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Sunday, January 15, 2006

Should polyp be removed?

Dear Dr Amy,

I am 39 and trying to get pregnant for the first time. I recently had an HSG which found a small polyp in my uterus. The tubes looked good, but the testwas inconclusive as to spillage. Because of my age my doctor recommended removing the polyp by hysteroscopy and also a laparoscopy done at the same time. She would also put more dye in to see the spillage. I'm just wondering if a small polyp, 4mm, would really prevent me from getting pregnant?

Carol

Dear Carol,

The polyp can't be considered in isolation. If you have been trying to get pregnant for more than 4 months, and all infertility testing is complete, and no other cause has been found, it may make sense to have the hysteroscopy and laparoscopy. In general, however, you should not embark upon treatment until the evaluation is finished. If it turns out that the problem is a low sperm count, for example, hysteroscopy and laparoscopy will not be helpful.

Sincerely,
Amy

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