Will cervical polyps grow back after being removed?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 04, 2024
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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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Can cervical polyp canceration be cured?

Cervical polyp malignancy, which is cervical cancer, can be completely cured if it is detected and treated early, with a cure rate reaching over 90%. Therefore, routine pathological examination must be performed when removing cervical polyps. If the pathology results indicate polyp malignancy, treatment should be carried out as for cervical cancer. The common treatment methods for cervical cancer are surgical treatment and postoperative radiotherapy and chemotherapy. Timely treatment can lead to a cure.

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How to perform surgery on cervical polyps

According to the different shapes of cervical polyps in women and the varying depths of their stalks, the surgical methods also vary. For instance, if a woman discovers a small cervical polyp with a thin stalk that isn’t located too deeply, it can be treated in an outpatient setting. Usually, the stalk is clamped with a hemostatic forceps, then continuously twisted until it naturally breaks off, and the bleeding is generally not substantial, often not requiring hospitalization. However, for some women with larger cervical polyps and broader stalks located deeper within, especially when the stalk is deep within the cervical canal, performing a cervical polyp removal surgery in an outpatient setting may result in incomplete removal of the stalk, and the bleeding can be more significant. In such cases, hospitalization is usually required to perform an electrosurgical excision of the cervical polyp under hysteroscopy, during which the stalk can be completely removed and the bleeding can be thoroughly controlled.

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Written by Liu Jian Wei
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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.

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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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Is it serious if a cervical polyp bursts?

The texture of cervical polyps in women tends to be more fragile, and they may have inflammatory cell infiltration on their surfaces, which could also affect coagulation functions. If rupture occurs, the bleeding could last longer. Some women with cervical polyps experience minor ruptures and minimal bleeding, which can be quickly stopped using simple compression hemostasis or by applying traditional Chinese medicines locally. However, if the rupture area of the polyp is large, ordinary methods may not suffice to stop the bleeding. Particularly, some cervical polyps in women may indicate carcinogenic changes, as cancer can grow rapidly, possibly outpacing the blood supply, leading to local rupture and shedding. In such cases, the resulting bleeding can be fatal and difficult to control.