Can cervical polyps lead to natural childbirth?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on December 12, 2024
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Cervical polyps generally allow for natural childbirth, as they do not affect the delivery process. During pregnancy, if cervical polyps are present, there may be minor vaginal bleeding, but these polyps usually do not impact the pregnancy or childbirth. If vaginal bleeding occurs during pregnancy, it is necessary to examine the cervix. If cervical polyps are observed, the bleeding might be caused by the polyps, which could indicate a threatened miscarriage. Therefore, if cervical polyps are present, they should be removed. Once the cervical polyps are removed, bleeding generally ceases. Thus, if vaginal bleeding continues after the removal of cervical polyps, it may indicate a threatened miscarriage during pregnancy, requiring further examination.

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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 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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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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Cervical polyps how many months grow bigger

Cervical polyps generally are not very large, typically only a few centimeters at most, and do not become noticeably bigger. Polyps tend to grow very slowly and usually do not become very large. If cervical polyps are found, they can be detected through a vaginal exam and colposcopy at a hospital. Polyps do not change much over a short period, so it is best to address them as soon as they are discovered. If it is not possible to deal with them immediately, they generally will not change much over a few months. The tissue removed can be examined pathologically; most polyps are benign and usually are not a significant issue.

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How long will cervical polyps recur?

Cervical polyps can recur at various times, and this varies greatly from person to person, mainly related to the presence of chronic inflammation. If cervical inflammation persists, the likelihood of recurrence is somewhat higher and is also related to the surgical method used at the time. Methods like using a LEEP (Loop Electrosurgical Excision Procedure) generally result in a longer recurrence time. If it is just a simple removal surgery and the root is not completely removed, some may recur in about three months. Thus, there is significant individual variability.