I have had 2 hysteroscopy and D&C procedures, bracketing a 5 month course of Prometrium (micronized progesterone) for similar pathology to yours. I agree with your concern about finding a good surgeon , and I made sure I did even waiting 3 months to get to her, but as the dr. here says, hysteroscopy to my understanding too, is not a complex procedure. I would have no compunction asking the doctor if and how many he/she has done.
The Prometrium and 2 surgical procedures, which included removal of much of the endometrium for a complex atypical hyperplasia with indeterminate edges including several polyps, and removal of fibroids, worked very well for me although I'm not done yet. I will have another transvaginal ultrasound soon, and may then either just monitor twice a year with ultrasound, or have another course of Prometrium, or consider another hysteroscopy.
The procedure will only put you out of commission for about a day, and may require no more than a bit of morphine post-surgery in hospital, and tylenol at home for a day or two.
A. It sounds like your problem is very straight forward. If you have a negative D&C the chances of having cancer are very low. Polyps are benign but are believed to be able to turn into cancer over time so it is good to have them removed. A polyp usually is an oval plump bit of benign tissue attached to the uterine wall by a thin stalk (like a balloon on a string). 2cm is just a fraction larger than a nickel. It should be possible to see the polyp with a hysteroscope and grab the stalk and pull it out.
Hysteroscopy is a very common procedure. It usually is done in the operating room and requires a light general anesthesia. Operating time can be as short as a few minutes and for a polyp, should not take more than half hour. Complications can occur but are very uncommon. Most people go home the same day. Full recovery is usually no more than a day or so.
It is impossible to determine if your doctor is able to do the procedure. If he does them often and says he can do them, he probably can. Each hospital requires their doctors to have their surgical privileges reviewed every year or two. Hysteroscopy is classified as a minor procedure and the equipment makes it relatively easy to see. However, if you are worried, choose another doctor who gives you more confidence. It is uncomfortable to have a person operate on you if you are not confident in them.
Machelle M. Seibel, MD
What I don't understand is WHY on earth that polyp wasn't removed during the D & C??