The Association between Endometrial Polyps and Infertility: A Retrospective Analysis of Patient Data

Abstract

Background: Benign, localised endometrial polyps can affect fertility. Despite interest, few research has examined the link between these factors and infertility. Endometrial lesions and infertility will be the focus of this extensive patient cohort study.

Methods: Retrospective research at a Madhubani tertiary care institution examined 1,500 infertile women from January 2023 to July 2024. The patient's data showed endometrial polyps and reproductive issues. Study participants' demographics, polyp prevalence, and infertility rates. Logistic regression was used to evaluate if endometrial polyps cause infertility.

Results: Endometrial polyps formed in 420 (28.0%) of 1500 women. Women with polyps had a higher rate of infertility (62.4%) compared to those without polyps (44.5%, p < 0.001). Woman with endometrial polyps had 1.8 times the likelihood of infertility after controlling for age, BMI, and length of infertility. Subgroup analysis showed larger associations for women over 35 and those with long-term infertility.

Conclusion: Infertility is linked to endometrial polyps, especially in elderly and long-term infertile women. Regular endometrial polyp screening and treatment may improve reproductive outcomes. Further prospective studies are needed to validate these findings and understand how endometrial polyps affect fertility.