Themanagement of endometrial polyps in the 21st century

Key content Hysteroscopic endometrial polyp removal appears to be superior to the current practice of blind avulsion. Outpatient treatment is safe, cost effective and well tolerated, even in older or nulliparous women. New technologies facilitate office hysteroscopy. Benign endometrial polyps can regress and rarely progress to malignancy. Learning objectives To learn how to diagnose and treat endometrial polyps in pre and postmenopausal women. To be able to compare the performance of diagnostic modalities. To understand the role of outpatient vaginoscopy and hysteroscopy. Ethical issues Given the cost effectiveness and acceptability of office ambulatory diagnostic and interventional hysteroscopy, is it ethical not to offer such a service?