Dr Sam Holford consulting with a patient

Hysteroscopic Myomectomy and Polyp Resection

Overview

Hysteroscopic myomectomy and polyp resection are minimally invasive procedures used to remove fibroids (myomas) and polyps from within the uterine cavity. These growths can cause symptoms such as heavy or irregular bleeding, infertility, or pelvic discomfort.

The procedure is performed via the cervix using a hysteroscope—no incisions are required. It’s often a day-stay procedure with relatively short recovery time.

What are Fibroids and Polyps?

  • Fibroids (submucosal myomas) are benign muscular growths that can distort the uterine cavity and cause heavy bleeding and fertility issues.
  • Endometrial polyps are overgrowths of the lining of the womb and are a common cause of irregular or postmenopausal bleeding.

Who is it for?

  • People with heavy or irregular periods due to intrauterine fibroids or polyps.
  • Those experiencing subfertility or recurrent miscarriage due to distortion of the uterine cavity.
  • Patients with abnormal bleeding needing evaluation and treatment of suspected polyps.

The Procedure

The operation is performed under general or local anaesthesia. A hysteroscope is passed through the cervix, and the fibroid or polyp is removed using electrosurgical instruments or a morcellator.

  • Duration: Typically 20–60 minutes
  • Hospital stay: Day-stay or short overnight stay
  • Recovery: Most people resume normal activities within 1–3 days
Hysteroscope within the uterus
Hysteroscopy involves a small telescope to look inside the uterus and remove tissue. It involves no incisions and recovery is quick.

Aftercare and Recovery

You may experience some spotting or light bleeding for up to two weeks. Cramping is common but usually resolves within a day or two. It’s best to avoid strenuous exercise and sexual activity for about a week or until bleeding stops.

Risks and Complications

  • Infection
  • Uterine perforation (rare)
  • Fluid overload (from distension media)
  • Adhesion formation (Asherman’s syndrome – uncommon)

Fertility and Future Periods

Hysteroscopic resection may improve fertility outcomes in certain people. Your periods may become lighter and more manageable, although some hormonal or structural causes of bleeding may persist.

Dr Sam Holford

Is hysteroscopy for you?

Remove uterine fibroids & polyps with no incisions. I perform hysteroscopic myomectomy & polyp resection in Auckland to treat abnormal bleeding & improve fertility.

Book an appointment

FAQs

Is a hysteroscopic myomectomy or polypectomy painful?
The procedure is performed under anaesthesia (either general or sedation), so you will not feel pain during the operation. Afterwards, you may experience some period-like cramping for a day or two, which is usually well-managed with simple pain relief.
How long does the recovery take?
Recovery is very quick as there are no external cuts. Most people can return to their normal daily activities and work within 1-3 days. You might have some light bleeding or a watery discharge for a couple of weeks.
Will removing a polyp or fibroid improve my heavy periods?
Yes, in most cases. Submucosal fibroids and endometrial polyps are a common cause of heavy or irregular bleeding. Removing them often leads to a significant improvement in menstrual symptoms.
Can this procedure improve my chances of getting pregnant?
If a fibroid or polyp is distorting the uterine cavity, removing it can improve the environment for an embryo to implant, potentially increasing your chances of a successful pregnancy. This is often a recommended step for those with unexplained infertility or recurrent pregnancy loss.
What is the difference between this and a D&C (Dilation and Curettage)?
A hysteroscopy uses a camera to directly visualise the inside of the uterus, allowing for the precise and complete removal of a specific fibroid or polyp. A traditional D&C is a "blind" procedure where the lining is scraped without direct vision, which is less accurate and can miss focal lesions. I perform hysteroscopic resection for this reason.

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Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.