Can cervical polyps disappear on their own?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on November 05, 2024
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Under normal circumstances, cervical polyps do not disappear on their own. However, it is often observed in outpatient clinics that cervical polyps identified before menstruation disappear after menstruation.

This scenario is relatively rare, but it does occur. This does not mean that the cervical polyp has disappeared spontaneously. Rather, under the influence of menstruation, the cervical polyp can retract into the cervix. During gynecological ultrasound or examinations, it is not possible to detect the retracted cervical polyp. In such cases, it is recommended that the patient returns for a follow-up examination in the clinic one to two weeks later to confirm whether the cervical polyp still exists.

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Obstetrics and Gynecology
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Does cervical polyp surgery require anesthesia?

Cervical polyp removal surgery generally does not require anesthesia, partly because the stalk of the cervical polyp is usually quite thin, making it easy to cut off during removal. Another reason is that the nerve distribution in the cervical area is not as rich, so the cervical tissues are less sensitive to pain compared to other areas. Therefore, the cervical polyp removal surgery does not cause significant pulling reactions on the cervix, which is why general anesthesia is generally not needed.

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Is surgery necessary for cervical polyps?

Cervical polyps are a clinical manifestation of chronic cervicitis. Polyps can originate from the lips of the cervix or within the cervical canal, and generally vary in size. They are usually connected to the cervix by a small stalk. Cervical polyps rarely become malignant, with a very low chance of malignancy. However, if left untreated, the polyp can gradually increase in size, causing bleeding during intercourse, and even bleeding without contact. Additionally, there is the risk of malignancy, so once detected, it is recommended to remove them and definitely send them for pathological examination to rule out any possibility of malignancy.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyps heal themselves?

Cervical polyps can sometimes heal on their own. If the cervical polyp is small or has a thin stalk, there is a possibility that it might become necrotic and fall off, but this scenario is relatively rare. Most cervical polyps require surgical treatment. However, the surgery for cervical polyps is relatively simple; the stalk of the polyp can be destroyed using laser or radiofrequency, causing it to fall off. Additionally, if cervical polyps are not treated, they might cause irregular vaginal bleeding, and there is a possibility of malignant transformation, although the rate of malignancy is quite low.

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Obstetrics and Gynecology
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Can cervical polyps be felt?

Cervical polyps are not detectable by touch; a gynecological internal examination is required where a speculum is used to dilate the vagina to view the cervix. This allows for the observation of any cervical polyps, their size, and based on the examination results, timely surgical treatment can be administered. Cervical polyps are caused by cervical inflammation that leads to localized tissue hyperplasia exhibiting polypoid changes. Once cervical polyps are identified, it is crucial to promptly proceed with further cervical cancer screening. If there is no HPV infection and TCT is normal, polypectomy should be performed. Post-surgery, a pathological examination is necessary. It is also advised to avoid cold exposure, exhaustion, and spicy or irritating foods to maintain health.

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Can cervical polyps affect fertility?

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.