The relationship of endometrial polyps with obesity in the postmenopausal period

Entry

Endometrial polyps; cavity

originating from endometrial tissue,

Irregular glands and stroma lined with epithelium

lesions that are proliferated.

one

Perimenopausal and postmenopausal

endometrial polyps in women

often cause abnormal uterine bleeding

they become. variable amount of glands,

they contain stroma and blood vessels; soft

cystic or firm and fibrous, spherical or cylindrical

They can be single or multiple.

2 2% in polyps

Malignant changes occur at a rate of 3

may occur and the epithelial layer of the polyps is normal.

simple or complex from the endometrium

can range from hyperplasia.

3

In postmenopausal patients

compared to premenopausal patients

The incidence of endometrial polyps increases with age.

was found to be higher and higher.

Its etiology is not clearly known.

2nd

Hormonal factors, obesity, late menopause,

hormone replacement therapy, polycystic ovary

syndrome and tamoxifen use

with the formation of endometrial polyps

has been associated.

4 In this study

detected in the postmenopausal period

The relationship of endometrial polyps with obesity

has been researched.

Method

This study was carried out in Mersin University Clinic.

From the Research Ethics Committee

Board decision dated 26/06/2019 and numbered 273

June 2019-

T.C Mersin between July 2019

University of Health Practice and Research

Central Obstetrics and Gynecology

It was carried out in the clinic.

January 2016-June 2019 years

detected in the postmenopausal period among

The relationship of endometrial polyps with obesity

has been researched. data hospital computing

system and operating notebooks are retrospective.

obtained by scanning. All patients

height and weight registered in the system.

being looked at; kilo (kg) to square height (m2)

divided by body mass index (BMI),

calculated, body mass index 18.5-24.9

The ones between kg / square meter are normal

overweight, over 25 kg/square meter

being overweight and obese

evaluated. Menopause of patients

conditions, the FSH value is above 30.

and have not had a period for at least a year

evaluated as. Moreover

patients' age, gravida and parity

has been recorded. Patients biopsy

indications, pathology results, body mass

indexes less than 25 and greater than 25.

grouped according to

examined.

women who are not in menopause,

women taking hormone replacement therapy and

tamoxifen for breast cancer

Patients who used it were excluded from the study.

Findings obtained in the study

for statistical analysis

Statistical Package for Social Sciences (SPSS)

21.0 (SPSS Inc. Chicago, IL, USA) program

used. Normal distribution of the data

in determining whether it is appropriate

Shapiro-Wilk test, difference between two groups

MannWhitney U test to check whether the ratios are

chi-square test

used. Results 95% confidence

range, significance level at p<0.05

evaluated.

Results

January 2016 in the postmenopausal period-

Biopsy performed in June 2019

that there were a total of 310 patients and

sharp curettage under anesthesia, hysteroscopic

endometrial biopsy or pipella

with the help of endometrial sampling

seen. Most common indication for biopsy

Postmenopausal bleeding with 53.54% (n:166)

was observed. To 32.58% of patients

(n:101) due to increased endometrial thickness

13.54% (n:42) had polyps in ultrasonography.

because of its appearance, 0.3% (n:1)

due to irregular endometrial appearance

It was determined that a biopsy was performed