A uterine polyp is a soft, fleshy overgrowth arising from the inner lining of the uterus — the endometrium. It is attached to the uterine wall by either a stalk (pedunculated) or a broad base (sessile) and projects into the uterine cavity. Uterine polyps — also called endometrial polyps — are among the most common and consistently under-diagnosed structural causes of both abnormal uterine bleeding and unexplained infertility in women of reproductive age.
For women in Kolkata who are trying to conceive, the significance of a uterine polyp lies in where it sits: inside the uterine cavity, in the very space where an embryo needs to implant and develop. A polyp in this location does not need to be large to cause a problem. Even a small endometrial polyp — one that may not be visible on a standard transvaginal ultrasound — can prevent implantation, disrupt early embryo development, and contribute to cycle-after-cycle IVF failure, all without producing any symptoms that a woman would recognise as significant.
This is what makes endometrial polyp and fertility in Kolkata such an important and frequently missed clinical intersection. Uterine polyp treatment in Kolkata — through hysteroscopic polypectomy, a simple, minimally invasive procedure — is one of the most targeted and evidence-backed fertility-enhancing interventions available. And yet it is one of the most frequently deferred or overlooked steps in the investigation of women who have been trying to conceive for months or years without success.
At Ankur Fertility Clinic, evaluation of the uterine cavity for polyps is a standard and non-negotiable step in the fertility workup for women who have not yet conceived — particularly for those planning IVF — because the cost of missing a treatable polyp is measured not in money, but in cycles, in months, and in unnecessary disappointment.
Uterine polyps vary in their size, shape, location, and clinical significance. Understanding these variations is important for planning the right approach to uterine polyp treatment in Kolkata.
Type | Location / Description | Typical Symptoms | Fertility Impact |
Endometrial Polyp (Pedunculated) | Grows on a stalk from the uterine lining into the cavity | Spotting, irregular bleeding, heavy periods | High — disrupts implantation site |
Endometrial Polyp (Sessile) | Broad-based attachment to the uterine wall | Often asymptomatic or heavy bleeding | High — particularly if near tubal openings |
Fundal / Cornual Polyp | Located at the top or corners of the uterine cavity | May be silent; found on investigation | Very high — physically blocks tubal opening |
Cervical Polyp | Arises from the cervical canal; may protrude into vagina | Postcoital bleeding, intermenstrual spotting | Moderate — can obstruct sperm entry |
Multiple Polyps | Two or more polyps anywhere in the uterine cavity | Variable; often heavier bleeding | High — cumulative disruption of endometrial surface |
The exact mechanism behind uterine polyp formation is not fully understood, but oestrogen is the primary driver. Uterine polyps develop when localised areas of the endometrium respond to oestrogen stimulation with excessive focal overgrowth — rather than the uniform growth and shedding of a normal menstrual cycle. Factors associated with increased risk include:
Understanding the likely underlying driver of uterine polyp formation in each patient is part of the clinical assessment for uterine polyp treatment in Kolkata at Ankur Fertility Clinic — because addressing contributing factors alongside polyp removal helps reduce the risk of recurrence.
One of the most clinically important facts about uterine polyps is that they are frequently asymptomatic — particularly the smaller polyps that are, paradoxically, the most likely to be missed on standard ultrasound and the most likely to be silently undermining IVF outcomes. When symptoms are present, they may include:
It is important to be explicit about this: a woman can have a uterine polyp that is significantly affecting her fertility while experiencing no bleeding symptoms at all. The absence of spotting or intermenstrual bleeding does not exclude an endometrial polyp. This is why cavity assessment — through sonohysterography or hysteroscopy — and not symptom-based assessment alone, is the standard of care for uterine polyp diagnosis in any fertility evaluation.
Not all diagnostic methods are equally effective at identifying endometrial polyps — and the choice of investigation has direct consequences for whether a polyp is found or missed. This is one of the most clinically important aspects of uterine polyp treatment in Kolkata.
