en Obstetrics & Gynicology Obstetrics & Gynicology Original Article Original Article <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><span new="" roman="" times=""><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> Recurrence of endometrial polyp following the hysteroscopic polypectomy is a significant concern for both the patients and physicians. This study aimed to evaluate the efficacy of combining hysteroscopic polypectomy with endometrial resection in reducing the rate of recurrence in women over 40 years old.<span style="font-size:9.0pt"></span></span></span><br> <span style="line-height:14pt"><span new="" roman="" times=""><b><i><span style="color:blue">Methods</span></i></b><i><span style="color:blue">:</span></i> In a single-blinded clinical trial, 94 women with endometrial polyps who were unwilling to future pregnancy were identified and randomly allocated to the intervention (hysteroscopic&lrm; polypectomy + endometrial resection) &lrm;and control group (hysteroscopic&lrm; polypectomy alone) group (n=47/each). Randomization was done using a simple randomization technique&lrm;. The primary outcome measure was the polyp recurrence. The secondary outcome measure was the number of adverse events.<i><span style="font-size:10.0pt"></span></i></span></span><br> <span style="line-height:14pt"><span new="" roman="" times=""><b><i><span style="color:blue">Results</span></i></b><i><span style="color:blue">:</span></i> In total, polyp recurrence occurred in two (4.3%) patients of the intervention group and nine patients (19.1%) of the control group (P=0.019). All the recurrences occurred in the premenopausal patients (P=0.012). No adverse event was observed in any patients of both groups.<i><span style="font-size:10.0pt"></span></i></span></span><br> <span style="line-height:14pt"><span new="" roman="" times=""><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> Adding endometrial resection to hysteroscopic polypectomy, especially in postmenopausal women, is a safe method that significantly reduces the risk of recurrence of the endometrial polyp.</span></span></span></span><span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:#0033cc"></span></span></i></b></span></span></span> Endometrium, Polyp, Recurrence, Hysteroscopy, Endometrial Ablation Techniques. ‎ 393 397 http://caspjim.com/browse.php?a_code=A-10-1985-1&slc_lang=en&sid=1 Mansoureh Vahdat mansoureh_vahdat@yahoo.com 100319475328460036546 100319475328460036546 No Endometriosis Research Center, Iran University of Medical Science, Tehran, Iran Ashraf Sadat Mousavi 100319475328460036547 100319475328460036547 No Endometriosis and Gynecological Disorder Research Center, Iran University of Medical ‎Science, Tehran, Iran Mania Kaveh maniakaveh@gmail.com 100319475328460036548 100319475328460036548 Yes Endometriosis Research Center, Iran University of Medical Science, Tehran, Iran Kambiz Sadegi kamsadegi@yahoo.co.uk 100319475328460036549 100319475328460036549 No Pain Research Center, Iran University of Medical Science, Tehran, Iran Hoda Abdolahi abdollahi.hoda@yahoo.com 100319475328460036550 100319475328460036550 No Department of Obstetrics & Gynecology, School of Medicine, Rasool Akram Teaching ‎Hospital, Iran University of Medical Sciences, Tehran, Iran