Service Overview
What Is Hysteroscopic Polypectomy?
Hysteroscopic polypectomy is a minimally invasive procedure used to remove an endometrial or uterine polyp from inside the uterine cavity.
An endometrial polyp is a growth arising from the lining of the uterus. Polyps can be small or large and may occur at different stages of reproductive life.
During hysteroscopic polypectomy, a thin camera-equipped instrument called a hysteroscope is passed through the vagina and cervix into the uterus. The doctor can directly visualise the polyp and remove it without making an abdominal incision.
Hysteroscopic polypectomy may be considered for women experiencing:
- Heavy or prolonged menstrual bleeding
- Irregular menstrual bleeding
- Bleeding between periods
- Bleeding after menopause
- Recurrent spotting
- Infertility or difficulty conceiving when a uterine polyp is suspected
- A polyp identified during ultrasound or other imaging
The decision to remove a polyp depends on its size, appearance, symptoms, age, reproductive plans, and other clinical factors.
What Are Uterine or Endometrial Polyps?
Uterine polyps, commonly called endometrial polyps, are growths that develop from the lining of the uterus.
They may be attached to the uterine wall by a broad base or a narrow stalk.
Many polyps are benign, but some may contain abnormal or precancerous changes. For this reason, a removed polyp may be sent for histopathological examination.
Some women have no symptoms, while others experience abnormal uterine bleeding or reproductive concerns.
What Are the Symptoms of Uterine Polyps?
Uterine polyps do not always cause symptoms.
When symptoms occur, they may include:
- Heavy menstrual bleeding
- Irregular periods
- Bleeding between periods
- Spotting
- Prolonged menstrual bleeding
- Bleeding after menopause
- Unusual menstrual patterns
- Difficulty conceiving in some patients
Symptoms can have many possible causes, so appropriate gynaecological evaluation is important before attributing bleeding or fertility problems to a polyp.
When Is Hysteroscopic Polypectomy Recommended?
Polyp removal may be considered when a uterine polyp is associated with symptoms, reproductive concerns, or other clinical indications.
Your gynaecologist may recommend hysteroscopic polypectomy when:
- A polyp is causing abnormal uterine bleeding
- A polyp is large or persistent
- A polyp is identified after menopause
- A polyp is suspected to be contributing to fertility concerns
- A polyp has an appearance that requires removal and tissue assessment
- A symptomatic polyp has not resolved with observation
- The diagnosis or treatment requires direct examination of the uterine cavity
Not every uterine polyp automatically requires surgery. Your doctor will assess the individual circumstances before recommending treatment.
How Is Hysteroscopic Polypectomy Performed?
Uterine Polyp Removal Step by Step
During hysteroscopic polypectomy, the doctor generally:
- Places the patient in the appropriate position for the procedure.
- Passes a thin hysteroscope through the vagina and cervix.
- Introduces fluid into the uterine cavity to improve visibility.
- Examines the inside of the uterus.
- Identifies the polyp and assesses its attachment.
- Removes the polyp using specialised hysteroscopic instruments.
- Sends the removed tissue for histopathological examination when indicated.
- Completes the procedure and provides post-operative instructions.
Because the hysteroscope enters through the vagina and cervix, an abdominal incision is generally not required.
Scarless Uterine Polyp Removal
Can a Uterine Polyp Be Removed Without Abdominal Surgery?
Yes. Many uterine polyps can be removed hysteroscopically without an abdominal incision.
This is sometimes referred to as scarless polyp removal because the procedure is performed through the natural vaginal and cervical passage rather than through abdominal cuts.
The absence of an abdominal incision can be an advantage compared with conventional abdominal surgery, although the suitability of hysteroscopic treatment depends on the individual polyp and patient.
Hysteroscopic Polypectomy and Fertility
Can Removing a Uterine Polyp Improve Fertility?
Some uterine polyps may be associated with difficulty conceiving, particularly when they affect the uterine cavity.
When a polyp is suspected to be relevant to fertility, your gynaecologist may discuss hysteroscopic removal as part of a broader fertility treatment plan.
