Accuracy of Transvaginal Ultrasound in Diagnosing Endometrial Polyps among Infertility Patients at the National Center for Diagnosis and Treatment of Infertility – Al Jabal Al Akhdar

Abstract

Endometrial polyps (EPs) are prevalent benign intrauterine growths associated with abnormal uterine bleeding, an increased risk of malignant transformation, & infertility. This is a prospective interventional study assessing the clinical efficacy of transvaginal ultrasound in the diagnosis of endometrial polyps. The study was conducted at the National Center for Diagnosis & Management of Infertility – AL Jabal Al Akhdar between July 2025 & December 2025, including 214 women with a history of primary or secondary infertility. Women with active pelvic infections, coagulation dysfunction, history of malignancy, severe cardiopulmonary disease, or any contraindications to anesthesia were excluded. The findings demonstrated that TVS had a sensitivity 59.42%, specifically 70.34%, a positive predictive value 48.81%, a negative predictive value was 78.46%, & overall diagnostic accuracy of 66.82%. These findings indicate that transvaginal ultrasonography has moderate sensitivity & has a high specificity for detecting endometrial polyps. Suggesting its reliability as an initial non-invasive screening modality to rule out endometrial polyps