Hysteroscopic Polypectomy

Hysteroscopic polypectomy is a surgery done to remove uterine polyps. These uterine polyps are the non-cancerous overgrowth of the cells in the inner uterus wall or the uterus lining.

In this treatment, a small device having light and a camera called a hysteroscope is inserted through the uterus to examine the cervix and uterus closely. It is the procedure that is used to remove polyps and their symptoms. It is also used to test for cancer.

How Hysteroscopic Polypectomy is Performed?


Hysteroscopic polypectomy is a medical procedure that takes about 5 to 10 minutes. This treatment procedure is performed under general anesthesia. In this,

  • An instrument called a hysteroscope is used and interested into the uterus through the vagina. This hysteroscope is attached with a camera and light that makes it possible to project the image of the endometrium.
  • Then an electrode is introduced to remove the polyp from the root.

Because these polyps lead to many abnormalities in women, these abnormalities may include heavy menstrual bleeding, irregular bleeding between normal periods or before the cycle starts or ends, and abnormal bleeding even after menopausal age. It can also be a cause of infertility in women

However, some polyps may remain untreated because they do not cause any symptoms and can only be detected through an ultrasound. It may be recommended for different gynaecological problems, such as: –

  • To know the appropriate cause of abnormal vaginal bleeding
  • To see the reason for bleeding post menopause
  • To understand congenital anatomical abnormalities of the female genital tract
  • To know the reason for abnormal Pap test results
  • To understand the underlying cause of multiple miscarriages, infertility, or irregular periods.
  • Remove or find the displaced intrauterine devices
  • Removing small tissue for biopsy
  • Insert birth control into the fallopian tubes
  • To remove the endometrial lining
  • Diagnose uterine fibroids, polyps, or scarring tissue that causes abnormal bleeding.

Advantages of Hysteroscopic Polypectomy

There are many advantages of performing hysteroscopic polypectomy, which include the following: –

  • It is not time-consuming as it takes only 5 to 10 minutes for the whole process.
  • It is often the only way to diagnose certain medical conditions.
  • In this hysteroscopic polypectomy, procedure recovery is fast as no cuts and stitches are involved.

Risk and Complications involved in Hysteroscopic Polypectomy

Visit your doctor immediately if you experience one or a combination of the following symptoms.

  • Bleeding after menopause
  • Irregular or heavy periods
  • Pain in the pelvic region that cannot be relieved even by taking painkillers
  • Having fuel smell vaginal discharge
  • Feeling shivery and hot

Recovery time of Hysteroscopic Polypectomy Treatment

You may need to stay in the hospital for a day or until the effect of the anesthesia wear off. Your doctor will observe temperature, blood pressure, and pulse frequently. You may experience recovering some of the following symptoms, like cramping, bleeding, etc., during your recovery period.

The pain you feel is similar to the pain of a period. It normally passes in a few days while you can take painkillers as prescribed by your doctor. All these side effects of hysteroscopic polypectomy treatment are normal and will go away in a few days. However, if the symptoms continue, seek medical care.


Hysteroscopic polypectomy is an effective and safe procedure. It is used for diagnosing or treating different problems in the uterus. The risks or complications are also very low. Visit your doctor if any of the above-mentioned symptoms persist and go for the treatment without worry or tension.

Take the prescribed medicines and follow your doctor’s instructions for a speedy recovery and reduce the cause of any difficulties.

Frequently Asked Questions (FAQs)

The patient will not feel any pain because the hysteroscopic polypectomy procedure is formed only after giving the anesthesia. However, there can be some discomfort while inserting a hysteroscope through the vagina into the uterus.

Hysteroscopic procedures require very less postoperative care. One may experience vaginal discharge and spots, so they should have sanitary pads available. Until cleared by your doctor should avoid sexual activity. One may restart a normal diet and exercise after the day of the procedure.

Yes, hysteroscopy is performed together with laparoscopy, especially in women undergoing infertility investigation. Women may also select another surgery in combination with their gynecologic procedure. These may include liposuction and bladder suspension surgery.

You should consult the doctor if you develop any of the following symptoms: –

  • Fever
  • Inability to urinate
  • Vaginal bleeding
  • Vomiting
  • Shortness of breath
  • Severe abdominal pain

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