Hysteroscopic polypectomy is a minimally invasive procedure used to remove uterine polyps — small, usually non-cancerous growths on the inner lining of the uterus that can cause heavy or irregular bleeding, pelvic discomfort, or difficulty conceiving. At Femmenest – Centre for IVF & Gynaecology, this day-care surgery is performed by experienced gynae laparoscopic surgeons in East Delhi (Anand Vihar) and at our Vaishali OPD, using a camera-guided hysteroscope that allows polyps to be located and removed without any abdominal cuts.

What is Hysteroscopic Polypectomy?

Hysteroscopic polypectomy is a procedure in which a thin, lighted instrument called a hysteroscope is passed through the vagina and cervix into the uterus — no incisions are needed. The surgeon views the uterine cavity on a monitor, identifies the polyp, and removes it using fine surgical instruments passed through the same scope. A small fluid medium (usually sterile saline) is used to gently expand the uterine cavity so the polyp is clearly visible before removal.

Because the procedure is camera-guided and instrument-based rather than open surgery, it's typically completed in 20–45 minutes and is performed as a day-care procedure — most patients go home the same day. If you've been advised to undergo a diagnostic hysteroscopy first, polypectomy is often combined into the same sitting once a polyp is confirmed.

Signs You May Need This Procedure

Uterine polyps don't always cause symptoms, but when they do, the most common signs include:

• Heavy or prolonged periods, or bleeding that lasts longer than usual
• Spotting or bleeding between periods, or after menopause
• Bleeding after intercourse
• Pelvic pain or pressure, especially with larger polyps
• Difficulty conceiving or recurrent implantation failure during fertility treatment
• An incidental finding on an ultrasound or during a fertility work-up

Polyps are reported in roughly 10–15% of women, with higher rates after age 40. Many are picked up only when a woman is being evaluated for infertility or before an IVF cycle, since even a small polyp sitting in the uterine cavity can interfere with embryo implantation.

Who is a Good Candidate?

Your gynaecologist may recommend hysteroscopic polypectomy if:

• An ultrasound or sonohysterogram has shown a suspected polyp
• You have unexplained abnormal uterine bleeding
• You're undergoing fertility treatment and a polyp is affecting the uterine lining
• A polyp needs to be sent for biopsy to rule out abnormal or precancerous cells, particularly after menopause

A detailed consultation, pelvic ultrasound, and sometimes a diagnostic hysteroscopy help confirm whether polypectomy is the right next step for you.

What to Expect During the Procedure

1. Pre-procedure work-up – baseline blood tests and imaging; you'll typically be asked to fast for a few hours beforehand.
2. Anaesthesia – most cases use local or short general anaesthesia, decided based on the size and number of polyps and your overall health.
3. Visualisation – the hysteroscope is passed through the cervix; saline fluid distends the cavity for a clear view.
4. Removal – the polyp is excised using grasping forceps, scissors, or a resectoscope, depending on its size and base.
5. Recovery – you're monitored for a short period and usually discharged the same day.

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Recovery and Aftercare

Most women resume normal, light activity within a day or two. A few things to expect:

• Mild cramping and light spotting for a few days is normal
• Avoid intercourse, swimming, and heavy exercise for about 1–2 weeks, or as your surgeon advises
• The removed tissue is routinely sent for histopathology to confirm it's benign
• A follow-up visit is usually scheduled 2–3 weeks later to review the biopsy report and healing

If you notice heavy bleeding, fever, or severe pain after the procedure, contact our team promptly — occasional light bleeding is expected, but anything beyond that should be checked.

Why Choose Femmenest

Femmenest – Centre for IVF & Gynaecology is led by Dr. Sowjanya Aggarwal, Director and a gynae laparoscopic & robotic surgeon with over 20 years of clinical experience in minimal access gynaecological surgery and reproductive medicine. She is a member of the Indian Society for Assisted Reproduction (ISAR), the Indian Association of Gynaecological Endoscopists (IAGE), and the Gurgaon Obstetrics & Gynaecologic Society (GOGS). Read more about our team and credentials →

What this means for you when choosing where to get a hysteroscopic polypectomy surgery near me:

• Surgical expertise in minimal access (hysteroscopic, laparoscopic, and robotic) gynaecological procedures
• Day-care convenience — most patients are discharged the same day with minimal downtime
• Fertility-focused care — particularly relevant if a polyp is affecting your chances of conceiving naturally or through IVF/IUI
• Transparent, upfront cost discussions before any procedure is scheduled
• Conveniently located in East Delhi (Anand Vihar), with an additional OPD at Max Super Speciality Hospital, Vaishali — making us an accessible choice if you're searching for a gynecologist in East Delhi for this procedure

We also perform other hysteroscopic procedures, including removal of uterine septum, under the same minimally invasive approach.