Can cervical polyps affect fertility?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 01, 2024
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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.

Other Voices

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Written by Gan Hai Ying
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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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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 Sun Shan Shan
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Can cervical polyps be felt?

Cervical polyps are not detectable by touch; a gynecological internal examination is required where a speculum is used to dilate the vagina to view the cervix. This allows for the observation of any cervical polyps, their size, and based on the examination results, timely surgical treatment can be administered. Cervical polyps are caused by cervical inflammation that leads to localized tissue hyperplasia exhibiting polypoid changes. Once cervical polyps are identified, it is crucial to promptly proceed with further cervical cancer screening. If there is no HPV infection and TCT is normal, polypectomy should be performed. Post-surgery, a pathological examination is necessary. It is also advised to avoid cold exposure, exhaustion, and spicy or irritating foods to maintain health.

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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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Is the LEEP surgery for cervical polyps painful?

Cervical polyp removal using the LEEP procedure can be painful, but with advances in medical science, this operation can now be performed painlessly to minimize patient discomfort. Therefore, particularly sensitive patients who are very fearful of pain can opt for a painless LEEP procedure at the hospital. This can be achieved through intravenous anesthesia, which generally yields very good results, causes minimal discomfort, and facilitates a smooth recovery. Therefore, LEEP surgery on the cervix without anesthesia might be painful, but with anesthesia, it is usually very effective and problem-free. After surgery, it is important to manage inflammation appropriately and perform a pathological examination of the removed tissue. If there are no other complications, an annual follow-up is generally sufficient.