What should you know about polyp removal by hysteroscopy?

A hysteroscope passes through the vagina and cervix, so the clinician can see the uterine cavity on a screen. Fluid gently opens the cavity and a small instrument can remove the polyp, often allowing the tissue to be sent for laboratory examination. The procedure is different from removing a bowel polyp during colonoscopy.

Polyps may be linked with bleeding between periods, heavier periods, bleeding after menopause, or difficulty becoming pregnant, although some cause no symptoms. Most uterine polyps are not cancer, but examining removed tissue helps clarify what it is. The recommended anaesthetic and setting depend on the polyp, symptoms, health history, and clinician assessment.

Ask when to stop eating or drinking, which medicines to take, and whether someone should accompany you home if sedation or anaesthesia is used. Tell the team about pregnancy possibility, allergies, blood-thinning medicines, and previous pelvic procedures. Afterward, use only the pain relief advised for you and follow instructions about bathing, sex, tampons, and returning to work.

Light bleeding and cramping can occur while the uterus settles. Keep the follow-up appointment so the clinician can discuss the procedure and any tissue result. Ask when normal activities can resume if your work involves lifting or strenuous movement.

Contact the treating service urgently for heavy bleeding, severe or increasing pelvic pain, fever, foul-smelling discharge, fainting, or persistent vomiting. Seek emergency help for collapse, severe breathlessness, or sudden severe abdominal pain. These symptoms can indicate bleeding, infection, or an injury and need assessment rather than waiting for a routine review.

Ask where the polyp is located, whether removal is recommended, what anaesthetic is planned, whether tissue will be examined, and when results will be available. Discuss how the finding may relate to bleeding or fertility, what recovery restrictions apply, and what happens if the polyp returns.