If you have been told you have a uterine polyp, your gynaecologist may recommend hysteroscopic polypectomy — a minimally invasive procedure to remove the growth and relieve your symptoms. For women in Singapore exploring this option, two of the most common questions are: how is the procedure performed, and what does hysteroscopic polypectomy in Singapore cost?
This guide covers everything you need to know — from what uterine polyps are, to costs, MediSave coverage, and what recovery looks like.
What Is a Uterine Polyp?
A uterine polyp (also called an endometrial polyp) is a small, soft growth that develops on the inner lining of the uterus — the endometrium. Polyps can range from a few millimetres to several centimetres in size, and may be single or multiple.
Many uterine polyps are benign (non-cancerous), but they can cause symptoms that affect daily life and, in some cases, fertility. Common symptoms include:
Because the symptoms of uterine polyps can overlap with other gynaecological conditions, a proper diagnosis with imaging and clinical assessment is important before deciding on treatment.
What Causes Uterine Polyps?
Uterine polyps are most commonly linked to oestrogen — the hormone that stimulates growth of the uterine lining. When areas of the endometrium respond abnormally to hormonal signals, they can grow into polyps. Factors associated with a higher likelihood of developing uterine polyps include:
- Hormonal imbalance — particularly elevated oestrogen relative to progesterone
- Age — more common during the 40s and 50s, and after menopause
- Obesity — excess body fat can raise oestrogen levels
- High blood pressure (hypertension)
- Use of tamoxifen — a breast cancer medication known to cause endometrial changes
- History of uterine polyps
Having one or more of these risk factors does not mean you will definitely develop polyps, but it may prompt your doctor to monitor the uterine lining more closely.
What Is Hysteroscopic Polypectomy?
Hysteroscopic polypectomy is the gold-standard procedure for removing uterine polyps in Singapore. It is performed using a hysteroscope — a thin, flexible or rigid camera inserted through the cervix into the uterus — with no external incisions required.
The procedure allows to directly visualise the uterine cavity and precisely remove the polyp using small instruments passed through the hysteroscope. The removed tissue is sent for histological analysis to confirm it is benign and rule out any pre-cancerous changes.
How the Procedure Is Performed
Hysteroscopic polypectomy in Singapore is typically performed as a day surgery procedure — meaning you go home the same day. The steps generally include:
The procedure may be performed under local anaesthesia with sedation (for smaller polyps) or general anaesthesia (for larger or multiple polyps). Your gynaecologist will advise on the most appropriate approach based on your case.
When Is Hysteroscopic Polypectomy Recommended?
How Much Does Hysteroscopic Polypectomy Cost in Singapore?
The cost of hysteroscopic polypectomy in Singapore depends on where the procedure is performed, the complexity of the case, the type of anaesthesia, and any pre-procedure investigations required. At private hospitals and surgical centres in Singapore, the estimated costs range from $2500-$6000 for day surgery and $5000 – $10000 for inpatient cases. These vary according to the complexity of the case.
These are indicative cost ranges. The exact cost of your hysteroscopic polypectomy in Singapore will be discussed at your consultation, based on your clinical findings, the facility used, and your insurance plan
MediSave, MediShield Life & Insurance Coverage
As a Singapore citizen or permanent resident, you may be able to use MediSave or any other applicable health insurance plan to offset the cost of hysteroscopic polypectomy. Understanding your coverage options before the procedure helps you plan ahead.
MediSave Coverage for Hysteroscopic Polypectomy
Hysteroscopic polypectomy in Singapore is a MediSave-claimable procedure. The relevant TOSP (Table of Surgical Procedures) codes and withdrawal limits are:
| Procedure | TOSP Code & Class | MediSave Limit |
|---|---|---|
| Hysteroscopy (diagnostic) | SI725U — Class 2B | Up to SGD 1,120 |
| Polypectomy (polyp removal) |
Dependent on size: Cervix, Transcervical resection (TCR) Polyp (<2cm), hysteroscopic TOSP Code: SI704C / TOSP Table: 2B OR Cervix, Transcervical resection (TCR) Polyp (>2cm), hysteroscopic TOSP Code: SI705C / TOSP Table: 2C |
Up to SGD 1,120 |
| Combined hysteroscopic polypectomy | Combined codes may apply | Confirm with your surgeon |
MediSave can be used for both day surgery and inpatient hospital stays. The actual MediSave amount claimable will be confirmed based on the TOSP code assigned to your specific procedure.
MediSave Coverage for Hysteroscopic Polypectomy
If your hysteroscopy is performed for a medical indication — such as abnormal uterine bleeding, polyp removal, or investigation of postmenopausal bleeding — it may be covered by MediShield Life and your Integrated Shield Plan (ISP), subject to claim limits.
