When is hysteroscopic polypectomy recommended for endometrial polyps?

An endometrial polyp is a growth from the lining of the womb. Some cause no symptoms and can be monitored, while others are linked with bleeding between periods, heavy periods, or bleeding after menopause. Hysteroscopic polypectomy removes the growth through a camera passed through the vagina and cervix, without an abdominal incision. The removed tissue can be sent for laboratory assessment, which helps clarify its nature.

Your clinician may review your bleeding pattern, pregnancy plans, ultrasound or hysteroscopy findings, and any factors that change procedural planning. Ask whether observation is reasonable, whether the polyp can explain your symptoms, and how the tissue will be examined. Follow instructions about medicines, fasting, and arranging transport if sedation or anaesthesia is planned. Recovery advice depends on the setting and your health.

Seek prompt medical advice for heavy bleeding, severe or worsening pelvic pain, fever, faintness, or unusual-smelling discharge after the procedure. Before treatment, bleeding after menopause or repeated bleeding between periods deserves assessment even when the amount seems small. Emergency help is appropriate if bleeding makes you feel weak or light-headed.

What features of my polyp make removal preferable to monitoring? Will hysteroscopy and polypectomy be done in one visit? What should I expect from bleeding, pain, and returning to normal activity? When will the tissue result be available?