Is surgery necessary for cervical polyps?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 03, 2024
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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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Written by Shen Li Wen
Obstetrics and Gynecology
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What should I do if cervical polyps keep recurring?

Women with cervical polyps, although benign, have a characteristic of recurring. When this happens, it is important to first identify if there are any factors promoting their recurrence, such as recurrent vaginal inflammation in women. This inflammation can affect the cervix and cause recurrent cervical polyps. At this point, it is advisable to first conduct a vaginal discharge test to determine the type of vaginal inflammation and treat it with medication appropriate for the specific type of vaginal inflammation. Once the vaginal inflammation is treated, the recurrence of cervical polyps can be reduced. Additionally, for unexplained recurrent cervical polyps, it is necessary to regularly follow up and check, trying to ensure early detection and removal of cervical polyps to prevent an increase in size or number of polyps.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How many days will it take to recover from the removal of a cervical polyp?

The removal of cervical polyps is a minor surgery that is short in duration and causes minimal damage. After the surgery, the patient may experience a small amount of vaginal bleeding, but the bleeding is minor and short-lived. Generally, recovery from cervical polyp removal surgery takes about three to five days. However, it is important to note that if the patient has concurrent conditions such as cervicitis or vaginitis, these inflammatory conditions can cause poor healing of the surgical site of the cervical polyp. Therefore, if a patient experiences recurrent vaginal bleeding after the surgery, it is recommended to consult a local hospital for a follow-up.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Why is cervical polyp prone to recurrence?

Cervical polyps are a type of benign lesion of the cervix. However, recurrent episodes are common after cervical polyp removal surgery. This may be due to inflammation that causes the polyps; if the inflammation, such as vaginitis or cervicitis, is not fully cleared after surgery, it can stimulate the regrowth of cervical polyps. Additionally, in some women, the base of the cervical polyp may be deep, and if it is not completely removed during surgery, recurrence may occur. Furthermore, in some cases, the polyp itself may undergo malignant transformation, leading to potential recurrence after the surgery.

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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 Yan Qiao
Obstetrics and Gynecology
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Does cervical polyp surgery require anesthesia?

Cervical polyp removal surgery generally does not require anesthesia, partly because the stalk of the cervical polyp is usually quite thin, making it easy to cut off during removal. Another reason is that the nerve distribution in the cervical area is not as rich, so the cervical tissues are less sensitive to pain compared to other areas. Therefore, the cervical polyp removal surgery does not cause significant pulling reactions on the cervix, which is why general anesthesia is generally not needed.