Can cervical polyps become cancerous?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on January 08, 2025
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Cervical polyps can become cancerous, but the rate of malignancy is very low, around 1%. Cervical polyps are caused by chronic inflammation of the cervix, which leads to the hyperplasia of local connective tissue, forming pink, tongue-shaped growths that sometimes have a stalk and can bleed upon contact. This condition is caused by inflammation, but if there is also an HPV virus infection, there is a potential for cancerous changes. Therefore, the causes of cervical cancer and cervical polyps are different. Cervical cancer is caused by infection with the human papillomavirus (HPV), while cervical polyps are caused by inflammation. If cervical polyps are combined with an HPV infection, cancerous changes might only occur if the infection persists for more than two years.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Is cervical polyp not very serious?

In most cases, cervical polyps in women are benign lesions of the cervix caused by chronic inflammation. If the polyp is small, typically the clinical symptoms are not severe, or there may even be no symptoms at all. Some women might experience a small amount of vaginal bleeding or blood-streaked discharge after intercourse or a gynecological examination. When the size of the cervical polyp increases, the clinical manifestations can be more severe, such as bloody discharge or bleeding after intercourse. In very rare cases, regardless of the size, cervical polyps may be cancerous. In such cases, it is necessary to remove them promptly and perform a histopathological examination to determine whether the lesion is benign or malignant.

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Written by Yan Qiao
Obstetrics and Gynecology
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Can cervical polyps recur?

Cervical polyps are highly prone to recurrence. Often after removal, polyps can repeatedly grow back. Possible causes may be related to persistent inflammatory stimulation, hormonal imbalances such as excessively high levels of estrogen, and infections from pathogens. Mainly, infections from pathogens might occur through invasive procedures or external factors such as childbirth in women. Therefore, if the inflammation persists, individual differences in physical constitution with continuously high levels of estrogen, and the invasion of external pathogens can all contribute to the recurrent occurrence of cervical polyps.

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Written by Yan Qiao
Obstetrics and Gynecology
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Is surgery necessary for cervical polyps?

Cervical polyps are a clinical manifestation of chronic cervicitis. Polyps can originate from the lips of the cervix or within the cervical canal, and generally vary in size. They are usually connected to the cervix by a small stalk. Cervical polyps rarely become malignant, with a very low chance of malignancy. However, if left untreated, the polyp can gradually increase in size, causing bleeding during intercourse, and even bleeding without contact. Additionally, there is the risk of malignancy, so once detected, it is recommended to remove them and definitely send them for pathological examination to rule out any possibility of malignancy.

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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 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.