Abnormal uterine bleeding, spotting between periods or difficulty conceiving can sometimes be associated with endometrial polyps. When a polyp is identified inside the uterus, hysteroscopic removal may offer a precise, minimally invasive treatment option. For women exploring Hysteroscopic polypectomy in Mumbai, Dr. Maitreyee Parulekar provides gynaecological care with a focus on minimally invasive procedures and fertility-conscious treatment planning. She is a gynaecological oncologist and laparoscopic specialist with advanced training in minimally invasive gynaecology, robotic surgery and gynaecological oncology.
A uterine or endometrial polyp is a growth that develops from the lining of the uterus. Polyps can vary in size and may occur in women of reproductive age as well as after menopause.
Some polyps cause no noticeable symptoms and may be discovered incidentally during an ultrasound or other examination. Others can be associated with:
Because abnormal bleeding can have several causes, a proper gynaecological evaluation is important before deciding on treatment. Depending on the patient’s symptoms, age, fertility goals and examination findings, the doctor may recommend imaging, hysteroscopy or other investigations.
Hysteroscopic polypectomy is a minimally invasive procedure used to remove a polyp from the uterine cavity. Unlike conventional open surgery, it does not require an abdominal incision.
During the procedure, a slender instrument called a hysteroscope is introduced through the vagina and cervix into the uterus. It contains a camera that allows the surgeon to directly visualise the uterine cavity. Specialised instruments can then be used to remove the identified polyp.
The procedure may be performed under appropriate anaesthesia depending on the individual case. Once the polyp has been removed, the uterine cavity can be inspected to assess whether any residual tissue remains. The removed tissue may also be sent for laboratory examination when clinically indicated.
Not every uterine polyp necessarily requires immediate removal. The decision depends on factors such as symptoms, polyp characteristics, reproductive plans and the patient’s overall clinical picture.
A gynaecologist may consider hysteroscopic removal when a woman has persistent abnormal bleeding, a polyp detected during imaging, unexplained fertility concerns where a polyp may be contributing, or clinical concerns requiring tissue evaluation.
Women who have undergone menopause and experience unexpected bleeding should receive appropriate medical evaluation rather than assuming that a polyp is the only possible explanation.