With an ISP and rider from major insurers such as AIA, Prudential, AXA, or NTUC Income, your out-of-pocket costs for hysteroscopic polypectomy can be substantially reduced:
| Scenario | Estimated Amount (SGD) |
|---|---|
| Total bill at private hospital | SGD 4,000 – 8,000 |
| MediSave used | SGD 420 – 490 |
| MediShield Life payout | Subject to claim limits |
| ISP insurer payout (varies by plan) | SGD 2,000 – 6,000 |
| Out-of-pocket with ISP rider | Approximately SGD 500 – 2,000 |
Coverage details depend on your specific plan, insurer, and whether you use a panel doctor. Please check with your insurer and confirm panel status with Trinity Women’s Specialists at the time of your consultation.
Factors That Affect the Cost of Hysteroscopic Polypectomy in Singapore
Several factors influence the final cost of hysteroscopic polypectomy:
- Number and size of polyps — multiple or larger polyps require more operating time and may involve a resectoscope
- Type of anaesthesia — local sedation with sedation is less expensive than general anaesthesia
- Facility type — day surgery centres are generally less expensive than private hospital inpatient admissions
- Surgeon’s experience and subspecialty — a gynaecologist with advanced hysteroscopic skills may carry different fee structures
- Pre-operative workup — transvaginal ultrasound, saline sonography (SIS), or blood tests may be needed beforehand
- Pathology fees — all removed tissue is sent for histological analysis to confirm diagnosis
Recovery After Hysteroscopic Polypectomy
One of the advantages of hysteroscopic polypectomy over open surgery is its short recovery time. Here is what to expect after the procedure in Singapore:
- Same day: Most patients are discharged within a few hours of the procedure
- Days 1 – 3: Mild cramping and light spotting are common and normal. Over-the-counter pain relief is usually sufficient.
- Week 1: Light activities can be resumed almost immediately. Avoid strenuous exercise and sexual intercourse for 1 – 2 weeks.
- Week 1 – 2: Most patients return to work within 1 – 3 days for office-based roles
- Follow-up: A review with your female gynecologist typically scheduled within 2 – 4 weeks to discuss pathology results and confirm recovery
Menstrual cycles generally return to normal within 1 – 2 cycles after the procedure. If you are planning for pregnancy, your specialist will advise on the appropriate timing to try to conceive after polypectomy.
Frequently Asked Questions
Is hysteroscopic polypectomy covered by MediSave in Singapore?
Yes. Hysteroscopic polypectomy is a MediSave-claimable procedure in Singapore with MediSave withdrawal limits up to $1,120 for a polypectomy, and $1,120 for a hysteroscopy, dilation & curettage . The actual withdrawal limit would be dependent on the type of surgery required, and the surgical table(s) specific to your condition. If you hold a MediShield Life policy or Integrated Shield Plan, additional coverage may further reduce your out-of-pocket costs.
How much does hysteroscopic polypectomy cost in Singapore?
The cost of hysteroscopic polypectomy in Singapore typically ranges from SGD 2,500 to SGD 6,000 for day surgery at a private facility, and up to SGD 10,000 or more for complex cases requiring inpatient admission. With MediSave and an Integrated Shield Plan rider, or any applicable health insurance policy, out-of-pocket costs can be significantly reduced. The actual out-of-pocket cost would be dependent on the type and complexity of surgery required in your specific case, as well as your personal insurance plan. Hence, it is always advisable to seek a consultation with your surgeon and a detailed financial counselling before proceeding with surgery at your chosen institution.
Is hysteroscopic polypectomy a painful procedure?
Most patients experience minimal discomfort during hysteroscopic polypectomy, particularly when performed under general anaesthesia. Those who undergo the procedure under local sedation may feel mild cramping during the procedure, similar to period pain. Post-procedure discomfort is usually mild and well-managed with oral pain relief.
How long does the procedure take?
Hysteroscopic polypectomy typically takes between 15 and 45 minutes, depending on the number and size of the polyps. You will spend additional time in recovery before being discharged, so plan for a half-day at the surgical facility.
Will uterine polyps come back after hysteroscopic polypectomy?
There is a possibility of recurrence, as new polyps can develop over time — particularly if the underlying hormonal factors are not addressed. Follow-up monitoring or hormonal management strategies that may be discussed for your case after the procedure.
Can hysteroscopic polypectomy improve my chances of getting pregnant?
Yes — removing uterine polyps via hysteroscopic polypectomy has been shown to improve fertility outcomes in women who have been unable to conceive. Polyps can interfere with implantation, and their removal may significantly improve the chances of a successful pregnancy, particularly in the context of IVF.
Consultation - Team at Trinity Women’s Specialist
If you have been diagnosed with a uterine polyp or are experiencing abnormal bleeding, consulting a specialist is the most important next step. Our team of doctors will assess your condition, explain all available treatment options, and provide a clear breakdown of the cost of hysteroscopic polypectomy in Singapore based on your specific situation.