Method | Polyp Detection Rate | What It Shows | Therapeutic? |
Standard Transvaginal Ultrasound (TVS) | Moderate — misses small polyps | Uterine size, endometrial thickness, gross lesions | No |
Sonohysterography (SIS / Saline Infusion) | High — detects polyps missed on TVS | Intrauterine contour, polyp number, size, position | No |
Hysteroscopy | Highest — gold standard | Direct visualisation of entire uterine cavity | Yes — polyps removed in same procedure |
MRI Pelvis | Low for small polyps | Useful for adenomyosis, large lesions | No |
Standard transvaginal ultrasound — the investigation most commonly performed in a routine gynaecological or fertility evaluation — has a moderate detection rate for endometrial polyps. It can identify thickened endometrium, grossly abnormal uterine contour, and larger polyps. However, it frequently misses smaller polyps, particularly those that are flat or located in the corners of the uterine cavity near the tubal openings. A normal transvaginal ultrasound does not exclude the presence of an endometrial polyp.
Sonohysterography (saline infusion sonography, SIS) — in which a small amount of saline is introduced into the uterine cavity before ultrasound imaging — significantly improves polyp detection by distending the cavity and outlining the internal contour. It is a simple, well-tolerated, outpatient procedure that substantially increases the chance of identifying polyps that would be missed on standard ultrasound.
Hysteroscopy is the gold standard for uterine polyp diagnosis. It is the only method that provides direct, real-time visual assessment of the entire uterine cavity — and crucially, it is simultaneously therapeutic. Polyps identified during hysteroscopy can be removed in the same procedure under direct vision. For women planning IVF or investigating recurrent implantation failure, hysteroscopy provides the most complete and actionable information available about the endometrial polyp and fertility picture in Kolkata.
When a uterine polyp is identified, the recommended treatment for women who are trying to conceive is hysteroscopic polypectomy — the surgical removal of the polyp under direct hysteroscopic vision. This is a straightforward, minimally invasive procedure with a rapid recovery and excellent evidence for improving fertility outcomes. The polyp tissue is sent for histological examination after removal to confirm its benign nature.
Following polypectomy, the uterine cavity returns to a normal, undisrupted endometrial surface — typically within one to two menstrual cycles. Fertility treatment can then be planned on the foundation of an optimised uterine environment, giving the next conception attempt or IVF cycle the best possible chance of success.
Hysteroscopic polypectomy is a safe and well-tolerated procedure with a very low risk of significant complications. Patients may experience:
Most patients resume normal daily activities within 24 to 48 hours of hysteroscopic polypectomy. The procedure is performed under mild sedation or local anaesthesia, and the vast majority of patients return home the same day. At Ankur Fertility Clinic, every patient undergoing hysteroscopic polypectomy receives full pre-procedure counselling on what to expect, and is supported through the recovery period with clear post-procedure guidance.
Uterine polyps can recur after hysteroscopic polypectomy. Recurrence rates vary but are estimated at approximately 15 to 30 per cent over several years — with higher rates in women who have multiple polyps, underlying oestrogen excess, or contributing risk factors such as PCOS or tamoxifen use. For women who conceive and complete their family after polypectomy, the hormonal changes of pregnancy provide a natural period of relative protection against recurrence. For women who do not achieve pregnancy immediately after polypectomy, regular follow-up ultrasound assessment is recommended as part of the ongoing endometrial polyp and fertility management plan in Kolkata.
A uterine polyp may seem like a minor finding — particularly when it is small and producing no obvious symptoms. But for a woman who is trying to conceive, a polyp inside the uterine cavity is an obstacle in exactly the place where it matters most. The endometrial surface on which a polyp sits is the same surface on which an embryo needs to implant and anchor a pregnancy. An undisrupted, receptive endometrium is not a detail of fertility — it is a requirement. And a polyp, however small, disrupts it.
The clinical case for uterine polyp treatment in Kolkata before fertility treatment — and specifically before IVF — is built on a substantial and consistent body of evidence. Hysteroscopic polypectomy improves both natural conception rates and IVF success rates. The improvement is most pronounced in women with polyps that are distorting or occupying the uterine cavity — but even smaller polyps are associated with impaired implantation, and their removal is consistently associated with better outcomes.
