Understanding Uterine Polyps
Uterine polyps (endometrial polyps) are small, soft growths that attach to the inner lining of the uterine cavity, often driven by fluctuating estrogen levels. While many are under the size of a sesame seed, some grow larger or develop in clusters.
The vast majority of uterine polyps are benign, but because they’re highly vascular, they can cause unpredictable bleeding, heavy periods, and fertility challenges. At Miami Women’s Center, we provide precise diagnostic visualization and no-incision removal techniques to quickly eliminate polyps and protect your reproductive health.
Request an AppointmentWhat to Expect During a Hysteroscopic Polypectomy
We provide a streamlined, supportive surgical environment designed around your comfort and safety:
- Tailored comfort control: The procedure can be performed under light IV sedation or a local paracervical block, depending on your preferences.
- Precision tissue extraction: Modern tissue-removal systems cleanly capture and extract the polyp sample whole for pathology confirmation.
- Rapid healing cycle: Patients recover briefly in our post-anesthesia suite and are discharged within hours.
If bleeding is related to fibroids as well as polyps, our fibroid and mass management page has more information.
Frequently Asked Questions About Uterine Polyps & Removal
Polyp Removal at Miami Women’s Center
What are the most common symptoms of uterine polyps?
Symptoms include irregular bleeding between periods, heavy menstrual flow, bleeding after intercourse, unexpected spotting in postmenopausal women, and infertility or recurrent miscarriage. Some polyps cause no symptoms at all.
How are uterine polyps diagnosed?
Standard pelvic exams can’t detect polyps since they’re inside the uterus. We use transvaginal ultrasound, saline infusion sonography (sonohysterogram), or diagnostic hysteroscopy for direct visual confirmation.
How are uterine polyps removed?
The standard approach is an outpatient hysteroscopic polypectomy, where a slender lighted telescope is passed through the natural vaginal and cervical pathway to snip or shave away the polyp at its stalk, with no skin cuts or abdominal incisions.
Do uterine polyps need to be removed if they aren’t causing pain?
In most cases, yes, particularly if they’re causing bleeding, are larger than 1 centimeter, or if you’re trying to conceive. Any polyp found in a postmenopausal woman must be removed and biopsied to rule out malignancy.
What is the recovery process like after a polypectomy?
Recovery is fast since there are no abdominal incisions. Mild cramping and light spotting can occur for 24-48 hours, with most women returning to work and light activities within 1-2 days.
Can polyps grow back after removal?
It’s possible for new polyps to develop over time, especially if the underlying hormonal drivers persist, which is why some patients benefit from periodic monitoring.
Will removing a polyp improve my chances of getting pregnant?
For some patients, yes — removing a polyp that’s interfering with implantation can improve fertility outcomes, though results vary depending on individual circumstances.