Page 80 - ESHRE2019

Chronic endometritis: Clinical signs
• Chronic endometritis in most of cases is asymptomatic or accompanied by mild disturbances like spotting or bleeding (94% of cases), mild and undefined pelvic pain, mild leucorrhoea
• Prevalence: 0.5 - 15% in general population; about 20% of women referring to centers for ART (Frydman & Hamou, 1997)
No specific clinical signs = Hidden pathology
Indication at hysteroscopy in women diagnosed with C.E. (n. 438) and controls (n. 100)
Chronic endometritis
Controls
**
** **
**
*
%
50 45 40 35 30 25 20 15 10
5 0
DUB
Polyp at TVE
Infertility
Submucous myoma
Mullerian aborm.
(Cicinelli et al., Fertil Steril 2007)
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