The endometrium at the site of a polyp does not behave like normal endometrial tissue. It does not undergo the same synchronised hormonal preparation for implantation that the surrounding lining does. An embryo attempting to implant on or near a polyp encounters an endometrial environment that is structurally and biochemically abnormal — reducing the probability of successful implantation. This mechanism explains why polyp removal consistently improves implantation rates, even when the polyp appears small or clinically insignificant on imaging.
Polyps located near the tubal openings at the corners (cornua) of the uterine cavity can physically obstruct sperm passage into the fallopian tubes. In these cases, the polyp is not simply disrupting implantation — it is preventing the sperm and egg from meeting in the first place. Cornual polyps are particularly relevant to unexplained infertility in women who appear to have normal ovulation, normal sperm parameters, and open fallopian tubes on HSG — because they are exactly the finding that standard investigations may miss.
Endometrial polyps alter the local inflammatory environment of the uterine cavity. They are associated with elevated levels of certain inflammatory mediators and altered expression of implantation-related factors in the surrounding endometrium. This chronic low-grade uterine inflammation may contribute to implantation failure and early embryo loss — even in cycles where the embryo itself is chromosomally normal and of good quality.
The evidence for the impact of endometrial polyps on IVF outcomes is consistent and clinically significant. Studies have shown that the presence of an untreated endometrial polyp at the time of embryo transfer is associated with substantially reduced implantation and clinical pregnancy rates compared to cycles where the cavity has been assessed and cleared. For women who have experienced recurrent IVF failure — particularly where embryo quality has been good — an undetected uterine polyp is one of the first causes to investigate and exclude as part of the management of endometrial polyp and fertility in Kolkata.
Uterine polyps are associated with an increased risk of early miscarriage. Where implantation does occur in the presence of a polyp, the abnormal endometrial environment at and around the polyp may not provide adequate structural and biochemical support for early pregnancy development. For women who have experienced repeated early pregnancy losses alongside irregular bleeding or spotting — and have not had a hysteroscopic assessment — polyp exclusion is a clinically important step.
Uterine polyp treatment in Kolkata is recommended — or strongly worth considering — for women who:
The threshold for uterine cavity assessment at Ankur Fertility Clinic is deliberately low — because the cost of the investigation is modest, the procedure is safe and well-tolerated, and the cost of missing a treatable polyp is measured in failed cycles, months of delay, and the emotional toll that comes with unexplained disappointment.
Preparation for uterine polyp assessment is straightforward. Whether the first investigation is sonohysterography or diagnostic hysteroscopy, the preparation is minimal and clearly communicated.
At Ankur Fertility Clinic, every patient receives clear, written pre-procedure preparation guidance well in advance of the appointment — so that there is no uncertainty about what to do, what to avoid, and what to expect on the day of the procedure.
The clinical journey from suspicion of a uterine polyp through diagnosis, removal, recovery, and fertility treatment planning is well-defined, efficiently managed, and — at Ankur Fertility Clinic — explicitly oriented toward the patient’s fertility goals at every stage.
The first step in uterine polyp treatment in Kolkata is recognising when a polyp may be present and ensuring the right investigation is selected to find it reliably. This begins with a careful clinical history — including the pattern of any bleeding, the duration of infertility, the history of any previous fertility investigations or treatments, and the results of any previous ultrasound assessments.
For women with intermenstrual spotting, postcoital bleeding, a history of recurrent IVF failure, unexplained infertility, or PCOS — any of which raise the clinical suspicion of an endometrial polyp — the index of suspicion is discussed explicitly at the first consultation. The patient is advised that a cavity assessment is warranted, what the options are, and why standard ultrasound alone is insufficient to exclude a polyp reliably.
This clinical honesty — about the limitations of the investigations that have or have not yet been performed — is foundational to the diagnostic approach to endometrial polyp and fertility in Kolkata at Ankur Fertility Clinic. Many women who come to the clinic have had multiple ultrasounds that have not identified a polyp. That does not mean a polyp is not there — it means it has not yet been looked for with the right tool.
Based on the clinical history and the degree of suspicion, targeted cavity assessment is arranged. The choice between sonohysterography and immediate hysteroscopy depends on the clinical picture:
Sonohysterography at Ankur Fertility Clinic is performed with a slow, careful technique that prioritises patient comfort alongside diagnostic precision. The entire procedure typically takes 10 to 15 minutes in the outpatient setting, and the results are discussed with the patient immediately after the scan — because waiting days for a written report when the clinical question is “is there a polyp?” is not the standard here.
