Does cervical polyp require surgery?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 07, 2024
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Cervical polyps require surgery. Patients with cervical polyps may experience contact bleeding during intercourse and irregular bleeding. Therefore, if there are cervical polyps, surgery is needed for treatment. Generally, polyps can be removed during an outpatient procedure called cervical polypectomy. After the surgery, the removed tissue is sent for pathology analysis. Most of these polyps are benign, but there is a high likelihood of recurrence after surgery. Therefore, if you have cervical polyps, it is recommended to have surgery to remove them as soon as possible. It is difficult to achieve treatment goals with medication or other methods; surgery is needed to remove them. Thus, it is advisable to undergo surgery for cervical polyps as early as possible, as the surgery is inevitable.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Do cervical polyps easily become cancerous?

The majority of cervical polyps are formed due to chronic inflammation, and the chance of malignant transformation in cervical polyps is very rare, generally showing no tendency towards malignancy. It is common to remove cervical polyps and then perform a pathology test again. If the pathology results show no issues, usually there are no significant problems. If one wants to check for cervical cancer and its precursors, it is usual to visit a hospital for cervical cancer screening, which includes a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) testing. These two tests can preliminarily screen for cervical cancer and precancerous conditions. The likelihood of cervical polyps becoming cancerous is low, and generally, polyp removal surgery can be done between three to seven days after menstruation ends when conditions are clean.

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Written by Yan Qiao
Obstetrics and Gynecology
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How is cervical polyp surgery performed?

Cervical polyp removal surgery is a very common minor procedure in gynecology. This surgery involves minimal trauma, short operation time, and quick postoperative recovery. Generally, we conduct this surgery in the minor operation room of the gynecological outpatient clinic, and it does not require hospitalization; patients can go home right after the removal. During the procedure, we can use a biopsy forceps or a small curved forceps to directly clamp the pedicle of the polyp and remove it. Ideally, the procedure should be done under a colposcope. When using a colposcope, applying acetic acid or Lugol's solution helps in observing the appearance of the cervical polyp, facilitating differentiation from other conditions, such as Nabothian cysts which can easily be confused with cervical polyps.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyps lead to natural childbirth?

Cervical polyps generally allow for natural childbirth, as they do not affect the delivery process. During pregnancy, if cervical polyps are present, there may be minor vaginal bleeding, but these polyps usually do not impact the pregnancy or childbirth. If vaginal bleeding occurs during pregnancy, it is necessary to examine the cervix. If cervical polyps are observed, the bleeding might be caused by the polyps, which could indicate a threatened miscarriage. Therefore, if cervical polyps are present, they should be removed. Once the cervical polyps are removed, bleeding generally ceases. Thus, if vaginal bleeding continues after the removal of cervical polyps, it may indicate a threatened miscarriage during pregnancy, requiring further examination.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long will cervical polyps recur?

Cervical polyps can recur at various times, and this varies greatly from person to person, mainly related to the presence of chronic inflammation. If cervical inflammation persists, the likelihood of recurrence is somewhat higher and is also related to the surgical method used at the time. Methods like using a LEEP (Loop Electrosurgical Excision Procedure) generally result in a longer recurrence time. If it is just a simple removal surgery and the root is not completely removed, some may recur in about three months. Thus, there is significant individual variability.