When is hysteroscopic polypectomy recommended for cervical polyps?

A cervical polyp is a small growth arising from the cervix. It may be noticed during a pelvic examination or because of bleeding between periods, after sex, or after menopause. Many polyps are non-cancerous, but removed tissue can be sent for laboratory examination when the clinician considers that appropriate.

Hysteroscopic polypectomy uses a slender camera passed through the vagina and cervix so the clinician can see the area and remove the growth. The approach chosen depends on the polyp’s size, attachment, position, symptoms, examination findings, and whether another cause of bleeding needs investigation.

Tell your gynaecologist about the pattern of bleeding, pregnancy possibility, medicines that affect bleeding, allergies, and previous cervical or uterine procedures. Ask whether the polyp can be removed during an office visit or whether hysteroscopic surgery is more suitable. Discuss the anaesthesia plan, expected cramping or spotting, and how the tissue result will be shared.

Keep the follow-up appointment even if bleeding improves, because symptom change does not explain why the polyp formed or replace an examination of the cervix.

Seek prompt medical advice for heavy bleeding, severe or worsening pelvic pain, fever, faintness, or foul-smelling discharge after removal. Before treatment, arrange an assessment for bleeding after menopause, bleeding after sex that continues, or bleeding with dizziness, because the cause needs to be examined rather than assumed to be the polyp.

Where is the polyp attached, and why do you recommend this removal method? Will the tissue be examined? What alternatives are reasonable for me? Which bleeding or pain symptoms should lead me to contact the clinic?