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 Tao Zhong E
Obstetrics and Gynecology
1min 11sec home-news-image

Can you get pregnant with cervical polyps?

Cervical polyps generally form when a local area of cervical mucosa is stimulated by inflammation, leading to localized proliferation and the emergence of a solid tumor mass, which protrudes as a pedunculated lesion of varying sizes, from as small as a grain of rice to even three to four centimeters in length. However, it is usually possible to consider pregnancy after removal of the polyp, typically two weeks later, or after the next menstrual period, as it does not affect the ability to conceive. Moreover, it is generally advisable to remove the polyps upon discovery, since if not removed, they may cause recurring bleeding during pregnancy, which can complicate the monitoring of the pregnancy. However, cervical polyps are usually benign, with a low likelihood of being malignant. Thus, whether cervical polyps are detected through symptoms or during a physical examination, it is generally recommended to remove them first before considering pregnancy, although cervical polyps themselves do not impact fertility.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to completely cure recurrent cervical polyps?

The current clinical understanding is that the cause of cervical polyps is mostly due to local inflammation in the cervix or vagina, which leads to epithelial hyperplasia and subsequently the formation of cervical polyps. Thus, as long as cervical and vaginal inflammation is present, there is a possibility of recurrence of cervical polyps. Therefore, to thoroughly eradicate cervical polyps, it is recommended that patients pay attention to the health and hygiene of the reproductive system. Patients are advised to keep the perineum clean and dry, undergo regular gynecological exams, and check for any vaginal or cervical inflammation. If inflammation is present, timely treatment is recommended.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 17sec home-news-image

How to perform surgery on cervical polyps

According to the different shapes of cervical polyps in women and the varying depths of their stalks, the surgical methods also vary. For instance, if a woman discovers a small cervical polyp with a thin stalk that isn’t located too deeply, it can be treated in an outpatient setting. Usually, the stalk is clamped with a hemostatic forceps, then continuously twisted until it naturally breaks off, and the bleeding is generally not substantial, often not requiring hospitalization. However, for some women with larger cervical polyps and broader stalks located deeper within, especially when the stalk is deep within the cervical canal, performing a cervical polyp removal surgery in an outpatient setting may result in incomplete removal of the stalk, and the bleeding can be more significant. In such cases, hospitalization is usually required to perform an electrosurgical excision of the cervical polyp under hysteroscopy, during which the stalk can be completely removed and the bleeding can be thoroughly controlled.

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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 Liu Jian Wei
Obstetrics and Gynecology
37sec home-news-image

What to eat after cervical polyp surgery

Cervical polyp surgery is a common minor procedure in gynecological clinics. The surgical process for cervical polyps is relatively simple and has a minor impact on the patient’s body post-operatively. Generally, there are no special dietary requirements after cervical polyp surgery, and patients can resume a normal diet. However, it is important for patients to avoid consuming spicy and irritating foods shortly after the surgery to prevent gastrointestinal issues like bloating and diarrhea, which could affect the recovery from the cervical polyp surgery.