Do cervical polyps require surgery?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on November 25, 2024

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Under normal circumstances, cervical polyp surgery is required. The purpose of the surgery is firstly to completely remove the cervical polyp tissue, and secondly, the removed polyp tissue can be sent for pathological examination to further confirm the diagnosis and determine the potential malignancy of the cervical polyps. If the patient's cervical polyp is relatively small, it is recommended that the patient undergo other methods of surgical removal of the polyp, such as laser or cryotherapy physical treatment methods.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

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Can cervical polyps be detected during a gynecological examination?

Cervical polyps are generally detected through a gynecological internal examination or colposcopy, and this diagnosis is not difficult. Once cervical polyps are detected, they are usually removed 3 to 7 days after the menstrual cycle has ended. The removed polyps are then examined pathologically, and postoperative anti-inflammatory symptomatic treatment is sufficient. The vast majority of cervical polyps are benign, with a very low likelihood of becoming malignant, so patients with cervical polyps need not worry. If one wishes to know whether they have cervical polyps, they can undergo a gynecological internal examination and a colposcopic examination at the hospital; both tests can detect cervical polyps.

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Written by Yan Qiao

Obstetrics and Gynecology

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How is cervical polyp surgery performed?

Cervical polyp removal surgery is a very common minor procedure in gynecology. This surgery involves minimal trauma, short operation time, and quick postoperative recovery. Generally, we conduct this surgery in the minor operation room of the gynecological outpatient clinic, and it does not require hospitalization; patients can go home right after the removal. During the procedure, we can use a biopsy forceps or a small curved forceps to directly clamp the pedicle of the polyp and remove it. Ideally, the procedure should be done under a colposcope. When using a colposcope, applying acetic acid or Lugol's solution helps in observing the appearance of the cervical polyp, facilitating differentiation from other conditions, such as Nabothian cysts which can easily be confused with cervical polyps.

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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 Zhang Peng

General Surgery

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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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Written by Zhang Xiu Rong

Obstetrics and Gynecology

55sec

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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.