What you need to know about hysteroscopic polypectomies

A hysteroscopic polypectomy is a medical procedure used for the removal of polyps from the inside of the uterus. Polyps are abnormal growths of tissue that can develop on the inner lining of the uterus (endometrium). This minimally invasive procedure involves the use of a hysteroscope, a thin, lighted tube with a camera, which is inserted through the cervix into the uterus.

Hysteroscopic polypectomy is commonly performed to address various gynecological issues, including:

• Menstrual irregularities: It is often used to treat abnormal menstrual bleeding caused by uterine polyps.

• Fertility concerns: Removing polyps may enhance fertility by creating a healthier uterine environment for implantation.

• Recurrent miscarriages: Women experiencing recurrent miscarriages may undergo this procedure to eliminate polyps as a potential cause.

• Diagnostic purposes: Besides therapeutic reasons, hysteroscopic polypectomy can serve diagnostic purposes by allowing visualization of the uterine cavity.

Tips for recovering from hysteroscopic polypectomy

• Rest and relaxation: Allow yourself adequate time to rest and recover. Avoid strenuous activities, and prioritize relaxation during the initial days.

• Follow medication instructions: Take prescribed medications as directed by your healthcare provider. This may include pain relievers or antibiotics to prevent infection.

• Hydration and nutrition: Stay hydrated by drinking plenty of fluids. Follow a balanced diet rich in nutrients to support the healing process.

• Monitor for abnormal symptoms: Keep an eye out for any unusual symptoms such as excessive bleeding, severe pain, or signs of infection. Report any concerns to your healthcare provider promptly.

• Avoid intercourse and tampons: Refrain from sexual intercourse and the use of tampons during the initial recovery period to prevent irritation and infection.

• Gentle personal care: Practice gentle personal hygiene, and use mild, fragrance-free products to avoid irritation.

• Pelvic rest: Follow your healthcare provider's advice on pelvic rest, which may include abstaining from sexual activities for a specified duration.

• Monitor body temperature: Keep track of your body temperature and report any fever to your healthcare provider, as it could be a sign of infection.

• Gradual return to normal activities: Gradually resume normal activities based on your healthcare provider's guidance. Start with light activities and increase intensity as you feel comfortable.

Consult with a St. Joseph Health provider to discuss a personalized recovery plan after a hysteroscopic polypectomy.

What are the risks and benefits of a hysteroscopic polypectomy? 

• Risks:

  • Infection: While uncommon, there is a risk of infection following the procedure. Antibiotics may be prescribed to mitigate this risk.

  • Bleeding: Some patients may experience mild to moderate bleeding after the polypectomy. In rare cases, excessive bleeding may require medical attention.

  • Uterine perforation: There is a small risk of unintentional perforation of the uterus during the procedure. This risk is higher in patients with a history of uterine surgery or abnormalities.

  • Fluid overload: The use of fluid to expand the uterus can lead to fluid overload in the body, affecting electrolyte balance. This is rare but requires monitoring.

  • Anesthesia risks: If the procedure involves general anesthesia, there are inherent risks associated with anesthesia administration.

• Benefits:

  • Resolution of symptoms: The primary benefit is the resolution of symptoms associated with uterine polyps, such as abnormal bleeding and menstrual irregularities.

  • Improved fertility: Removal of polyps may enhance fertility, especially in cases where polyps were a contributing factor to infertility.

  • Diagnostic value: Besides being therapeutic, the procedure can have diagnostic value by allowing visualization of the uterine cavity, aiding in the identification of other abnormalities.

  • Minimally invasive: Hysteroscopic polypectomy is a minimally invasive procedure, often performed on an outpatient basis, leading to quicker recovery compared to traditional surgical methods.

  • Reduced recurrence: Successful removal of polyps reduces the likelihood of recurrence of symptoms, contributing to long-term gynecological health.

  • Preservation of uterine structure: The procedure aims to remove polyps while preserving the structure of the uterus, minimizing the impact on future pregnancies.

Each person's situation is unique, and consulting with a St. Joseph Health provider can provide valuable insights and options tailored to your specific needs and circumstances.