However, removing a polyp does not guarantee pregnancy.
Fertility also depends on factors such as:
- Age
- Ovarian reserve
- Fallopian tube function
- Uterine health
- Endometriosis
- Sperm factors
- Other reproductive conditions
A fertility-focused assessment can help determine whether polyp removal is appropriate and whether additional fertility evaluation is needed.
Hysteroscopic Polypectomy Before Pregnancy
Should a Uterine Polyp Be Removed Before Pregnancy?
The need for polyp removal before attempting pregnancy depends on individual circumstances.
Your doctor may consider:
- Polyp size
- Location
- Number of polyps
- Symptoms
- Age
- Fertility history
- Previous pregnancy history
- Planned fertility treatment
- Appearance of the polyp
For women undergoing fertility treatment, the treating gynaecologist or fertility specialist may recommend removal when a polyp is considered clinically relevant.
Hysteroscopic Polypectomy vs D&C
How Is Hysteroscopic Polypectomy Different From D&C?
Hysteroscopic polypectomy allows the doctor to directly see the uterine cavity and identify the polyp before removing it.
A traditional dilation and curettage (D&C) involves dilating the cervix and removing tissue from the uterine lining, but it does not provide the same direct visualisation of the uterine cavity.
When a specific polyp needs to be removed, hysteroscopic treatment allows targeted removal under direct vision.
Your gynaecologist will recommend the most appropriate approach based on your symptoms, examination, imaging, and clinical circumstances.
Diagnosis Before Hysteroscopic Polypectomy
Before recommending polyp removal, your doctor may use one or more investigations, including:
Pelvic Ultrasound
Ultrasound may identify a thickened endometrium or a possible polyp.
Saline Infusion Sonography
In selected cases, saline may be introduced into the uterine cavity during ultrasound to improve visualisation of an intracavitary abnormality.
Diagnostic Hysteroscopy
Direct visualisation of the uterine cavity may help confirm the presence, location, and appearance of a polyp.
Histopathology
After removal, the polyp may be examined in a laboratory to determine its tissue characteristics.
What Happens to the Removed Polyp?
A removed uterine polyp may be sent for histopathological examination.
This examination allows a pathologist to evaluate the tissue under a microscope and determine whether it is benign or contains abnormal cellular changes.
The need for histopathology and the interpretation of the result depend on the individual clinical situation.
Your doctor will explain the result and whether any additional follow-up is required.
Who May Be Suitable for Hysteroscopic Polypectomy?
Hysteroscopic polypectomy may be considered for women who have:
- Symptomatic endometrial polyps
- Abnormal uterine bleeding
- Persistent spotting
- A polyp detected on ultrasound
- Recurrent bleeding
- Postmenopausal bleeding requiring evaluation
- Selected fertility-related concerns
- A uterine cavity abnormality requiring direct assessment
A consultation is necessary to determine whether hysteroscopic polypectomy is appropriate.
Our Uterine Polyp Removal Process
1. Initial Consultation
Your gynaecologist discusses your bleeding pattern, menstrual history, medical history, previous procedures, fertility plans, and symptoms.
2. Imaging and Assessment
Ultrasound or other investigations may be recommended to identify the size and location of the suspected polyp.
3. Treatment Planning
Your doctor discusses observation, hysteroscopic removal, or other appropriate options depending on your circumstances.
4. Hysteroscopic Polypectomy
The hysteroscope is introduced through the vagina and cervix, allowing the polyp to be visualised and removed.
5. Histopathological Examination
The removed tissue may be sent for laboratory examination when clinically indicated.
6. Follow-Up
You receive guidance regarding recovery, medications, follow-up, future pregnancy planning, and any additional treatment if required.
Potential Benefits of Hysteroscopic Polypectomy
When clinically appropriate, hysteroscopic polypectomy may offer potential benefits such as:
- Targeted removal of the uterine polyp
- Direct visualisation of the uterine cavity
- No abdominal incision
- Minimally invasive treatment
- Treatment of selected causes of abnormal bleeding
- Preservation of the uterus
- Consideration of fertility goals
- Ability to send removed tissue for histopathological assessment
The expected benefits depend on the individual patient's condition.
