Why is cervical polyp prone to recurrence?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 22, 2024
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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 Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyps become cancerous?

Cervical polyps are mostly caused by chronic cervical inflammation and local cervical tissue hyperplasia. Cervical cancer is caused by human papillomavirus (HPV) infection, so cervical polyps generally do not lead to malignancy, and the rate of malignant transformation is very low, accounting for only about 1%. If there is an HPV infection along with cervical polyps, malignant transformation of the cervical polyps can occur. Therefore, if cervical polyps are present, they should be removed, and after removal, a pathological examination is necessary to determine if there is any malignancy.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Do cervical polyps recur?

Cervical polyps are polypoid tissues that result from the hyperplasia of cervical glands and protrude towards the cervix's opening. These polyps are caused by chronic cervical inflammation. Therefore, if a cervical polyp is removed and the cervical inflammation still exists, the polyps might recur. Thus, after the removal of cervical polyps, it is crucial to actively treat the cervical inflammation or remove the cervical polyps and cauterize the base of the polyps using radiofrequency or cryotherapy methods. Generally, these approaches do not lead to recurrence, and it is important to actively treat chronic cervical inflammation.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long will cervical polyps recur?

Cervical polyps can recur at various times, and this varies greatly from person to person, mainly related to the presence of chronic inflammation. If cervical inflammation persists, the likelihood of recurrence is somewhat higher and is also related to the surgical method used at the time. Methods like using a LEEP (Loop Electrosurgical Excision Procedure) generally result in a longer recurrence time. If it is just a simple removal surgery and the root is not completely removed, some may recur in about three months. Thus, there is significant individual variability.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyps lead to natural childbirth?

Cervical polyps generally allow for natural childbirth, as they do not affect the delivery process. During pregnancy, if cervical polyps are present, there may be minor vaginal bleeding, but these polyps usually do not impact the pregnancy or childbirth. If vaginal bleeding occurs during pregnancy, it is necessary to examine the cervix. If cervical polyps are observed, the bleeding might be caused by the polyps, which could indicate a threatened miscarriage. Therefore, if cervical polyps are present, they should be removed. Once the cervical polyps are removed, bleeding generally ceases. Thus, if vaginal bleeding continues after the removal of cervical polyps, it may indicate a threatened miscarriage during pregnancy, requiring further examination.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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.