Can cervical polyps be detected during a gynecological examination?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 06, 2024
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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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Do cervical polyps require hospitalization?

Generally, women with cervical polyps can undergo a minor removal surgery in an outpatient setting, and hospitalization is not necessary. This is because cervical polyps are usually not very large and have a thin, long stalk connected inside the cervical canal. In the outpatient setting, the polyp on the cervix can be clamped with hemostatic forceps, followed by minor excision, or the cervical forceps can be directly rotated to cause ischemia and hypoxia at the base of the stalk, making it fall off on its own. However, some women may have larger cervical polyps, especially those with deeper and broader bases. If polyp removal surgery is performed in an outpatient setting, it may be difficult to locate the base of the polyp to completely remove it, and there could be considerable bleeding during the surgery. Additionally, cervical polyps in some women may be an indication of cervical cancer or endometrial cancer. In such cases, hospitalization and surgical treatment are typically required.

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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.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Is the LEEP surgery for cervical polyps painful?

Cervical polyp removal using the LEEP procedure can be painful, but with advances in medical science, this operation can now be performed painlessly to minimize patient discomfort. Therefore, particularly sensitive patients who are very fearful of pain can opt for a painless LEEP procedure at the hospital. This can be achieved through intravenous anesthesia, which generally yields very good results, causes minimal discomfort, and facilitates a smooth recovery. Therefore, LEEP surgery on the cervix without anesthesia might be painful, but with anesthesia, it is usually very effective and problem-free. After surgery, it is important to manage inflammation appropriately and perform a pathological examination of the removed tissue. If there are no other complications, an annual follow-up is generally sufficient.

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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.