Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Uterine Health
Uterine Polyp Removal in Hyderabad: Hysteroscopic Day Care at Lux Hospitals
Uterine polyps are soft growths of the endometrium projecting into the cavity of the uterus. They cause bleeding between periods, heavier periods, and difficulty conceiving.
They are almost always benign and they are removed through the cervix without any incision at all: a day-care procedure with a recovery measured in days. Our gynaecologists at Lux Hospitals, HITEC CITY remove them hysteroscopically under direct vision rather than blindly.
- No Incision
- Day-Care Procedure
- Fertility Improved
What are Uterine Polyps?
A uterine polyp is an overgrowth of the endometrium, the lining of the uterus, forming a soft, finger-like or rounded projection into the cavity. They may sit on a broad base or hang on a narrow stalk, and range from a few millimetres to several centimetres. Some women have one, others many.
Polyps are oestrogen-sensitive, which explains both who gets them and why they behave as they do. They are commonest between forty and fifty, in the years of fluctuating hormones before menopause, and they are more frequent in women who are overweight, have high blood pressure, or take tamoxifen.
The overwhelming majority are benign. A small proportion, well under one in twenty overall, contain hyperplasia or, rarely, cancer, and that risk rises appreciably after menopause and where there has been bleeding. This is why removed polyps always go for histology rather than simply being discarded, and why a polyp found after menopause is treated more actively than one found before it.
Causes of Uterine Polyps
Polyps arise from local overgrowth of the endometrium under the influence of oestrogen.
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Oestrogen stimulation
The endometrium responds to oestrogen by proliferating. Localised areas of excessive response form polyps, which is why they are oestrogen-sensitive.
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Perimenopausal hormone fluctuation
The erratic hormonal patterns of the forties and early fifties make this the peak age for polyp formation.
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Obesity
Fat tissue converts other hormones into oestrogen, raising overall exposure and with it the likelihood of polyps.
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Tamoxifen
Used in breast cancer treatment, it acts on the endometrium like oestrogen and substantially raises polyp risk. Bleeding on tamoxifen is always investigated.
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Hormone replacement therapy
Particularly oestrogen-only regimens without adequate progestogen to oppose it.
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High blood pressure
Consistently associated with endometrial polyps, though the mechanism is not fully explained.
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Chronic inflammation
Persistent endometrial inflammation appears to promote localised overgrowth and polyp formation.
Cervical polyps are a separate matter. They arise from the cervical canal rather than the uterine lining, are frequently visible on examination, and can often be removed in the clinic without any anaesthetic.
Symptoms of Uterine Polyps
Irregular bleeding is the characteristic symptom, though many polyps are found incidentally on a scan.
Common symptoms
- Bleeding or spotting between periods
- Heavier periods than usual
- Irregular, unpredictable cycles
- Bleeding after intercourse
- Prolonged periods lasting more than a week
- Difficulty conceiving or recurrent miscarriage
Needing prompt assessment
- Any bleeding after menopause
- Bleeding while taking tamoxifen
- Heavy bleeding causing fatigue or breathlessness
- A polyp visible protruding through the cervix
- Foul-smelling discharge with bleeding
- Bleeding with unexplained weight loss
Any bleeding after menopause needs investigating, every time and without exception. Most turns out to be a benign polyp or atrophy, but this is the presentation in which endometrial cancer is found early.
How Uterine Polyps are Diagnosed
A standard scan can miss polyps entirely. Outlining the cavity or looking into it directly is what finds them.
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Transvaginal ultrasound
The first-line test, showing a thickened or focally irregular endometrium. It misses smaller polyps, so a normal scan does not exclude one.
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Saline infusion sonography
Fluid instilled into the cavity outlines polyps clearly against it. Far more sensitive than a standard scan and simple to perform.
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Diagnostic hysteroscopy
A fine camera passed through the cervix to inspect the cavity directly. The definitive test, and often done with removal at the same sitting.
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Endometrial biopsy
A blind sample of the lining, useful for excluding hyperplasia but unreliable for polyps specifically: it frequently misses them.
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Blood tests
Haemoglobin and ferritin where bleeding has been heavy or prolonged, since iron deficiency is common and easily overlooked.
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Speculum examination
Cervical polyps are often visible directly, and can frequently be removed in the clinic at that visit.
A blind D&C for suspected polyps is now considered inadequate practice. It misses polyps regularly, because the curette slides past a soft mobile growth rather than removing it, which is why hysteroscopy under vision is the standard.
Treatment Options
Small symptomless polyps in a premenopausal woman may be watched. Anything causing symptoms is removed.
