Does cervical polyp require surgery?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 07, 2024
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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 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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Can I eat donkey-hide gelatin with cervical polyps?

Patients with cervical polyps can consume donkey-hide gelatin (Ejiao). The formation of polyps is generally due to chronic inflammation that stimulates the occurrence of cervical polyps, and the treatment usually involves the removal of the cervical polyps. The cause of formation is not related to the consumption of Ejiao. The function of Ejiao is to nourish the blood, stop bleeding, and regulate menstruation. If the condition is due to deficiency of Qi and blood, patients can consume Ejiao. Cervical polyps are generally caused by chronic inflammation, and there is no conflict with consuming Ejiao. If patients with cervical polyps also suffer from deficiency of Qi and blood, and irregular menstruation, they can consume Ejiao, as Ejiao does not affect the polyps.

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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 Shen Li Wen
Obstetrics and Gynecology
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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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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.