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 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 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.

Infertility.

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