Is the LEEP surgery for cervical polyps painful?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on November 17, 2024
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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 Zhang Xiu Rong
Obstetrics and Gynecology
56sec home-news-image

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 Tao Zhong E
Obstetrics and Gynecology
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Can you get pregnant with cervical polyps?

Cervical polyps generally form when a local area of cervical mucosa is stimulated by inflammation, leading to localized proliferation and the emergence of a solid tumor mass, which protrudes as a pedunculated lesion of varying sizes, from as small as a grain of rice to even three to four centimeters in length. However, it is usually possible to consider pregnancy after removal of the polyp, typically two weeks later, or after the next menstrual period, as it does not affect the ability to conceive. Moreover, it is generally advisable to remove the polyps upon discovery, since if not removed, they may cause recurring bleeding during pregnancy, which can complicate the monitoring of the pregnancy. However, cervical polyps are usually benign, with a low likelihood of being malignant. Thus, whether cervical polyps are detected through symptoms or during a physical examination, it is generally recommended to remove them first before considering pregnancy, although cervical polyps themselves do not impact fertility.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do you need to be hospitalized for cervical polyp surgery?

Currently, surgical treatment for cervical polyps does not require hospitalization. Generally, surgeries that require hospitalization are more extensive and are performed only after comprehensive assessments by various specialists and anesthesiologists. Cervical polyp removal surgery causes minimal trauma, is relatively simple, and has little impact on the patient’s overall condition. Therefore, it is not necessary for patients to be hospitalized for this procedure. It is currently recommended that cervical polyp removal be performed in the gynecological outpatient surgical room, allowing patients to go home to recuperate after the surgery.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can cervical polyps be detected during a gynecological examination?

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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Why is cervical polyp prone to recurrence?

Cervical polyps are a type of benign lesion of the cervix. However, recurrent episodes are common after cervical polyp removal surgery. This may be due to inflammation that causes the polyps; if the inflammation, such as vaginitis or cervicitis, is not fully cleared after surgery, it can stimulate the regrowth of cervical polyps. Additionally, in some women, the base of the cervical polyp may be deep, and if it is not completely removed during surgery, recurrence may occur. Furthermore, in some cases, the polyp itself may undergo malignant transformation, leading to potential recurrence after the surgery.