What is Uterine Polyps Removal?
Uterine polyps are a common abnormality of the uterine lining. The inside lining of the uterus is made of endometrial tissue that grows and shrinks during the menstrual cycle. Polyps are areas that grow a little too much.
These polyps can be as small as a sesame seed or as large as a golf ball. Rarely, polyps can grow to the size of an orange! In addition to uterine polyps, women can get a polyp on the edges of their cervix, in the area of their vagina, or even the ovaries.
Hysteroscopic polypectomy (uterine polyps removal) is a minimally invasive procedure to remove polyps found in the uterine cavity while leaving the uterus intact. No incisions are used when this procedure is performed, so the recovery is quick and the complications are very rare.
How do you prepare for a Uterine Polyp Removal?
Your Viva Eve healthcare provider will provide you with specific pre-procedure instructions. These may include fasting instructions, restrictions on food or drink before the procedure, and guidance on any necessary medication adjustments.
You will need someone to accompany you home after the procedure. It’s essential to plan for transportation, as you may still be feeling the effects of anesthesia following the procedure.
How Is Endometrial Biopsy or Uterine Polyp Removal Performed?
There are several ways for your doctor to perform an endometrial biopsy or uterine polyp removal:
- Your gynecologist inserts a straw-shaped device called a pipelle into your uterus to suction a small amount of tissue from the lining. This is a quick procedure, but may cause some cramping. This technique is used when only a tiny amount of tissue is needed or a very small polyp needs to be removed.
- A suctioning device called a Vabra aspirator is necessary for larger uterine polyp removal. This procedure can be slightly more uncomfortable.
- Sonohysterography is used to investigate uterine abnormalities in women who experience infertility or multiple miscarriages. Ultrasound images can help the physician to see and evaluate blood flow blockages, blood flow in polyps, tumors, and congenital malformation.
- Hysteroscopy, which consists of placing a small camera into your vagina, past your cervix, and up into your uterus so your gynecologist can monitor the condition of your pelvic organs via a video screen. Depending on their size, uterine polyp removal may be done simultaneously.
What is the followup and recovery like for a Uterine Polyp Removal?
Your Viva Eve healthcare provider will give you detailed instructions that include guidance on managing any discomfort, medication usage (such as pain relievers or antibiotics if prescribed), and any specific restrictions on activities or behaviors.
Your recovery time will depend on the type of procedure performed and individual factors. In some cases, you may be able to resume normal activities within a day or two, while in other cases, a longer recovery period may be required. Your healthcare provider will give you specific guidelines regarding when you can return to work, exercise, and sexual activity.
Your healthcare provider may schedule one or more follow-up appointments to monitor your recovery and assess the success of the procedure. These appointments allow your healthcare provider to evaluate your healing progress and address any concerns or complications that may arise.
It’s normal to experience some side effects after a uterine polyp removal, including mild cramping, spotting or light bleeding, and vaginal discharge. These symptoms usually subside within a few days to a couple of weeks. However, if you experience severe or prolonged pain, heavy bleeding, signs of infection (such as fever or unusual discharge), or any other concerning symptoms, contact your healthcare provider.
If the removed polyps were sent for analysis, it may take some time to receive the pathology report. Your healthcare provider will discuss the results with you during a follow-up appointment and provide further recommendations or treatment plans based on the findings.
What are the potential costs for a Uterine Polyp Removal?
The potential costs associated with uterine polyp removal can vary depending on several factors, including the type of procedure performed, whether you procedure is performed in the hospital or a surgical facility, and your insurance coverage. If anesthesia is used during the procedure, there may be separate charges for anesthesia services. The cost can vary depending on the type of anesthesia used and the duration of the procedure.
If the removed polyps are sent for analysis, there may be pathology or laboratory fees associated with the examination and interpretation of the tissue samples. These costs are typically separate from the procedure itself.
Some plans may cover the procedure partially or fully, while others may require copayments, deductibles, or coinsurance. It is advisable to review your insurance policy or contact your insurance provider to understand what is covered and any potential out-of-pocket costs.
What are the potential risks for a Uterine Polyp Removal?
Uterine polyp removal is generally considered a safe procedure. However, as with any medical procedure, there are potential risks and complications to be aware of. These risks may include:
- Bleeding: During or after the uterine polyp removal, there is a risk of bleeding. In most cases, any bleeding is minimal and stops on its own. However, excessive bleeding or prolonged bleeding may require medical attention.
- There is a small risk of developing an infection after the procedure. Your healthcare provider will take precautions to minimize this risk, such as using sterile instruments and providing post-procedure care instructions to reduce the chance of infection. Contact your healthcare provider if you experience signs of infection, such as fever, increased pain, or abnormal discharge.
- Uterine Perforation: In rare cases, the instrument used during the polyp removal may cause a perforation or a hole in the uterus. This complication is uncommon, but if it does occur, it may require further treatment or surgery to repair.
- Scarring or Adhesions: In some cases, the removal of uterine polyps can lead to scarring or adhesions (abnormal tissue connections) within the uterus. However, the risk of significant scarring or adhesions is generally low.
- Anesthesia Risks: If the procedure is performed under anesthesia, there are associated risks, such as allergic reactions, respiratory problems, or adverse reactions to the anesthesia medications. Anesthesia-related risks are generally rare but can occur. Your healthcare provider will assess your medical history and take necessary precautions to minimize these risks.
You can help minimize potential risks and ensure a safe procedure by following pre-procedure instructions, communicating openly with your healthcare provider, and seeking immediate medical attention if you experience any unexpected or concerning symptoms.
Are there related procedures to a Uterine Polyp Removal?
There are several related procedures that may be performed in conjunction with or following a uterine polyp removal. These procedures help diagnose, treat, or manage various conditions related to the uterus and reproductive system. Here are a few examples:
- Hysteroscopy can be used to diagnose and remove uterine polyps, as well as identify other abnormalities such as fibroids, adhesions, or endometrial hyperplasia.
- An endometrial biopsy is performed to evaluate abnormal uterine bleeding, diagnose endometrial hyperplasia or cancer, and assess hormonal imbalances or infertility issues.
- A dilation and curettage can be used to remove uterine polyps, as well as diagnose or treat conditions such as heavy or irregular uterine bleeding, miscarriage, or retained placenta.
- Myomectomy is a surgical procedure performed to remove uterine fibroids. If both fibroids and polyps are present, your healthcare provider may recommend a myomectomy in addition to polyp removal.
- Hysterectomy is the surgical removal of the uterus. It is typically considered a last resort when conservative treatments have failed or when there are significant health concerns.
It’s important to discuss all available options and the potential risks and benefits of each procedure with your healthcare provider to determine the most appropriate course of action for your specific condition.
What Are the Symptoms of Uterine Polyps?
Since most polyps are small, they often don’t cause any symptoms. The gynecologist may find the bleeding polyps themselves or a thickened uterine lining during an ultrasound or a sonogram. Some polyps do produce very unpleasant and painful symptoms.
Irregular menstrual bleeding— frequent, unpredictable periods that can be long or short, light or extremely heavy
Bleeding between menstrual periods
Vaginal bleeding after menopause