Can cervical polyps affect fertility?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 01, 2024
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It is generally found that cervical polyps do not affect fertility, only endometrial polyps beneath the mucous membrane affect fertility.

If a simple cervical polyp is found, it can be removed through a polypectomy, and treating inflammation symptomatically after the surgery is usually sufficient. Cervical polyps generally do not affect fertility, but those located beneath the mucous membrane do because they can disrupt the implantation of a fertilized egg in the uterine cavity by implanting at the site of the polyp, affecting embryonic blood circulation, which can lead to biochemical pregnancy or threatened miscarriage.

Therefore, if endometrial polyps affect fertility, it is clear that cervical polyps do not. The treatment for cervical polyps is also quite simple and can generally be handled in the outpatient department of a hospital.

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How to treat cervical polyp cysts?

If a gynecological examination determines cervical polyps or cervical cysts, then local removal of the polyps and surgical clearance of the cysts will suffice. Both conditions are common gynecological diseases. Since the surgeries are simple and relatively low risk, most can be performed in an outpatient setting. If the patient's condition is more unusual, hospitalization for surgery may be safer. Specific approaches need to be tailored to the patient's individual circumstances in collaboration with the treating physician to achieve good therapeutic outcomes. Both cervical polyps and cervical cysts are manifestations of inflammatory diseases and are benign, so patients need not be overly anxious.

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Is it okay not to have surgery for cervical polyps?

When women have cervical polyps, surgical treatment is required regardless of the size of the polyps, and not undergoing surgery is not an option. Firstly, the texture of cervical polyps is relatively fragile, which can easily lead to bleeding upon contact, such as bleeding after intercourse. Some women with vaginal inflammation can infect the cervical polyps, leading to inflammatory secretions, such as purulent secretions or secretions containing blood. If cervical polyps are not surgically removed, they may continue to grow, and they have a characteristic of being multiple. For instance, the occurrence of multiple cervical polyps can also affect the normal menstrual cycle of women. Some women with cervical cancer or endometrial cancer can also present polyp-like growths, and from the appearance, it is not possible to distinguish whether the growths are malignant or benign. Therefore, generally, once cervical polyps are found, they should be surgically removed, and a histological examination should be performed after surgery to rule out the possibility of malignant changes.

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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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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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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.