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Gynaecology · UK

Polyp removal + MyoSure - seen, removed, analysed.

Uterine polyps removed under direct vision - often diagnosed and treated in a single outpatient visit, no cuts and no overnight stay. A consultant gynaecologist, the MyoSure device, and every specimen to the lab with the result explained.

See indicative pricing
A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Indicative pricing

What private polyp removal costs in the UK.

Indicative ranges across our partner gynaecology units.

In short

£1,800–£3,200, home within the hour.

Procedure Indicative range
Outpatient hysteroscopy with polypectomy (see-and-treat) £1,800–£3,200
MyoSure polyp removal under general anaesthetic £2,800–£4,800
MyoSure resection of small fibroid (submucosal) £3,500–£6,000
Diagnostic hysteroscopy only £1,200–£2,200
Pelvic / saline-infusion ultrasound £200–£400
Endometrial biopsy (with hysteroscopy) £250–£500
Gynaecology consultation only £200–£350

Prices vary by hospital, by consultant and by route - outpatient see-and-treat is markedly cheaper than a general-anaesthetic list, and histology is usually included but worth confirming.

The problem

One visit where possible, tissue always analysed, and no months of waiting.

Polyp care commonly fails in three ways - separate visits for diagnosis and treatment, blind procedures that miss the target, and long waits while abnormal bleeding continues. We fix all three.

  • See and treat, in one visit

    Where the scan and your preference allow, the hysteroscopy that finds the polyp removes it in the same outpatient appointment.

  • Under vision, never blind

    MyoSure removes tissue the surgeon can see, completely, and preserves it for the lab - the standard blind curettage never met.

  • Weeks matter with bleeding

    Abnormal bleeding - especially after menopause - deserves diagnosis in days and treatment in weeks. Our pathways are built to that clock.

When it helps

When polyp removal is the right step.

The situations we see most, plus the one red flag that means an urgent pathway rather than a routine booking.

  • Bleeding between periods

    Intermenstrual bleeding is the classic polyp symptom - a fleshy overgrowth of the womb lining that bleeds unpredictably.

  • Heavy or prolonged periods

    Polyps and small submucosal fibroids both distort the cavity and drive heavy bleeding - and both are MyoSure territory.

  • Bleeding after menopause

    Any postmenopausal bleeding needs prompt assessment. Polyps are a common, benign cause - but tissue diagnosis is non-negotiable at this age.

  • A polyp found on a scan

    Often discovered incidentally during fertility work-ups or pelvic imaging. Size, symptoms and menopause status decide between removal and surveillance.

  • Fertility and IVF preparation

    Polyps can hinder embryo implantation. Removal before IVF is standard practice and is associated with better pregnancy rates.

  • Bleeding on HRT or tamoxifen

    Unscheduled bleeding on HRT, or polyps arising on tamoxifen, both warrant hysteroscopic assessment and usually removal.

  • Recurrent polyps

    Polyps that return after removal - worth excluding under direct vision and discussing hormonal strategies to reduce recurrence.

  • Red flag: heavy postmenopausal bleeding

    Heavy or persistent bleeding after menopause needs a two-week-wait pathway with imaging and biopsy - urgent assessment, not a routine polyp booking. We route you the same week.

Procedure options

Route and setting both depend on the polyp - and on you.

What each option involves - awake see-and-treat, MyoSure under anaesthetic, biopsy alongside, and when surveillance is the honest answer.

  • Diagnostic hysteroscopy

    A slim camera through the cervix gives a direct view of the cavity - the gold standard for confirming a polyp seen (or suspected) on ultrasound.

  • See-and-treat polypectomy

    Diagnosis and removal in a single outpatient visit, awake, with local anaesthetic if needed. No cuts, no general anaesthetic, home within the hour.

  • MyoSure tissue removal

    A hysteroscopic morcellator that shaves and suctions the polyp in one pass under direct vision - no electrical energy inside the cavity, tissue preserved for histology.

  • MyoSure for small fibroids

    The same device resects submucosal fibroids up to about 3–4 cm - often the real culprit behind heavy bleeding attributed to a polyp.

  • Polypectomy under general anaesthetic

    For larger polyps, multiple polyps, a tight cervix, or simply by preference. Day-case, 20–40 minutes, same-day discharge.

  • Endometrial biopsy alongside

    A lining sample taken at the same sitting where cancer risk needs excluding - standard with postmenopausal bleeding.

  • Blind curettage (D&C) - largely superseded

    The old approach removed tissue without seeing it and missed polyps.

  • Surveillance for small, silent polyps

    Small asymptomatic polyps in premenopausal women sometimes regress. Watchful waiting with a repeat scan is a legitimate option - we say so when it fits.

Safety and recovery

What to expect afterwards - honestly.

Hysteroscopic polyp removal is a quick, safe procedure. The things worth planning are the route (awake or asleep), the histology wait, and knowing which symptoms warrant an early call.

  • A low-risk, no-incision procedure

    Hysteroscopic polypectomy is among the safest gynaecological procedures - no cuts, day-case or outpatient, and most women back to normal within a day or two.

