A study on histomorphological patterns of endometrial biopsies in women with infertility

Background: Infertility is a global health problem. Cyclical histological changes in the endometrium reflect the fluctuating hormone levels and enables histological appearance of endometrium to be a reliable parameter to evaluate the cause of infertility. The aim was to study histomorphological pat...

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Main Authors: Amrutha MR, Shruthi H, Chandra MRS, Chaitra N, Shobha UN, Vaishnavi RNJ
Format: Article
Language:English
Published: KIMS Foundation and Research Center 2022-10-01
Series:Journal of Medical and Scientific Research
Subjects:
Online Access:http://jmsronline.com/archive-article/Histomorphological-patterns-endometrial-biopsies-women-infertility
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author Amrutha MR
Shruthi H
Chandra MRS
Chaitra N
Shobha UN
Vaishnavi RNJ
author_facet Amrutha MR
Shruthi H
Chandra MRS
Chaitra N
Shobha UN
Vaishnavi RNJ
author_sort Amrutha MR
collection DOAJ
description Background: Infertility is a global health problem. Cyclical histological changes in the endometrium reflect the fluctuating hormone levels and enables histological appearance of endometrium to be a reliable parameter to evaluate the cause of infertility. The aim was to study histomorphological patterns of endometrial tissue in cases of infertility. Materials and methods: A cross sectional study on 250 endometrial samples of infertile women both primary and secondary was carried out to find the histomorphological patterns of endometrium in infertile women. Results: 250 endometrial biopsies of patients presenting with infertility were studied. The age ranged from 20 to 45 years, with mean age of 31.47+3.15 years. Majority of the cases were of primary infertility 165 cases (66%) and secondary infertility 85 cases (34%). The various patterns include proliferative phase 76 cases (30.4%), early secretory phase 15 cases (6%), mid secretory phase 15 cases (6%) and late secretory phase 36 cases (14.4%), endometrial polyp 40 cases (16%), endometrial hyperplasia without atypia 52 cases (20.8%), atypical endometrial hyperplasia 2 cases (0.8%), nonspecific endometritis 12 cases (4.8%) and tuberculous endometritis 2 cases (0.8%). Conclusion: Endometrial biopsies provide an insight into the hormonal response of endometrium as well as the local factors of endometrium. Hence the histological examination of endometrial biopsy is the most confirmatory tool for the diagnosis of infertility.
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spelling doaj.art-781a17a62813428d879c38b7666cf9202022-12-29T09:37:13ZengKIMS Foundation and Research CenterJournal of Medical and Scientific Research2321-13262394-112X2022-10-0110419720010.17727/JMSR.2022/10-36A study on histomorphological patterns of endometrial biopsies in women with infertilityAmrutha MR0Shruthi H1Chandra MRS2Chaitra N3Shobha UN4Vaishnavi RNJ5Department of Pathology, Sri Siddhartha Medical College & Research Centre, Tumkur, Karnataka-572107, India Department of Pathology, Sri Siddhartha Medical College & Research Centre, Tumkur, Karnataka-572107, India Department of Community Medicine, BGS Global Institute of Medical Sciences, Bangalore, Karnataka- 560060, India Department of Pathology, Sri Siddhartha Medical College & Research Centre, Tumkur, Karnataka-572107, India Obstetrician & Gynecologist, Shree Lakshmi Fertility & IVF Centre, Tumkur, Karnataka- 572106, India Department of Pathology, Sri Siddhartha Medical College & Research Centre, Tumkur, Karnataka-572107, India Background: Infertility is a global health problem. Cyclical histological changes in the endometrium reflect the fluctuating hormone levels and enables histological appearance of endometrium to be a reliable parameter to evaluate the cause of infertility. The aim was to study histomorphological patterns of endometrial tissue in cases of infertility. Materials and methods: A cross sectional study on 250 endometrial samples of infertile women both primary and secondary was carried out to find the histomorphological patterns of endometrium in infertile women. Results: 250 endometrial biopsies of patients presenting with infertility were studied. The age ranged from 20 to 45 years, with mean age of 31.47+3.15 years. Majority of the cases were of primary infertility 165 cases (66%) and secondary infertility 85 cases (34%). The various patterns include proliferative phase 76 cases (30.4%), early secretory phase 15 cases (6%), mid secretory phase 15 cases (6%) and late secretory phase 36 cases (14.4%), endometrial polyp 40 cases (16%), endometrial hyperplasia without atypia 52 cases (20.8%), atypical endometrial hyperplasia 2 cases (0.8%), nonspecific endometritis 12 cases (4.8%) and tuberculous endometritis 2 cases (0.8%). Conclusion: Endometrial biopsies provide an insight into the hormonal response of endometrium as well as the local factors of endometrium. Hence the histological examination of endometrial biopsy is the most confirmatory tool for the diagnosis of infertility. http://jmsronline.com/archive-article/Histomorphological-patterns-endometrial-biopsies-women-infertilityendometriuminfertilityendometrial biopsytuberculous endometritisprimary infertility
spellingShingle Amrutha MR
Shruthi H
Chandra MRS
Chaitra N
Shobha UN
Vaishnavi RNJ
A study on histomorphological patterns of endometrial biopsies in women with infertility
Journal of Medical and Scientific Research
endometrium
infertility
endometrial biopsy
tuberculous endometritis
primary infertility
title A study on histomorphological patterns of endometrial biopsies in women with infertility
title_full A study on histomorphological patterns of endometrial biopsies in women with infertility
title_fullStr A study on histomorphological patterns of endometrial biopsies in women with infertility
title_full_unstemmed A study on histomorphological patterns of endometrial biopsies in women with infertility
title_short A study on histomorphological patterns of endometrial biopsies in women with infertility
title_sort study on histomorphological patterns of endometrial biopsies in women with infertility
topic endometrium
infertility
endometrial biopsy
tuberculous endometritis
primary infertility
url http://jmsronline.com/archive-article/Histomorphological-patterns-endometrial-biopsies-women-infertility
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