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The natural course of endometrial polyps: could they vanish when left untreated?

OBJECTIVE: To report the occurrence of spontaneous regression of three endometrial polyps detected by hysteroscopy.

DESIGN: Case series.

SETTING: A uterine imaging unit in an academic medical center.

PATIENT(S): Three patients diagnosed as having an endometrial polyp of 5-8 mm on hysteroscopy.

INTERVENTION(S): Patient deferral of the surgical procedure for several months.

MAIN OUTCOME MEASURE(S): Presence of a uterine polyp in the next hysteroscopy.

RESULT(S): The polyps disappeared spontaneously.

CONCLUSION(S): Deferral of hysteroscopic polypectomy for a few months in asymptomatic women in the hope of spontaneous regression of the polyps may be justified.

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