Hysteroscopic polypectomy is the definitive treatment for uterine polyps in women who are trying to conceive. It is performed using a hysteroscope — a thin, telescope-like instrument that is passed through the cervix into the uterine cavity under direct vision. The uterine cavity is distended with a clear fluid medium that improves visualisation, and the polyp is removed using a resectoscope loop, mechanical morcellator, or grasping forceps depending on the size, number, and accessibility of the polyps.
The procedure is performed under mild sedation or local anaesthesia, takes 20 to 45 minutes depending on complexity, and allows same-day discharge in almost all cases. Every polyp removed at Ankur Fertility Clinic is sent for histological analysis — confirming the benign nature of the tissue and providing the complete clinical picture that responsible uterine polyp treatment in Kolkata requires.
Operative hysteroscopy at Ankur Fertility Clinic is performed by an experienced hysteroscopist using a technique that is:
Following hysteroscopic polypectomy, the uterine cavity undergoes a normal healing process. Most patients experience:
The endometrium regenerates over the subsequent one to two menstrual cycles, and the uterine cavity returns to its normal, undisrupted architecture. A follow-up assessment — typically a repeat ultrasound or sonohysterography at the next appropriate cycle — may be recommended to confirm complete healing before fertility treatment begins, particularly where multiple polyps were removed or the procedure was more complex.
Once the uterine cavity has healed following polypectomy, fertility treatment planning proceeds on the foundation of an endometrial environment that has been assessed, treated, and confirmed clear. This is the clinical state in which conception is most achievable — and in which an IVF embryo transfer has the best possible chance of resulting in successful implantation.
The fertility treatment approach following uterine polyp removal at Ankur Fertility Clinic is determined by the complete fertility evaluation — not just the polyp finding in isolation:
For women who are mid-IVF treatment when a polyp is identified — for example, during the preparation phase of a frozen embryo transfer cycle — the standard recommendation at Ankur Fertility Clinic is to address the polyp before proceeding with the transfer. Transferring an embryo into a cavity with a known untreated polyp is not an approach that evidence supports, and it is not the standard at Ankur.
The clinical evidence for the fertility benefit of hysteroscopic polypectomy is among the strongest in the field of uterine factor management. Multiple randomised controlled trials and systematic reviews demonstrate that hysteroscopic removal of endometrial polyps significantly improves IVF pregnancy rates compared to leaving polyps in place. The improvement in pregnancy rates following polypectomy in women planning IVF is estimated at between 30 to 60 per cent in various published studies — making it one of the highest-yield, lowest-risk interventions in fertility medicine.
For natural conception, several studies have also shown higher spontaneous pregnancy rates in the months following hysteroscopic polypectomy compared to expectant management — particularly in women with unexplained infertility where the polyp was the only identifiable abnormality.
The key clinical lesson from this evidence is clear: if a polyp is present and the uterine cavity has not been assessed and treated, there is a meaningful, modifiable factor working against conception. At Ankur Fertility Clinic, that factor is identified and addressed — consistently and systematically.
For women who have been trying to conceive for months or years — who have been through investigation after investigation, treatment after treatment — being told that there is a small polyp in the uterine cavity can produce two very different reactions. For some, it is a relief: a clear finding, a simple solution, the possibility that this was the reason all along. For others, it arrives on top of accumulated disappointment with a specific kind of frustration: why was this not found before?
At Ankur Fertility Clinic, both of these responses are understood — and neither is dismissed. The relief is genuine, and the frustration is valid. What matters at this point is that the polyp has been found, that it can be treated effectively, and that the path forward is now clearer than it was before.
The clinical team at Ankur does not minimise the significance of a uterine polyp in a woman who is trying to conceive — regardless of its size. They do not recommend “watch and wait” as the default response to a finding in a woman for whom waiting already carries a cost. They recommend what the evidence supports: assessment, confirmation, removal, recovery, and a fertility treatment plan that is now built on a foundation that has been properly prepared.