Conservative
Observation and medical management
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Watchful waiting
Reasonable for a small symptomless polyp found incidentally before menopause. A proportion regress on their own.
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Repeat scan
Reassessment after a few cycles, since some small polyps resolve without intervention.
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Hormonal management
Progestogens or a hormonal IUD can reduce bleeding, though they do not reliably remove the polyp itself.
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Iron replacement
Correcting anaemia from prolonged bleeding, which often improves how you feel considerably.
Procedural
Hysteroscopic removal
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Hysteroscopic polypectomy
The polyp removed under direct vision through the cervix. No incision, day care, and the treatment of choice.
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Office hysteroscopy
Small polyps removed in the clinic without general anaesthesia using fine instruments, in a single short visit.
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Cervical polypectomy
A cervical polyp twisted off at the clinic visit, usually painlessly and without any anaesthetic.
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Hysteroscopic morcellation
A device that cuts and simultaneously removes tissue, useful for large or multiple polyps and quicker than resection.
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Endometrial ablation
Considered alongside polypectomy where polyps are recurrent and family is complete.
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Hysterectomy
Reserved for atypical or malignant polyps, or repeatedly recurrent polyps where family is complete.
Removing polyps before fertility treatment is genuinely worthwhile. Polypectomy improves pregnancy rates in women undergoing IUI or IVF, and it is a short day-care procedure to remove an avoidable obstacle.
The Hysteroscopic Polypectomy Procedure
The procedure takes fifteen to thirty minutes and you go home the same day.
Day-care procedure through the cervix, no incision
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Timing and preparation
Scheduled in the first half of the cycle when the lining is thin and polyps are most visible. Fasting where general anaesthesia is planned.
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Anaesthesia
General or spinal anaesthesia for larger polyps; small ones can be removed in the clinic with local anaesthetic or none at all.
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Cervical dilatation
The cervix gently dilated enough to admit the hysteroscope. Office procedures use a fine scope needing little or no dilatation.
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Inspecting the cavity
The uterus distended with fluid and the whole cavity systematically inspected, including both tubal openings.
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Removing the polyp
The polyp cut at its base with a loop, scissors or morcellator under direct vision: removed at the root rather than merely trimmed.
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Checking the base
The base inspected and treated to reduce the chance of regrowth from residual tissue left behind.
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Retrieval and histology
The tissue retrieved intact and sent for examination. Every polyp is examined, however benign it appeared.
Removing the polyp at its base rather than trimming the top is what prevents recurrence. A polyp cut off flush regrows from the stalk left behind, which is a common reason women return with the same problem.
Why Choose Lux Hospitals for Polyp Removal?
Polyps are frequently missed on scans and inadequately removed by blind curettage. Here is why patients trust us:
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Removed under direct vision
Hysteroscopic removal at the base rather than blind D&C, which misses polyps and leaves stalks behind to regrow.
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Day care, and often clinic-based
Small polyps removed in a single clinic visit without anaesthesia, and larger ones as same-day surgery with no incision.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Recovery is quick: most women resume normal activity within a day or two.
- Day 0
Home the same day. Mild cramping like period pain and light bleeding, both settling within hours.
- Days 1–3
Cramping resolves. Light bleeding or watery discharge continues. Most women return to work within a day or two.
- Days 3–14
Spotting settles completely. Normal activity and exercise resume. Intercourse after about a week, or once bleeding has stopped.
- Weeks 2–4
Histology result reviewed. Your next period may be earlier, later or heavier than usual, which is expected.
- Months 1–3
Bleeding pattern settles. Where the polyp was affecting fertility, conception can be attempted from the next cycle.
Aftercare
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Get the histology result
Every removed polyp is examined. Make sure you receive that result rather than assuming no news means good news.
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Expect an unpredictable next period
The cycle after polypectomy is often early, late or heavier than usual. This settles by the second or third cycle.
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Avoid tampons and intercourse for a week
While the cervix and the polyp base heal, to reduce infection risk. Use pads until bleeding has stopped.
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Know that polyps can recur
Around one in six to one in four women develops another within a few years, particularly where there were several to begin with.
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Try conceiving from the next cycle
Where the polyp was affecting fertility, there is no need to wait. Pregnancy rates improve after removal.
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Report heavy bleeding, fever or offensive discharge
Bleeding heavier than a period, fever, or foul-smelling discharge suggests infection and needs review rather than waiting.
Polypectomy resolves abnormal bleeding in the large majority of women. Where bleeding continues afterwards, that is a signal to look further rather than to assume the procedure failed.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- Bleeding or spotting between periods.
