Can you get pregnant with cervical polyps?

Written by Tao Zhong E
Obstetrics and Gynecology
Updated on January 01, 2025
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Does cervical polyp require surgery?

Cervical polyps require surgery. Patients with cervical polyps may experience contact bleeding during intercourse and irregular bleeding. Therefore, if there are cervical polyps, surgery is needed for treatment. Generally, polyps can be removed during an outpatient procedure called cervical polypectomy. After the surgery, the removed tissue is sent for pathology analysis. Most of these polyps are benign, but there is a high likelihood of recurrence after surgery. Therefore, if you have cervical polyps, it is recommended to have surgery to remove them as soon as possible. It is difficult to achieve treatment goals with medication or other methods; surgery is needed to remove them. Thus, it is advisable to undergo surgery for cervical polyps as early as possible, as the surgery is inevitable.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Will cervical polyps grow back after being removed?

Under normal circumstances, the majority of cervical polyps form due to chronic inflammation of the cervix, with persistent stimulation leading to the development of cervical polyps. Most cervical polyps are benign, with only a rare few possibly becoming malignant. Generally, after removing a cervical polyp, it may regrow; these polyps are prone to recurrence. Therefore, after the removal of a cervical polyp, it is common for them to regrow, and a follow-up examination is typically recommended half a year or a year later. Postoperative treatment generally involves the use of anti-inflammatory medication. Thus, once a cervical polyp has formed, it is crucial to have an annual check-up. Also, patients with cervical polyps should be vigilant about the possibility of endometrial polyps. At this time, it is necessary to visit a hospital for an ultrasound to confirm if the endometrium is normal, as the polyp may regrow after removal.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to completely cure recurrent cervical polyps?

The current clinical understanding is that the cause of cervical polyps is mostly due to local inflammation in the cervix or vagina, which leads to epithelial hyperplasia and subsequently the formation of cervical polyps. Thus, as long as cervical and vaginal inflammation is present, there is a possibility of recurrence of cervical polyps. Therefore, to thoroughly eradicate cervical polyps, it is recommended that patients pay attention to the health and hygiene of the reproductive system. Patients are advised to keep the perineum clean and dry, undergo regular gynecological exams, and check for any vaginal or cervical inflammation. If inflammation is present, timely treatment is recommended.