  • Cramping and spotting are expected

    Period-like cramps for a day or so and light spotting for up to a week are normal. Simple analgesia covers it; use pads rather than tampons while spotting.

  • Uterine perforation is rare

    The instrument can make a small hole in the uterine wall in roughly 1 in 500 procedures. Most heal with observation alone; the team is set up to recognise and manage it.

  • Infection is uncommon

    Pelvic infection follows in under 1 percent. Increasing pain, offensive discharge or fever in the days afterwards needs a same-day call, not the routine review.

  • Outpatient discomfort varies

    Most women describe strong period cramp during an awake procedure.

  • Histology takes 2–4 weeks

    The overwhelming majority of polyps are benign. A small percentage - mainly after menopause - show atypical or malignant change, which is precisely why tissue always goes to the lab.

  • Fertility usually benefits

    Removing polyps improves bleeding and is associated with better conception and IVF outcomes. Most fertility clinics ask for one clear cycle before treatment resumes.

  • Recurrence is possible

    New polyps form in roughly 10–15 percent of women over the following years - more often on tamoxifen. New bleeding warrants a fresh look, not assumption.

  • Red flags after the procedure

    Heavy bleeding soaking pads hourly, severe pain not settling with analgesia, fever or offensive discharge needs the same-day team or A&E, not a routine call.

Reading your procedure note

Your procedure note in four parts. Read the last one first.

Whether your polyp was removed awake in clinic or under anaesthetic, the note the gynaecologist sends keeps to the same shape.

A UK consultant gynaecologist reviewing a patient’s hysteroscopy notes

A quiet reminder

Histology reports use careful, technical language - we translate them for you.

If you would like us to talk you through the procedure note and the histology result before your review, just ask.

  1. 01 Header

    Indication, findings and technique

    Why the hysteroscopy was done, what the cavity looked like, the size and position of the polyp, and whether MyoSure or another instrument removed it.

  2. 02 Technique

    Completeness and any extras

    Confirmation the polyp was fully removed under vision, whether an endometrial biopsy was taken, and any incidental findings - fibroids, adhesions, lining appearance.

  3. 03 Findings

    Histology result

    The pathologist’s verdict on the removed tissue - benign polyp in the great majority, with hyperplasia or atypia flagged clearly where found.

  4. 04 Impression

    What happens next

    Read this first: whether any further treatment or surveillance is needed, when bleeding should settle, when fertility treatment can resume, and the symptoms that warrant an early return.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Hysteroscopy and polyp removal are usually covered when investigating abnormal bleeding. Removal purely ahead of fertility treatment may fall outside some policies.

Frequently asked

Everything we get asked about polyp removal.

Quick answers on MyoSure, pain, cancer risk, fertility, cost and recovery.

  • What is MyoSure and how does it remove polyps?

    MyoSure is a hysteroscopic tissue-removal system: a slim device passed through the cervix alongside a camera, which shaves and suctions the polyp under direct vision in a single pass. There are no cuts, no electrical energy inside the womb, and the removed tissue is collected intact for laboratory analysis. It has largely replaced older blind curettage because the surgeon sees exactly what is removed.

  • Is polyp removal painful?

    As an outpatient see-and-treat procedure, most women describe strong period-like cramping for a few minutes, helped by simple painkillers taken an hour before and local anaesthetic to the cervix if needed. Some women feel very little; a minority find it too uncomfortable, and the procedure simply converts to a short general anaesthetic on another day. Under general anaesthetic, you feel nothing and go home the same day.

  • How much does private polyp removal cost in the UK?

    Outpatient see-and-treat hysteroscopic polypectomy typically costs £1,800–£3,200. MyoSure removal under general anaesthetic runs £2,800–£4,800, and MyoSure resection of a small submucosal fibroid £3,500–£6,000. Diagnostic hysteroscopy alone is £1,200–£2,200.

  • Can uterine polyps be cancerous?

    The great majority are benign. Malignant or premalignant change is found in roughly 1–3 percent of removed polyps overall - uncommon before menopause and more likely after it, particularly with postmenopausal bleeding. This is why symptomatic polyps, and any polyp found after menopause, are generally removed and always sent for histology rather than watched indefinitely.

  • Should I have a polyp removed before IVF?

    Usually, yes. Polyps sit in the cavity where an embryo needs to implant, and studies associate their removal with improved pregnancy rates in fertility treatment - most fertility units ask for polyps to be removed before embryo transfer. Hysteroscopic removal is quick, preserves the lining, and most clinics are happy to proceed with IVF after one clear cycle.

  • What is recovery like, and can I get this on the NHS?

    Recovery is quick - most women return to work the next day after an outpatient procedure, with cramping for a day and spotting for up to a week. Avoid tampons, swimming and intercourse until spotting stops. The NHS does treat polyps, especially with postmenopausal bleeding (via the urgent pathway), but routine cases can wait months for hysteroscopy; going privately mainly buys speed, a see-and-treat single visit, and your choice of consultant.

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