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 Liu Jian Wei
Obstetrics and Gynecology
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Can you drink honey if you have cervical polyps?

The main cause of cervical polyps is inflammatory stimulation, and there is no connection between this inflammatory stimulation (caused by cervical vaginitis) and drinking honey. Therefore, if a patient has cervical polyps, they can drink honey. Drinking honey not only maintains gastrointestinal lubrication, facilitating bowel movement and preventing constipation, but it also has beauty and health benefits. Hence, it is recommended for patients with cervical polyps to drink honey water. Additionally, if further diagnosis and treatment are necessary for cervical polyps, it is advised to visit the gynecology outpatient clinic of a local hospital. If necessary, a cervical polyp removal surgery may be required to completely remove the cervical polyp.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyps become cancerous?

Cervical polyps are mostly caused by chronic cervical inflammation and local cervical tissue hyperplasia. Cervical cancer is caused by human papillomavirus (HPV) infection, so cervical polyps generally do not lead to malignancy, and the rate of malignant transformation is very low, accounting for only about 1%. If there is an HPV infection along with cervical polyps, malignant transformation of the cervical polyps can occur. Therefore, if cervical polyps are present, they should be removed, and after removal, a pathological examination is necessary to determine if there is any malignancy.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Does cervical polyp cause bleeding during intercourse?

Cervical polyps can cause bleeding during intercourse. Common causes of bleeding during intercourse seen clinically include cervical polyps, cervical erosion, cervical cancer, and precancerous lesions, all of which can cause contact bleeding during intercourse. Therefore, once contact bleeding during intercourse occurs clinically, it is essential to go to the hospital for relevant examinations. If the bleeding is caused by a cervical polyp, a cervical polypectomy must be performed. If the bleeding is due to cervical erosion, tests for cervical cancer and precancerous lesions must be conducted. If cervical cancer and precancerous conditions are ruled out, and the bleeding is caused by erosion, treatments such as laser, electrocoagulation, or cryocoagulation can be used. Furthermore, once contact bleeding during intercourse occurs, cervical cancer screening with TCT and HPV testing is essential. Treatment is generally based on the results of these two tests.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.