How to stop bleeding from cervical polyps?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 03, 2024
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The cervical polyps in women are relatively fragile, and if there is a concurrent infection, bleeding is more likely to occur. When bleeding from a cervical polyp happens, the best way to stop it is to remove the cervical polyp and then treat the inflammation. Some women may not wish to immediately undergo surgery to remove the cervical polyp; in such cases, local application of hemostatic medicines, such as commonly used Yunnan Baiyao or stuffing hemostatic gauze, or simply using ordinary gauze for compression can be employed to stop the bleeding, followed by the surgical removal of the cervical polyp later.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Best time for cervical polyp surgery

The best time for cervical polyp surgery is within three to seven days after the end of menstruation, when the cervical canal polyp removal surgery should be performed. After the surgery, the removed tissue must be re-examined pathologically, as most polyps are benign, but a very small number may have malignant tendencies. Therefore, it is essential to perform another pathological examination after the cervical polyp removal surgery. After surgery, oral anti-inflammatory medication should be taken for symptomatic treatment, and sexual intercourse should be avoided for a month. Topical medications can also be used for symptomatic treatment. Since most cervical polyps are caused by chronic inflammation, postoperative anti-inflammatory or topical medications can be used for symptomatic treatment to prevent the recurrence of polyps. After the removal of a cervical canal polyp, it is crucial to have a follow-up check every six months to a year, as polyps are prone to recurrence.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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How long does it take to recover from cervical polyp removal surgery?

Cervical polyp removal varies depending on the size and location of the polyp. Recovery also varies accordingly. For small external cervical polyps, routine polypectomy is commonly performed, allowing patients to recover shortly after surgery, generally without any discomfort within two to three days. However, for larger cervical polyps, especially endocervical polyps that require removal, the surgery must be completed under hysteroscopic electrocautery. Recovery from this type of surgery generally takes about a week. Regardless of the type, regular follow-up exams are necessary after removing cervical polyps to rule out the possibility of recurrence.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can cervical polyps fall off by themselves?

Whether cervical polyps will fall off on their own depends on the location and size of the cervical polyp and whether the base of the polyp is deep. If the cervical polyp is small and located at the external opening of the cervix, and the base of the polyp is shallow, there is a possibility that the polyp may fall off during physical activity, but this is rare. Especially when the cervical polyp is large, with a deep base, and located deep in the internal opening of the cervix, in this case, the cervical polyp will not fall off on its own, and surgery is required to remove it.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How is a cervical polyp examined?

Cervical polyps in women can be detected through routine gynecological examinations, especially the smaller cervical polyps, which can be seen inside the cervical canal when the vagina is opened with a speculum. These small, blood-red protrusions resemble tongues and their stalks, generally located inside the cervical canal, are invisible. Therefore, other diagnostic methods, such as the commonly used color ultrasound, can also detect cervical polyps, but usually only when the polyps have reached a certain size in diameter that the ultrasound can differentiate them. Even with transvaginal ultrasound, the cervical polyps need to be large enough to be detected, so ultrasound should not be considered as the first choice for examination. Furthermore, another important diagnostic method is pathological examination. All surgically removed cervical polyps must undergo histopathological examination to rule out the possibility of malignancy.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can cervical polyps be treated with medication?

Whether cervical polyps can be treated with medication needs to be determined based on the size of the polyps. Generally, if the cervical polyps are small, anti-inflammatory treatment can be appropriately given to eliminate inflammation and promote the shrinkage of the polyps. However, cervical polyps may not necessarily disappear after anti-inflammatory treatment. Therefore, it is recommended that patients visit the gynecology outpatient department of their local hospital for a gynecological examination to assess the treatment effect of the cervical polyps after the anti-inflammatory treatment. If the cervical polyps persist, surgical removal is still recommended.