Endometrial polyp removal
What is an endometrial polyp? A polyp is a growth of tissue from the tissue that lines the endometrium (uterus). They are a common women's health condition. Most polyps are non-cancerous but about 1 in 6 polyps have precancerous or cancerous changes within them. What are the symptoms for endometrial polyps? Vaginal bleeding after menopause Bleeding between periods Frequent, unpredict
What it is
Polyps are soft outgrowths of the endometrial lining. Most are asymptomatic incidental findings on scan; when symptomatic, removal reliably stops the bleeding. Risk of malignancy in a post-menopausal polyp is around 3-5%, so removal also serves a diagnostic purpose.
When this is relevant
- Heavy or prolonged periods, particularly in your 40s and 50s.
- Bleeding between periods or after intercourse.
- Post-menopausal bleeding (always requires assessment).
- Difficulty conceiving or recurrent miscarriage when a polyp distorts the cavity.
- Polyp seen on ultrasound that is symptomatic, >1cm, or post-menopausal.
How we investigate
Transvaginal pelvic ultrasound, outpatient diagnostic hysteroscopy to confirm and characterise the polyp, histology of the removed specimen.
Options at The Vesey
- See-and-treat outpatient hysteroscopic polypectomy - local-only, no GA, same-day discharge.
- Day-case hysteroscopy under GA - for larger polyps, anxious patients or where local has failed.
- Watchful waiting - reasonable for small asymptomatic polyps in premenopausal women.
- Concurrent Mirena IUS - frequently fitted at the same time to reduce future bleeding.
- Onward gynae-oncology referral - direct pathway in the rare case of malignant histology.
Will removing a polyp stop my abnormal bleeding? +
Yes — outpatient hysteroscopic polypectomy resolves abnormal bleeding in the majority of women, typically within the next menstrual cycle.
Are endometrial polyps cancerous? +
Most are benign. The risk of malignancy is around 1–3% in premenopausal women and 3–5% in postmenopausal women, which is why removal and histology are always recommended.
How long does hysteroscopic polypectomy take? +
The outpatient procedure usually takes 15–25 minutes under local anaesthetic. You attend, have the polyp removed, and go home the same day.
Can polyps come back after removal? +
Yes — recurrence rates are around 15–25% over five years. A Mirena IUS fitted at the time of removal reduces the risk of recurrence and is often recommended.
Pricing at a glance
Initial consultation £260 · Outpatient hysteroscopic polypectomy from £1,650 all-inclusive · Day-case under GA on individual quotation. Insurance accepted: BUPA, Vitality, AXA, WPA, Cigna, Aviva, Healix.
Book an appointment
When to book
Book if you have a polyp on ultrasound, post-menopausal bleeding, intermenstrual bleeding lasting more than two cycles, or recurrent miscarriage where a polyp may be contributing.
Cost and pathway
Initial consultation £260. Outpatient hysteroscopic polypectomy from £1,650 all-inclusive. Day-case under GA on individual quotation.
- Open 7 days including Sundays — 8am to 8pm, no weekend surcharge
- No GP referral required — book directly with our gynaecology team
- Sutton Coldfield location — serving Birmingham, Walsall, Tamworth, Lichfield and the West Midlands
- CQC-regulated — rated 4.87/5 on Doctify from 700+ verified reviews
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Sutton Coldfield · Birmingham · Walsall · Tamworth · Lichfield · West Midlands · Open 7 days 8am–8pm
Open 7 days · 8am–8pm · 0121 387 3727