CASE REPORT - Successful pregnancy and delivery following IVF treatment in a patient with endometrial polyp diagnosed by saline infusion sonohysterography at oocyte retrieval

Background: There is lack of consensus regarding the management of patients diagnosed with endometrial polyp in assisted reproductive technology (ART) cycles. Saline infusion Sonohysterography (SIS) may provide more precise identification of endometrial pathology without need for hysteroscopy, cycle cancellation or cryopreservation of all embryos.
Case: A 38 year-old woman with endometrial polyp diagnosed by saline infusion sonohysterography (SIS) during controlled ovarian hyperstimulation (COH) which necessitated the intervention where diagnosis was confirmed after oocyte retrieval. Several options were discussed with patient who opted for fresh embryo transfer that resulted in normal pregnancy and delivery.
Conclusion: Normal pregnancy and deliver can be achieved in the presence of an endometrial polyp during IVF. Performing SIS near the time of embryo transfer did not prevent implantation.