Hysteroscopic Polypectomy in Mumbai: Treatment by Dr. Maitreyee Parulekar
Uterine polyps are growths that develop in the inner lining of the uterus, known as the endometrium. Although many polyps are benign, they can sometimes cause irregular menstrual bleeding, heavy periods, bleeding after menopause, or difficulties with conception. Hysteroscopic polypectomy in Mumbai is a minimally invasive procedure that helps remove these growths and address related symptoms. Identifying and treating uterine polyps can support reproductive health and help doctors investigate underlying causes of abnormal bleeding.
Dr. Maitreyee Parulekar, a specialist in gynaecological surgery and minimally invasive procedures, offers evaluation and individualized treatment planning for women experiencing uterine polyps and related gynaecological concerns. At Kirit Nursing Home, patients can discuss their symptoms, diagnostic findings, and suitable treatment options with a qualified specialist.
What Is Hysteroscopic Polypectomy in Mumbai?
Hysteroscopic polypectomy in Mumbai is a procedure in which a doctor removes uterine polyps using a thin instrument called a hysteroscope. The instrument contains a camera and light, allowing the doctor to view the inside of the uterus on a screen and remove polyps with precision.
Specialized instruments are passed through the hysteroscope to remove the polyp while allowing the doctor to examine the surrounding uterine lining. The removed tissue is generally sent to a laboratory for histopathological examination to confirm its nature.
The procedure is commonly recommended for women with symptomatic polyps, abnormal uterine bleeding, or selected fertility-related concerns. The exact approach depends on the size, number, and location of the polyps, along with the patient’s symptoms and medical history.
Because the procedure does not usually require abdominal incisions, recovery may be quicker than with more invasive surgical approaches.
What Are Uterine Polyps?
Uterine polyps, also called endometrial polyps, develop when cells in the uterine lining grow excessively and form localized projections into the uterine cavity. They can vary in size and may occur individually or in groups.
Some women have no symptoms, and polyps are discovered incidentally during an ultrasound or fertility evaluation. Others experience symptoms that affect their daily routines or reproductive health.
Common signs and symptoms include:
Heavy or prolonged menstrual periods.
Spotting or bleeding between periods.
Irregular menstrual cycles.
Bleeding after menopause.
Difficulty conceiving in some cases.
The exact cause of uterine polyps is not always clear. Hormonal influences, particularly oestrogen, are thought to contribute to their development. Age, certain medical conditions, and hormonal medication may also influence risk.
Although most endometrial polyps are benign, examination of the removed tissue is important, especially when bleeding occurs after menopause or other concerning features are present.
When Is Hysteroscopic Polypectomy Recommended?
A gynaecologist may recommend polyp removal when the growth causes symptoms, interferes with fertility assessment, or has features that require further investigation.
Common reasons include:
Abnormal uterine bleeding: Polyps may contribute to heavy periods, irregular bleeding, or spotting between menstrual cycles.
Postmenopausal bleeding: Any bleeding after menopause should be evaluated promptly. A polyp may be responsible, but other causes, including endometrial abnormalities, must be considered.
Fertility concerns: Some polyps may interfere with implantation or be associated with difficulties conceiving. Removal may be considered after assessing other fertility factors.
Suspicious imaging findings: Ultrasound or other investigations may identify a polyp that requires direct visual assessment and tissue analysis.
Persistent symptoms: When bleeding continues despite initial management, the doctor may recommend hysteroscopy to establish the cause and treat the problem.
Not every polyp requires immediate removal. Management depends on symptoms, menopausal status, size, risk factors, and the overall clinical picture.
How Is a Polyp Diagnosed Before Surgery?
Diagnosis usually begins with a detailed medical history and gynaecological examination. The doctor may ask about menstrual patterns, previous pregnancies, fertility goals, medication use, and any bleeding after menopause.
A transvaginal ultrasound can help identify growths in the uterine cavity. In selected cases, saline infusion sonography may provide a clearer view of the endometrium.
Hysteroscopy allows direct visualization of the uterine cavity and can help confirm the presence, size, and location of a polyp. Depending on the findings, the doctor may recommend removing it during the same procedure.
Blood tests may be advised if heavy bleeding has caused suspected anaemia or if other medical conditions need assessment. The investigations are selected according to the patient’s symptoms and health history.
What Happens During Hysteroscopic Polypectomy?
The procedure is generally performed in a hospital or appropriately equipped surgical setting. Anaesthesia or pain relief is selected according to the procedure, the patient’s health, and the clinician’s assessment.
The usual steps include:
Preparation: The doctor reviews the investigations, explains the procedure, and discusses the benefits, risks, and alternatives.
Insertion of the hysteroscope: A thin camera-equipped instrument is gently passed through the vagina and cervix into the uterus.