One of the most consistent observations at Ankur Fertility Clinic is the number of women who arrive having undergone multiple fertility investigations and treatments — including one or more IVF cycles — without ever having had a formal hysteroscopic assessment of the uterine cavity. This is not a criticism of the care they have received elsewhere. It is a clinical observation about a gap that exists in many fertility workups, and one that Ankur Fertility Clinic addresses as a matter of standard practice.
For any woman planning IVF at Ankur Fertility Clinic who has not had a recent and complete cavity assessment, the question of hysteroscopy — or at minimum sonohysterography — is asked and answered before the stimulation cycle begins. Because beginning a stimulation cycle and proceeding to embryo transfer without knowing the state of the uterine cavity is preparing a laboratory-perfect embryo for a space that has not yet been confirmed to be ready for it.
This is not overcaution. It is evidence-based, fertility-focused clinical practice — and it is one of the most meaningful things Ankur Fertility Clinic does for women who are investing their time, their hope, and their resources in an IVF cycle.
At Ankur Fertility Clinic, the complete pathway for uterine polyp treatment in Kolkata is available in-house — from the initial suspicion through targeted cavity assessment, hysteroscopic polypectomy, histological confirmation, and the fertility treatment planning that follows:
The availability of this complete pathway under one roof means that the journey from “possible polyp” to “clear cavity, fertility treatment planned” does not involve multiple external referrals, weeks of waiting, or gaps in clinical communication. It is managed, continuously, by the same team — with the same knowledge of the patient’s complete history and the same focus on her fertility goal.
Effective uterine polyp management requires a specialist who understands both the technical demands of hysteroscopy and the fertility implications of what is found. Ankur Fertility Clinic is led by Dr. Suparna Banerjee, a highly experienced gynaecologist and infertility specialist with more than two decades of dedicated expertise in reproductive medicine.
Over 21 years, Dr. Banerjee has performed and interpreted hundreds of hysteroscopic procedures as part of integrated fertility evaluations — developing the clinical expertise and interpretive precision that makes the difference between a hysteroscopy that finds and treats what needs to be found, and one that is technically adequate but clinically incomplete. Her consistent approach of assessing the uterine cavity as a standard — not optional — component of fertility evaluation has directly contributed to positive outcomes for women who had previously undergone fertility treatment without cavity assessment.
For women seeking uterine polyp treatment in Kolkata, the availability of diagnostic and operative hysteroscopy within the same clinic as their fertility treatment is a significant practical and clinical advantage. At Ankur Fertility Clinic, both sonohysterography and hysteroscopy — diagnostic and operative — are performed in-house by an experienced clinical team.
This means that a woman who comes to Ankur with suspected endometrial polyps does not need a separate referral, a separate clinic, or a separate surgical facility to have her cavity assessed and treated. The diagnostic question is answered here. The polyp is removed here. The follow-up is managed here. And the fertility treatment that follows is planned here — with complete continuity of knowledge, care, and clinical commitment.
One of the most important clinical commitments at Ankur Fertility Clinic is the consistent application of uterine cavity assessment before IVF. This is not universally practised — and the clinical consequences of that gap are well-documented in the fertility literature. At Ankur, cavity assessment before embryo transfer is a non-negotiable standard of the IVF preparation protocol.
For women who have had previous IVF cycles without cavity assessment, this standard — applied for the first time at Ankur — frequently identifies a polyp that explains a history of unexplained failure. The clinical impact of finding and removing that polyp before the next transfer is, in many cases, the clinical pivot point that makes the difference between another failed cycle and a successful pregnancy.
At Ankur Fertility Clinic, uterine polyp treatment in Kolkata is never managed as a standalone gynaecological procedure disconnected from the broader fertility strategy. Every recommendation — about whether to investigate, when, with what tool, and how to sequence the polypectomy relative to fertility treatment — is made in the context of the patient’s complete fertility picture, her IVF timeline if one is planned, and her personal priorities and circumstances.
For some patients, this means organising polypectomy promptly so that the IVF cycle is delayed by the minimum time necessary. For others, it means scheduling the procedure to align with the optimal cycle timing for cavity healing and fertility treatment re-entry. For patients who are already mid-fertility-treatment when a polyp is identified, it means having an honest conversation about the evidence and making a shared decision about whether to proceed or treat first.
