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A hysteroscopic polypectomy is a minimally invasive procedure designed to remove polyps that develop inside the uterus. These small tissue growths on the uterine lining can lead to heavy or uncomfortable menstrual bleeding, spotting between periods, and in some cases may interfere with successful pregnancy implantation. Although uncommon, certain polyps can contain abnormal or cancerous cells.
During this procedure, your provider uses a hysteroscope, which is a slender and flexible device inserted through the vagina and into the uterus, to clearly view and remove the polyps. Many patients can have this treatment completed in an office setting, while others may require an operating room and anesthesia depending on their individual needs.
Removing uterine polyps can help stabilize menstrual patterns, lessen discomfort, improve the chances of pregnancy implantation, and provide valuable information that can help rule out or identify any cancerous changes.
A hysteroscopic polypectomy may be recommended if you are experiencing any of the following concerns:
Choosing a hysteroscopic polypectomy provides several important benefits:
During your visit, your provider will talk through your medical history and review the symptoms you have been experiencing. An ultrasound may be performed to verify whether this procedure is the right option for you. If you are an appropriate candidate, you will receive clear instructions on how to prepare, including any needed changes to your current medications.
Most hysteroscopic polypectomies are completed in the office without the use of sedation or anesthesia, and the smallest hysteroscope is used to help reduce discomfort. Many patients describe the sensation as mild, with pain levels generally staying below 4 on a 10 point scale. For those who prefer additional comfort, options include inhaled nitrous oxide in the office or having the procedure carried out in an operating room with intravenous sedation.
Once the procedure begins, the hysteroscope is gently placed through the vagina and cervix and guided into the uterus. A specialized instrument is then used to carefully remove any polyps present.
Most individuals in Fredericksburg, VA are able to return to their usual activities right away. You will receive full aftercare instructions along with continued support following the procedure.
The Center for Advanced Gynecology, established in 2018, is dedicated to supporting your well-being by delivering high-level care across a wide range of women’s health needs, with particular emphasis on gynecologic services and advanced surgical options when appropriate.
Our team provides specialized expertise in the non-surgical treatment of chronic pelvic pain, discomfort during intercourse, pudendal neuralgia, and conditions affecting the vagina, vulva, and bladder for patients in Fredericksburg, VA and the surrounding region.
As our practice has grown, we have expanded our services to meet the broader healthcare needs of our community. This includes routine gynecologic care, cancer screening, Pap testing, menopausal support, management of hormonal imbalances, hormone replacement therapy, breast health services, contraceptive counseling, treatment for urinary incontinence, and care for pelvic organ prolapse.
While hysteroscopic polypectomy is widely considered a low-risk and reliable procedure, there are still a few complications that may occur. These include the possibility of infection, unexpected bleeding from the uterus, or accidental irritation or injury to the uterine tissue. Such issues are uncommon, and your provider will carefully review each potential risk and answer any concerns you may have before moving forward.
In most cases, the process of removing polyps with a hysteroscope takes roughly half an hour from start to finish. The time needed can differ slightly depending on how many polyps are present, whether they are clustered in one area, and how large they are.
The majority of patients do not require an overnight stay. This procedure is typically performed on an outpatient basis, allowing you to return home shortly afterward. If your treatment is completed in an operating room with anesthesia, you will need someone to drive you home and stay with you as you recover from the sedation.
This approach is specifically designed to address uterine polyps. Fibroids are structurally different from polyps and often require other treatment methods. The best option for fibroids will depend on their type, size, and precise location within the uterus, and your provider can help determine the most suitable plan.
Most individuals heal quickly after the procedure and experience only minor, short-lived side effects. Light spotting and mild cramping can occur for a few days as the uterus settles. Your provider will give you detailed aftercare guidance to help ensure a smooth recovery and support your return to normal routines at a comfortable pace.