Hysteroscopic Polypectomy: Polyp Removal

Hysteroscopic polypectomy removes a polyp through the vagina and cervix using a camera-guided instrument, without an abdominal incision.

The procedure removes a polyp from the uterine cavity or, in some cases, the cervical canal. A hysteroscope passes through the vagina and cervix so the clinician can see the area directly. A small cutting or grasping instrument removes the growth, which may be sent for laboratory examination.

Most people go home the same day, although the timing depends on the anaesthetic and your procedure. Period-like cramps and light bleeding or watery discharge are common early experiences. Use only the pain relief and menstrual products advised by your team. Avoid strenuous activity or vaginal sex until you are told the cervix and uterus have had time to settle.

Complications are uncommon but can include infection, heavier bleeding, a reaction to anaesthesia, or a small injury to the cervix or uterine wall. Sometimes the procedure is stopped because the view is limited or the polyp cannot be safely reached. Seek urgent advice for severe pain, fever, heavy bleeding, faintness or foul-smelling discharge.

Removing a polyp can address bleeding or a cavity finding caused by that growth, but symptoms may have another cause. A new polyp can develop later, so ongoing or returning bleeding needs review. The laboratory result and your symptoms guide whether further monitoring or treatment is needed.

The procedure uses a hysteroscope for direct vision and avoids an abdominal cut. It may be performed with local, regional or general anaesthesia depending on the polyp and setting. Ask when to stop eating or drinking, which medicines to take, and how the tissue result will reach you.

It may be recommended when imaging or examination suggests a polyp linked with abnormal bleeding, bleeding between periods, bleeding after menopause or difficulty conceiving. A cervical polyp and an endometrial polyp are located in different areas, so the suspected location affects the plan.

The visit usually includes a consent and anaesthetic review; positioning and preparation; passage of the hysteroscope; gentle expansion of the cavity with fluid; removal of the polyp under direct view; retrieval of tissue; and recovery observation.

Cramps and spotting usually ease as the first days pass. Tiredness can reflect the anaesthetic rather than the uterus itself. Arrange help with travel if sedation or general anaesthesia is used, and wait for your provider's clearance before resuming normal exercise or vaginal activity.

A polypectomy may not explain every symptom, and an incomplete removal can require another assessment. Discuss bleeding, infection, uterine injury, anaesthetic effects and the possibility that the planned approach may change if visibility is poor.

Depending on size, location and symptoms, options may include observation, medication for bleeding, removal during an office examination, or another surgical approach. Your clinician weighs these against the need for tissue diagnosis and symptom relief.

Choose a gynaecology service that explains the hysteroscope, anaesthesia, tissue testing and aftercare. Before booking, ask who will perform the procedure, how results are communicated and which warning symptoms need same-day help.