When a uterine polyp is identified at Ankur Fertility Clinic, the patient receives a complete, clear explanation of what has been found — including its likely location and size, how it was identified and why previous investigations may not have detected it, what the clinical implications are for her fertility specifically, what the options for treatment are, and what the evidence says about outcomes following treatment.
Patients do not leave a polyp diagnosis consultation at Ankur with a vague instruction to “come back for a procedure.” They leave with a clear understanding of why the polyp matters, exactly what the hysteroscopic polypectomy involves, what the recovery looks like, what fertility treatment follows, and what their realistic expectations should be — based on their individual clinical picture.
Ankur Fertility Clinic provides the full continuum of fertility care under one roof — ensuring that every step from uterine polyp identification through treatment and fertility planning is seamlessly connected. Services include:
Ankur Fertility Clinic consistently receives strong patient reviews and high ratings (~4.7), reflecting the quality of clinical care, the standard of communication, and the outcomes achieved for patients — including those for whom a previously undetected uterine polyp was identified and successfully treated as part of a fertility evaluation at Ankur. For women who have experienced unexplained IVF failure or prolonged unexplained infertility, the clinical rigour that Ankur brings to uterine cavity assessment is frequently cited as the difference-making step in their care.
Located in New Alipore, Kolkata, Ankur Fertility Clinic is easily accessible to patients from across the city and surrounding areas of West Bengal. For women attending for sonohysterography, hysteroscopy, polypectomy, post-procedure follow-up, and fertility treatment planning, the clinic’s well-connected location ensures that the practical logistics of care are as straightforward as possible — so that the focus can remain where it belongs: on the clinical journey ahead.
Answers from the specialists at Ankur Fertility Clinic
A. A uterine polyp — also called an endometrial polyp — is a soft, fleshy overgrowth of the endometrial lining that protrudes into the uterine cavity. It is attached to the uterine wall by either a stalk (pedunculated) or a broad base (sessile) and can range from a few millimetres to several centimetres in size. Uterine polyps are almost always benign in women of reproductive age and are one of the most common structural causes of both irregular bleeding and unexplained infertility. Uterine polyp treatment in Kolkata through hysteroscopic polypectomy is a safe, effective, and fertility-enhancing procedure.
A. Yes — uterine polyps can directly impair fertility in several ways. A polyp inside the uterine cavity disrupts the endometrial surface on which an embryo needs to implant, alters the local inflammatory environment, and may physically obstruct sperm passage if located near the tubal openings. Even a small polyp that produces no symptoms can prevent implantation and contribute to IVF failure or early miscarriage. The evidence consistently shows that hysteroscopic polypectomy — as part of a comprehensive approach to endometrial polyp and fertility in Kolkata — significantly improves pregnancy rates.
A. Uterine polyps frequently cause no symptoms at all — which is why they are commonly missed in women who have not had a formal cavity assessment. When symptoms are present, the most common include intermenstrual spotting (light bleeding between periods), postcoital bleeding (after intercourse), heavier than usual periods, and irregular menstrual cycles. However, many women with endometrial polyps have entirely regular periods with no bleeding abnormality. The absence of symptoms does not exclude the presence of a fertility-relevant polyp.
A. The gold standard for uterine polyp diagnosis is hysteroscopy — direct visualisation of the uterine cavity. Sonohysterography (saline infusion sonography / SIS) is the best non-invasive method and detects polyps that are missed on standard transvaginal ultrasound. Standard transvaginal ultrasound alone has a moderate detection rate and regularly misses smaller polyps. For women who are investigating unexplained infertility, recurrent IVF failure, or unexplained bleeding, a cavity assessment by sonohysterography or hysteroscopy is essential — a normal standard ultrasound does not exclude an endometrial polyp.
A. Hysteroscopic polypectomy is the surgical removal of a uterine polyp under direct hysteroscopic vision. A thin telescope is passed through the cervix into the uterine cavity, allowing the surgeon to see the polyp clearly and remove it precisely without disturbing the surrounding healthy endometrium. It is a minimally invasive, outpatient procedure performed under mild sedation or local anaesthesia. Hysteroscopic polypectomy in Kolkata at Ankur Fertility Clinic is the standard of care for treating uterine polyps in women of reproductive age who are trying to conceive.
