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
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.
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.
Make an appointmentFAQs
High-Quality Patient Resources
Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.