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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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can cervical polyps disappear on their own?

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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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 Shen Li Wen
Obstetrics and Gynecology
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How to stop bleeding from a cervical polyp

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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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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Can cervical polyp canceration be cured?

Cervical polyp malignancy, which is cervical cancer, can be completely cured if it is detected and treated early, with a cure rate reaching over 90%. Therefore, routine pathological examination must be performed when removing cervical polyps. If the pathology results indicate polyp malignancy, treatment should be carried out as for cervical cancer. The common treatment methods for cervical cancer are surgical treatment and postoperative radiotherapy and chemotherapy. Timely treatment can lead to a cure.