Examination of the uterine cavity: The doctor inspects the uterine lining to locate the polyp and assess the surrounding tissue.
Removal of the polyp: Small instruments are used to detach and remove the growth under direct visualization.
Laboratory examination: The removed tissue is sent for histopathology when indicated to confirm the diagnosis.
The procedure often takes a relatively short time, although duration varies with the number, size, and location of polyps. Many patients can return home the same day, depending on the anaesthesia used and their recovery.
Benefits of Hysteroscopic Polypectomy
Hysteroscopic polypectomy offers several potential benefits when removal is clinically appropriate.
Minimally invasive treatment: The procedure is performed through the natural vaginal and cervical passage without a routine abdominal incision.
Direct visualization: The doctor can see the polyp and surrounding uterine lining during removal.
Symptom management: Removing a symptomatic polyp may reduce abnormal bleeding associated with the growth.
Tissue diagnosis: Laboratory examination can help determine whether the polyp is benign or contains abnormal cells.
Potential fertility benefits: Removal may be considered for selected women undergoing fertility evaluation, depending on the clinical circumstances.
Recovery convenience: Many patients resume routine activities within a short period, although individual recovery varies.
The outcome depends on the underlying cause of symptoms and other reproductive health factors. Polyp removal does not guarantee pregnancy or eliminate every possible cause of abnormal bleeding.
Recovery, Aftercare, and Possible Risks
Mild cramping and light vaginal bleeding or spotting may occur for a few days after the procedure. Patients should follow their doctor’s advice about pain relief, bathing, sexual activity, exercise, and the use of tampons or other vaginal products.
Most patients recover without major complications. However, possible risks include infection, bleeding, injury to the cervix or uterus, and complications related to anaesthesia. In some cases, the procedure may need to be postponed or repeated if the entire polyp cannot be safely removed.
Contact your doctor if bleeding becomes heavy, pain worsens, fever develops, or vaginal discharge has an unusual or unpleasant smell. Follow-up is important to review the histopathology report and determine whether any additional treatment is needed.
Polyps can sometimes recur. If symptoms return, further evaluation may be recommended rather than assuming that the original condition has returned.
Why Choose Dr. Maitreyee Parulekar?
Dr. Maitreyee Parulekar has specialized training in gynaecological oncosurgery, robotic surgery, and minimally invasive gynaecology. Her qualifications include MBBS, MS in Obstetrics and Gynaecology from Seth G.S. Medical College and K.E.M. Hospital, MRCOG (UK), and FMAS (MUHS).
She has also undertaken advanced fellowship training in gynaecological oncosurgery and robotic surgery at Seoul National University Hospital in South Korea, along with visiting-scholar training in minimally invasive gynaecology at Mount Sinai Hospital and Women’s College Hospital in Toronto, Canada.
Her clinical expertise includes the assessment and surgical management of complex gynaecological conditions. Her background in minimally invasive techniques supports an individualized approach to selecting suitable procedures. The choice of treatment depends on the patient’s diagnosis, medical history, and clinical requirements.
As a Top Gynae Oncologist In Mumbai, Dr. Maitreyee Parulekar emphasizes careful evaluation, appropriate investigations, and clear discussions about treatment choices. Patients seeking a Gynecologist In Vile Parle, Mumbai can contact her practice to enquire about consultation arrangements at Kirit Nursing Home.
The clinic consultation process allows patients to discuss symptoms, diagnostic reports, treatment expectations, and follow-up requirements in a professional healthcare setting.
Book a consultation with Dr. Maitreyee Parulekar at Kirit Nursing Home to discuss your symptoms and suitable treatment options.
Get Directions to the Clinic – Kirit Nursing Home, Vile Parle
Frequently Asked Questions
1. Is hysteroscopic polypectomy a major surgery?
It is generally considered a minimally invasive procedure. A hysteroscope is passed through the vagina and cervix to remove the polyp, so an abdominal incision is not usually required. The setting and anaesthesia depend on the individual case.
2. Is hysteroscopic polypectomy painful?
Some women experience cramping or discomfort during or after the procedure. Pain relief or anaesthesia may be used depending on the circumstances. Your doctor can explain the most suitable option for you.
3. Can I become pregnant after hysteroscopic polypectomy?
Pregnancy may be possible after removal, and selected women may benefit when a polyp contributes to fertility difficulties. However, pregnancy outcomes depend on several factors, including age, ovulation, sperm health, and other reproductive conditions.
4. How long does recovery take after hysteroscopic polypectomy?
Many patients return to routine activities within a day or a few days, depending on the procedure and anaesthesia. Mild spotting and cramping may occur temporarily. Follow your doctor’s instructions and attend the recommended follow-up appointment.
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