How to stop bleeding from a cervical polyp

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on November 27, 2024
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Bleeding caused by cervical polyps in women can be due to infection or post-coital because the polyp tissue is relatively fragile, leading to bleeding. In most cases, the bleeding stops on its own without the need for medical intervention. However, some women may need to go to the hospital for treatment. For instance, local application of Chinese patent medicine with hemostatic properties can be used to stop the bleeding. Alternatively, iodine-soaked gauze can be applied for compression hemostasis. If the clinic has a LEEP (Loop Electrosurgical Excision Procedure) device available, electrocoagulation with the LEEP device can also be used for hemostasis. In cases where the cervical polyp is inflamed, leading to bleeding, anti-inflammatory treatment should also be administered alongside other hemostatic methods to effectively stop the bleeding.

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Can cervical polyps recur?

Cervical polyps are highly prone to recurrence. Often after removal, polyps can repeatedly grow back. Possible causes may be related to persistent inflammatory stimulation, hormonal imbalances such as excessively high levels of estrogen, and infections from pathogens. Mainly, infections from pathogens might occur through invasive procedures or external factors such as childbirth in women. Therefore, if the inflammation persists, individual differences in physical constitution with continuously high levels of estrogen, and the invasion of external pathogens can all contribute to the recurrent occurrence of cervical polyps.

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Is cervical polyp surgery painful?

Is cervical polyp surgery painful? The answer is not certain, as many minimally invasive techniques are now used, and some very effective anesthetics are applied, so the pain from cervical polyp surgery is not significant. When conducting hysteroscopic surgery or gynecological color ultrasound, if cervical polyps are found, they are generally removed through minimally invasive methods using a hysteroscope. The main purpose of this is to make a definitive pathological diagnosis of the polyp, which can help in early screening for many cervical diseases, such as cervical cancer.

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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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Can cervical polyps become cancerous?

Cervical polyps can become cancerous, but the rate of malignancy is very low, around 1%. Cervical polyps are caused by chronic inflammation of the cervix, which leads to the hyperplasia of local connective tissue, forming pink, tongue-shaped growths that sometimes have a stalk and can bleed upon contact. This condition is caused by inflammation, but if there is also an HPV virus infection, there is a potential for cancerous changes. Therefore, the causes of cervical cancer and cervical polyps are different. Cervical cancer is caused by infection with the human papillomavirus (HPV), while cervical polyps are caused by inflammation. If cervical polyps are combined with an HPV infection, cancerous changes might only occur if the infection persists for more than two years.

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Can you have sexual intercourse with cervical polyps?

Patients with cervical polyps can easily experience bleeding during sexual intercourse. Therefore, if cervical polyps are present, the first step should be their removal. If bleeding during sexual intercourse persists after the removal, it is essential to undergo precancerous cervical screening. This is because contact bleeding during intercourse can occur if there are precancerous lesions in the cervix, and timely treatment is necessary. Precancerous cervical screening, which includes HPV and TCT tests, is a mandatory examination for women over the age of 30, allowing for the early detection of precancerous cervical changes and cervical cancer.