Uterine Polyps

Hormonal Medication

Certain hormonal medications with an anti-estrogenic effect, including progestins and gonadotropinreleasing hormone agonists, may lessen symptoms of the polyp. 

Surgical removal

Blind methods to retrieve focal intrauterine pathology included blind curettage of the endometrium or avulsion with polyp forceps. These approaches can be associated with potential uterine trauma, which can be unrecognised and lead to serious complications. Failure to remove polyps and problems with incomplete removal are also well recognised. Removal of uterine polyps should therefore be peformed with visual control (hysteroscopy).

Hysteroscopic uterine polypectomy

Advances in hysteroscopic technology have enabled small polyps to be removed under direct vision. Fine mechanical instruments, such a scissors or biopsy forceps can be used down a 2 to 3 mm diameter working channel of a rigid operative hysteroscope The safety and feasibility of such approaches have been reported.³

Larger polyps are often removed using a large-diameter electrosurgical hysteroscopic resection under anaesthesia. Recent technologies have been developed to allow non electrical mechanical removal of polyps in the outpatient setting. The latter technique may be performed without or with limited local anaesthesia.^4,5