- Bleeding after intercourse.
- Periods that have become heavier or more prolonged.
- Difficulty conceiving, or recurrent miscarriage.
- Any bleeding after menopause: see someone promptly.
- Bleeding while taking tamoxifen.
Cost of Uterine Polyp Removal in Hyderabad
Polypectomy is a short day-care procedure, so cost is predictable and there is no hospital stay.
| Procedure | Estimated Cost |
|---|---|
| Consultation Includes examination | ₹800 – ₹1,500 |
| Transvaginal ultrasound First-line imaging | ₹1,500 – ₹3,500 |
| Saline infusion sonography Outlines polyps clearly | ₹3,500 – ₹7,000 |
| Office hysteroscopy Clinic procedure, no anaesthesia | ₹12,000 – ₹25,000 |
| Diagnostic hysteroscopy with biopsy Day care | ₹30,000 – ₹60,000 |
| Hysteroscopic polypectomy Day care; no incision | ₹55,000 – ₹1,00,000 |
| Polypectomy with morcellation For large or multiple polyps | ₹70,000 – ₹1,25,000 |
| Cervical polypectomy Often at the clinic visit | ₹3,000 – ₹8,000 |
What changes the estimate
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Size and number
A single small polyp can be removed in the clinic. Multiple or large polyps need theatre time and a morcellation device.
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Anaesthesia
Office hysteroscopy without anaesthesia costs considerably less than a day-care procedure under general anaesthesia.
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Extent of prior investigation
Where saline sonography has already defined the polyps, the procedure is planned precisely rather than exploratory.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Uterine Polyps Specialists at Lux Hospitals
The gynaecologists who remove uterine polyps at our HITEC CITY hospital.
-
Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
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Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
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Got Questions?
Frequently Asked Questions
Common questions about uterine polyps, hysteroscopic removal and costs at Lux Hospitals.
Is uterine polyp removal painful?
Under general or spinal anaesthesia you feel nothing. Office hysteroscopy without anaesthesia causes cramping similar to period pain during the procedure, lasting a few minutes. Afterwards most women have mild cramping for a few hours, controlled with simple painkillers.
Do all uterine polyps need removing?
No. A small symptomless polyp found incidentally before menopause can reasonably be watched, and a proportion regress on their own. Removal is recommended where there is abnormal bleeding, difficulty conceiving, a polyp larger than about a centimetre and a half, or any polyp found after menopause.
Can uterine polyps affect fertility?
Yes. Polyps interfere with implantation by occupying the cavity and altering the local environment, and are associated with reduced conception rates and higher miscarriage risk. Removing them measurably improves pregnancy rates, including in women undergoing IUI or IVF.
Can polyps come back after removal?
They can. Around one in six to one in four women develops another within a few years, more commonly where there were several to begin with or where the underlying oestrogen exposure persists. Removing the polyp at its base rather than trimming it reduces regrowth considerably.
Are uterine polyps cancerous?
The overwhelming majority are benign: well under one in twenty contain hyperplasia or cancer overall. That risk rises appreciably after menopause and where there has been bleeding. This is why every removed polyp is sent for histology rather than simply discarded.
How long does recovery take after polyp removal?
Most women resume normal activity within a day or two. Light bleeding or watery discharge continues for up to a fortnight. Tampons and intercourse are avoided for about a week while the cervix and polyp base heal. Your next period may be early, late or heavier than usual.
Is uterine polyp removal safe?
Hysteroscopic polypectomy is a well-established day-care procedure with a low complication rate. The risks (infection, bleeding, and rarely perforation of the uterus) are all uncommon. There is no incision, so there is no wound to heal.
What are the symptoms of uterine polyps?
Bleeding or spotting between periods is the most characteristic. Others include heavier or prolonged periods, irregular cycles, bleeding after intercourse, and difficulty conceiving. Many polyps cause no symptoms at all and are found on a scan done for something else.
How much does uterine polyp removal cost in Hyderabad?
Hysteroscopic polypectomy at Lux Hospitals is ₹55,000–₹1,00,000 as day care, rising to ₹70,000–₹1,25,000 with morcellation for large or multiple polyps. Office hysteroscopy is ₹12,000–₹25,000, and a cervical polyp removed at the clinic visit ₹3,000–₹8,000.
How can I book an appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. If possible, book for the first half of your cycle: the lining is thinner then and polyps are considerably easier to see.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Polyp Consultation in Hyderabad
Hysteroscopic polyp removal as day care with no incision, and costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032