuve ?

Jul 11 2014 Rédaction

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.

Read 46080841 times
Rate this item
(2 votes)

About The Author

51956 comments

  • Joe Stohlton
    Comment Link Joe Stohlton Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Terina Lesane
    Comment Link Terina Lesane Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Delmy Spalding
    Comment Link Delmy Spalding Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Shannon Bessix
    Comment Link Shannon Bessix Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Elias Exford
    Comment Link Elias Exford Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Reta Chmielowiec
    Comment Link Reta Chmielowiec Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Wonda Blyze
    Comment Link Wonda Blyze Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Helena Hammatt
    Comment Link Helena Hammatt Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Boyce Varley
    Comment Link Boyce Varley Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

  • Lon Ahrenstorff
    Comment Link Lon Ahrenstorff Wednesday, 23 September 2026 06:42

    Optical discs like CDs and DVDs were once the backbone of digital archiving. However, they are highly susceptible to environmental wear, scratches, and chemical degradation. When a critical disc becomes unreadable, knowing how to recover data from dvd or older CDs can save years of irreplaceable family videos, music collections, or backup archives. Using advanced software and targeted restoration techniques, it is entirely possible to extract your valuable files safely.

Leave a comment

Make sure you enter all the required information, indicated by an asterisk (*). HTML code is not allowed.