Gentle, Targeted Removal of Polyps and Submucosal Fibroids
A minimally invasive, uterus-sparing procedure to relieve bleeding, pain, and fertility concerns.
Hysteroscopic resection removes growths that project into the uterine cavity—most commonly endometrial polyps and submucosal fibroids—using a slim camera inserted through the cervix. There are no abdominal incisions. For many, it reduces heavy or irregular bleeding, cramping, and miscarriage risk, and may improve chances of conception.
Fast Facts
No incisions; typically same-day procedure
Treats polyps and fibroids inside the uterine cavity
Can improve bleeding and fertility outcomes
Recovery: most return to routine activities within 24–48 hours
Common Reasons We Recommend It
- Heavy, prolonged, or irregular bleeding
- Polyps seen on ultrasound or saline sonogram
- Submucosal fibroids distorting the cavity
- Infertility or recurrent pregnancy loss with a cavity lesion
- Persistent spotting or bleeding after menopause (after evaluation)
How It Works
A hysteroscope is passed through the cervix to visualize the uterine cavity. Using miniature instruments or a powered tissue removal device (morcellator), the polyp or fibroid is precisely shaved or resected under direct vision. Saline distends the cavity for a clear view, allowing targeted removal while preserving healthy endometrium.
Why It Matters
Lesions that protrude into the uterine cavity can trigger heavy bleeding and reduce implantation potential. Removing them can relieve symptoms, reduce anemia risk, and may improve fertility. Because the procedure is uterine-sparing and incisionless, recovery is generally faster than with abdominal surgery.
Hysteroscopic Resection vs. D&C
Hysteroscopic Resection
- Direct visualization of lesion
- Targeted removal of polyps/fibroids
- Higher likelihood of complete excision
- Diagnostic and therapeutic in the same setting
Dilation & Curettage (D&C)
- Blind sampling of the lining
- May miss focal lesions
- Primarily diagnostic or for temporary bleeding control
- Often followed by hysteroscopy if a lesion is suspected
What to Expect
Most procedures take 15–45 minutes depending on size and number of lesions. An oral anti-inflammatory is often taken beforehand; anesthesia options range from local to light sedation or general anesthesia depending on complexity and preference. Cramping and light bleeding are common for 1–3 days. We provide clear guidance on activity, bathing, and intercourse while healing.
Safety & Recovery
Complications are uncommon. Potential risks include infection, heavier bleeding, fluid shifts, uterine perforation, or intrauterine adhesions; these are mitigated by careful technique and case selection. Most patients resume work and routine activities within 24–48 hours.
Before Your Visit
- ✓Bring recent ultrasound or saline sonogram reports
- ✓Take an NSAID 30–60 minutes before unless advised otherwise
- ✓Arrange a ride if sedation is planned
- ✓Avoid intravaginal products and intercourse for 24 hours pre-procedure
- ✓Tell us about anticoagulants, bleeding disorders, or pregnancy concerns
Frequently Asked Questions
1Will this help my fertility?
Polyps and submucosal fibroids that distort the cavity can reduce implantation and increase miscarriage risk. Removing them often improves pregnancy chances when they are the suspected contributor.
2How painful is it?
Expect period-like cramping during and after. Discomfort is typically manageable with oral pain medication. Sedation or local anesthesia options are available based on your plan.
3Will the fibroid come back?
Resected tissue does not regrow, but new fibroids can develop over time. Polyps can also recur. We discuss follow-up if symptoms return.
4When can I resume normal activities?
Light activities are fine the same day; most return to work within 24–48 hours. Avoid intercourse, tampons, swimming, and hot tubs for several days as advised.
5Is pathology performed?
Yes. Removed tissue is typically sent to pathology to confirm the diagnosis and rule out atypia or malignancy when indicated.
Precise Treatment, Fast Recovery
If you've been told you have a polyp or submucosal fibroid—or you're experiencing heavy bleeding—hysteroscopic resection may offer effective relief with minimal downtime.
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