Is surgery necessary for cervical polyps?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 03, 2024
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Cervical polyps are a clinical manifestation of chronic cervicitis. Polyps can originate from the lips of the cervix or within the cervical canal, and generally vary in size. They are usually connected to the cervix by a small stalk. Cervical polyps rarely become malignant, with a very low chance of malignancy. However, if left untreated, the polyp can gradually increase in size, causing bleeding during intercourse, and even bleeding without contact. Additionally, there is the risk of malignancy, so once detected, it is recommended to remove them and definitely send them for pathological examination to rule out any possibility of malignancy.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do cervical polyps require surgery?

Under normal circumstances, cervical polyp surgery is required. The purpose of the surgery is firstly to completely remove the cervical polyp tissue, and secondly, the removed polyp tissue can be sent for pathological examination to further confirm the diagnosis and determine the potential malignancy of the cervical polyps. If the patient's cervical polyp is relatively small, it is recommended that the patient undergo other methods of surgical removal of the polyp, such as laser or cryotherapy physical treatment methods.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can cervical polyps be detected during a gynecological examination?

Cervical polyps are generally detected through a gynecological internal examination or colposcopy, and this diagnosis is not difficult. Once cervical polyps are detected, they are usually removed 3 to 7 days after the menstrual cycle has ended. The removed polyps are then examined pathologically, and postoperative anti-inflammatory symptomatic treatment is sufficient. The vast majority of cervical polyps are benign, with a very low likelihood of becoming malignant, so patients with cervical polyps need not worry. If one wishes to know whether they have cervical polyps, they can undergo a gynecological internal examination and a colposcopic examination at the hospital; both tests can detect cervical polyps.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to stop bleeding from a cervical polyp

Bleeding caused by cervical polyps in women can be due to infection or post-coital because the polyp tissue is relatively fragile, leading to bleeding. In most cases, the bleeding stops on its own without the need for medical intervention. However, some women may need to go to the hospital for treatment. For instance, local application of Chinese patent medicine with hemostatic properties can be used to stop the bleeding. Alternatively, iodine-soaked gauze can be applied for compression hemostasis. If the clinic has a LEEP (Loop Electrosurgical Excision Procedure) device available, electrocoagulation with the LEEP device can also be used for hemostasis. In cases where the cervical polyp is inflamed, leading to bleeding, anti-inflammatory treatment should also be administered alongside other hemostatic methods to effectively stop the bleeding.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Best time for cervical polyp surgery

The best time for cervical polyp surgery is within three to seven days after the end of menstruation, when the cervical canal polyp removal surgery should be performed. After the surgery, the removed tissue must be re-examined pathologically, as most polyps are benign, but a very small number may have malignant tendencies. Therefore, it is essential to perform another pathological examination after the cervical polyp removal surgery. After surgery, oral anti-inflammatory medication should be taken for symptomatic treatment, and sexual intercourse should be avoided for a month. Topical medications can also be used for symptomatic treatment. Since most cervical polyps are caused by chronic inflammation, postoperative anti-inflammatory or topical medications can be used for symptomatic treatment to prevent the recurrence of polyps. After the removal of a cervical canal polyp, it is crucial to have a follow-up check every six months to a year, as polyps are prone to recurrence.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyp canceration be cured?

Cervical polyp malignancy, which is cervical cancer, can be completely cured if it is detected and treated early, with a cure rate reaching over 90%. Therefore, routine pathological examination must be performed when removing cervical polyps. If the pathology results indicate polyp malignancy, treatment should be carried out as for cervical cancer. The common treatment methods for cervical cancer are surgical treatment and postoperative radiotherapy and chemotherapy. Timely treatment can lead to a cure.