Is Hysteroscopic Polypectomy Safe?
Hysteroscopic polypectomy is a commonly performed minimally invasive procedure, but every procedure carries potential risks.
Possible complications include:
- Bleeding
- Infection
- Cervical injury
- Uterine perforation
- Fluid-related complications
- Incomplete removal
- Formation of intrauterine scar tissue
- Recurrence of polyps
- Need for additional treatment
The risk varies depending on the size and location of the polyp, the complexity of the procedure, and individual patient factors.
Your gynaecologist will discuss the expected benefits, risks, alternatives, anaesthesia options, and recovery before treatment.
Recovery After Hysteroscopic Polypectomy
Recovery depends on the extent of the procedure and individual health.
Some women may experience mild cramping or light vaginal bleeding after the procedure.
Your doctor will provide specific instructions regarding:
- Medication
- Physical activity
- Sexual activity
- Return to work
- Warning signs
- Follow-up appointments
- Timing of future pregnancy attempts when relevant
The recommended recovery period can vary depending on the procedure performed.
Hysteroscopic Polypectomy Cost in Dwarka
The cost of hysteroscopic polypectomy in Dwarka can vary depending on:
- Size and number of polyps
- Complexity of the procedure
- Diagnostic or operative hysteroscopy
- Anaesthesia or sedation
- Surgeon and hospital charges
- Histopathology
- Imaging and diagnostic investigations
- Post-operative care
A personalised estimate can be provided after clinical evaluation and treatment planning.
CTA: Schedule Uterine Polyp Removal in Dwarka
Endometrial Polyp Surgeon in Dwarka, Delhi
If you are searching for an endometrial polyp surgeon in Dwarka Sector 12, a gynaecological consultation can help determine whether hysteroscopic polypectomy is appropriate for your symptoms or uterine condition.
Women from Dwarka Sector 6, Sector 7, Sector 10, Sector 11, Sector 12, Sector 13, Sector 14, Sector 17, Sector 19, and surrounding Delhi NCR areas can seek evaluation for uterine polyps, abnormal bleeding, spotting, and selected fertility-related concerns.
Treatment should be based on the size and location of the polyp, symptoms, imaging findings, reproductive plans, age, and overall health.
Personalised Hysteroscopic Polyp Care
Scarless Polyp Removal
Selected uterine polyps can be removed through the vagina and cervix without abdominal incisions.
Direct Visualisation
Hysteroscopy allows the surgeon to directly examine the uterine cavity and identify the polyp.
Targeted Polypectomy
The identified polyp can be removed using specialised hysteroscopic instruments.
Fertility-Focused Treatment
When appropriate, treatment planning can take future pregnancy goals into consideration.
Histopathological Assessment
Removed tissue can be sent for laboratory examination when clinically indicated.
Minimally Invasive Approach
Hysteroscopic polypectomy provides a minimally invasive alternative to some conventional uterine procedures.
What to Expect
What are the symptoms of uterine polyps?
Uterine polyps may cause no symptoms. When symptoms occur, they can include heavy or irregular periods, prolonged menstrual bleeding, spotting between periods, bleeding after menopause, or fertility-related concerns.
Can a uterine polyp be removed without surgery?
Some small or asymptomatic polyps may sometimes be monitored depending on individual circumstances. When removal is recommended, hysteroscopic polypectomy is a minimally invasive surgical option.
Can a uterine polyp affect fertility?
Some uterine polyps may be associated with difficulty conceiving. Whether a polyp is affecting fertility depends on its size, location, and individual reproductive circumstances.
Is hysteroscopic polypectomy painful?
The level of discomfort varies. Depending on the procedure and individual circumstances, local anaesthesia, sedation, or general anaesthesia may be used.
How long does it take to recover after hysteroscopic polypectomy?
Recovery varies depending on the extent of the procedure and individual health. Your doctor will provide personalised instructions about work, exercise, sexual activity, and follow-up.