ACE inhibitors and angiotensin receptor blockers could promote the onset of endometrial polyps in hypertensive women

Objective: To investigate whether anti-hypertensive therapy is a risk factor for the onset of endometrial polyps in hypertensive women. Methods: A sample of 305 hypertensive patients was analyzed. By applying multivariable logistic regression analysis, the odds of developing endometrial polyps relative to the known risk factors for endometrial polyps and to the class of anti-hypertensive drugs were calculated. Results: The variables reaching significance after multivariable logistic regression analysis included the following: hypertension not-in-therapy (odds ratio 2.544; 95% confidence intervals 1.249-5.182; p = 0.010); ACE inhibitor therapy (odds ratio 2.400; 95% confidence intervals 1.248-4.614; p = 0.009); angiotensin receptor blockers (odds ratio 2.091; 95% confidence intervals 1.044-4.187; p = 0.037); and fasting glucose level (odds ratio 1.018; 95% confidence intervals 1.007-1.030; p = 0.001). Conclusions: Although the results should be interpreted carefully, it appears that ACE inhibitors and, to a lesser extent, angiotensin receptor blockers may promote the onset of endometrial polyps in hypertensive patients.