A. Yes — the clinical evidence is consistent and clinically significant. Multiple studies demonstrate that hysteroscopic polypectomy before IVF substantially improves implantation rates and clinical pregnancy rates. The improvement is estimated at between 30 to 60 per cent across published studies. For women who have experienced recurrent IVF implantation failure with good-quality embryos, an undetected endometrial polyp is one of the first treatable causes to identify and exclude. Uterine polyp removal before IVF in Kolkata is one of the highest-value, lowest-risk pre-IVF optimisation steps available.
A.No. Uterine polyps and fibroids are different types of growth — they arise from different tissues, behave differently, and require different management approaches. Endometrial polyps arise from the glandular tissue of the uterine lining and are typically small, soft, and benign. Fibroids (leiomyomas) arise from the muscular wall of the uterus, tend to be firmer and larger, and have a different clinical presentation and treatment pathway. Both can affect fertility, but the mechanisms are different and so is the treatment.
A. Hysteroscopic polypectomy is performed under sedation or local anaesthesia, and patients do not experience pain during the procedure itself. After the procedure, mild cramping similar to menstrual pain is common for 24 to 48 hours and is managed with standard pain relief. Most patients describe the recovery as straightforward. At Ankur Fertility Clinic, patient comfort is prioritised throughout every stage of hysteroscopic polypectomy in Kolkata — from preparation and procedure to post-operative recovery and guidance.
A. Most fertility specialists recommend waiting one to two menstrual cycles after hysteroscopic polypectomy before attempting natural conception or proceeding with IVF embryo transfer. This allows the endometrium to regenerate fully and the uterine cavity to return to its normal architecture. A follow-up assessment — ultrasound or sonohysterography — may be recommended to confirm cavity clearance before the next fertility treatment step is initiated. At Ankur Fertility Clinic, the specific post-polypectomy timeline is discussed with each patient individually based on the details of her procedure and her fertility plan.
A. Yes — uterine polyps can recur after hysteroscopic polypectomy. Recurrence rates are estimated at 15 to 30 per cent over several years and are higher in women with multiple polyps, PCOS, oestrogen excess, or tamoxifen use. For women who conceive after polypectomy, the hormonal environment of pregnancy provides a period of natural protection against recurrence. For those who do not conceive immediately, regular follow-up ultrasound is recommended to monitor for recurrence — and if a new polyp is identified before a subsequent IVF cycle, prompt re-assessment and treatment is the clinical standard at Ankur Fertility Clinic.
A. Standard transvaginal ultrasound has a known limitation in its ability to detect smaller or flat endometrial polyps — particularly those located in the corners of the uterine cavity near the tubal openings. The uterine cavity is a potential space that collapses on itself on standard ultrasound, obscuring small intracavitary lesions. Sonohysterography — which introduces saline to distend the cavity before imaging — and hysteroscopy are significantly more sensitive for polyp detection. A normal routine ultrasound does not exclude a uterine polyp, and this limitation is important to understand when planning a fertility evaluation.
A. The cost of uterine polyp treatment in Kolkata at Ankur Fertility Clinic includes the costs of the diagnostic assessment (sonohysterography or hysteroscopy), the operative hysteroscopic polypectomy procedure, and the histological analysis of the removed tissue. The overall cost depends on the number of polyps, the complexity of the procedure, and whether general or local anaesthesia is used. At Ankur Fertility Clinic, all expected costs are communicated transparently in advance, so patients can plan their care without financial uncertainty at any stage.
A. Yes — if that assessment was based on a standard transvaginal ultrasound alone. A standard ultrasound can appear entirely normal in the presence of a small endometrial polyp that is too flat or too well-concealed within the collapsed uterine cavity to be visible. A cavity described as “normal” on standard ultrasound has not been formally cleared of polyps unless a sonohysterography or hysteroscopy has been performed. For women who are planning IVF, have experienced unexplained implantation failure, or have any of the risk factors or symptoms associated with endometrial polyps, Ankur Fertility Clinic recommends a formal cavity assessment before concluding that the uterine environment is fully optimised for conception.
