Do cervical polyps differentiate between benign and malignant?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 29, 2024
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Under normal circumstances, cervical polyps are considered benign hyperplastic lesions of the cervix, possibly related to the body's hormone levels or caused by inflammatory stimulation resulting in inflammatory polyps. However, sometimes malignancies of the endometrium or cervix can also present as polyp-like growths. It is usually impossible to distinguish benign from malignant lesions just by visual inspection. Therefore, whenever cervical polyps are found, it is common practice to perform a surgical removal of the cervical polyp and then conduct a histopathological examination to differentiate between benign and malignant lesions.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What department should I register for cervical polyps?

Cervical polyps are a type of gynecological disease and a form of chronic cervicitis. It requires registration for a gynecological examination. Cervical polyps are localized hyperplasia of the cervical canal glands and stroma, protruding outward from the cervical os to form polyps. Cervical polyps are typically multiple but can also be singular. They are red, soft, and fragile, appearing snake-like, and may have a pedicle, whose width varies. The base can be attached to the external or internal os of the cervix. Therefore, once cervical polyps are discovered, it is necessary to promptly visit a hospital for examination and, if necessary, surgical treatment. A cervical cancer screening examination is required before surgery.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What should you pay attention to after the removal of a cervical polyp?

After undergoing cervical polyp removal surgery, women should first pay attention to the cleanliness of the perineum. It is advisable to abstain from sexual activity, tub baths, and swimming for a month to avoid causing infection of the surgical site. Additionally, it is important to observe the condition of vaginal discharge, such as the amount of vaginal bleeding, its duration, and whether there are any abnormal secretions. One month after the cervical polyp removal surgery, it is necessary to visit the hospital for a follow-up to check the healing of the surgical site. Since cervical polyps can recur easily, further check-ups should be conducted within six months to a year to monitor if there are any signs of recurrence of the cervical polyps.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What should I do if cervical polyps keep recurring?

Women with cervical polyps, although benign, have a characteristic of recurring. When this happens, it is important to first identify if there are any factors promoting their recurrence, such as recurrent vaginal inflammation in women. This inflammation can affect the cervix and cause recurrent cervical polyps. At this point, it is advisable to first conduct a vaginal discharge test to determine the type of vaginal inflammation and treat it with medication appropriate for the specific type of vaginal inflammation. Once the vaginal inflammation is treated, the recurrence of cervical polyps can be reduced. Additionally, for unexplained recurrent cervical polyps, it is necessary to regularly follow up and check, trying to ensure early detection and removal of cervical polyps to prevent an increase in size or number of polyps.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How long will it take for bleeding from a cervical polyp to stop?

Cervical polyps generally cause bloody discharge or light bleeding after intercourse. Such bleeding usually does not last long. Therefore, cervical polyps generally require a hospital visit for outpatient surgery to remove the polyps. After the removal, pathology tests are generally conducted and if there are no issues, it is usually not a big concern. Having cervical polyps generally does not cause prolonged bleeding. If irregular bleeding occurs, further examination such as endocrine testing at the hospital is necessary. Additionally, cervical cancer screening should be conducted. It is essential to identify the cause of the irregular bleeding and then treat accordingly based on the examination results. Isolated cervical polyps will not cause heavy bleeding; they only cause light bleeding after intercourse or bloody discharge, which is minor bleeding.

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Written by Shen Li Wen
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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.