Endometrial polyp - to remove or not?

Question

Hello, based on an ultrasound scan, my gynae said that I have endometrial polyp. I am currently trying to conceive to have 2nd child and now I have to make a decision as to whether to have the polyp removed or not. According to my gynae, the polyp could make it difficult to conceive and could result in a miscarriage if conceive. But at the same time, he said that there is less than 1% chance of being cancerous. I am still undecided whether to have it removed or not but i am leaning towards having it removed as I think it is better than having to worry if I were to conceive while the polyp is still there. I am also wondering if it is accurate to conclude that it is polyp based on the scan. Has anyone had this experience before or what do you think I should do?

Bhushan Kumar · Answer

Oh, I totally understand the dilemma, but honestly, if you're trying to conceive, most mums I know who've been through this say removing it was the right call, because polyps can genuinely interfere with implantation and some doctors feel quite strongly that it's better to have a clean uterine environment before trying again. The procedure itself is hysteroscopic (they go in without any cuts), usually done under sedation, and my neighbour said recovery was pretty manageable, just some mild cramping and tightness in the lower abdomen for about a week or so. Cost-wise, do check your insurance carefully as it can run into the thousands, so it's good to be prepared for that. On the accuracy of diagnosing via ultrasound alone, it's worth asking your gynae if a more detailed scan or a scope is needed to confirm before you decide. Definitely have a proper chat with your specialist about your specific situation, they'll be best placed to weigh the risks and timing for you!