Symptoms of cervical polyps

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 12, 2025
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Most women with cervical polyps may not show any clinical symptoms. When the size or number of polyps increases, resulting in an enlarged surface area of columnar epithelium, the amount of secretion may increase, manifesting as thick and abundant vaginal discharge. When an infection coincides, the discharge can appear purulent. Due to the fragile texture of the polyp’s surface, it can easily bleed when touched, which is why some women might experience vaginal bleeding during gynecological examinations or after intercourse. In some women, cervical polyps are a manifestation of cervical cancer, which can then lead to uncontrollable vaginal bleeding and foul-smelling vaginal discharge. If it progresses to a late stage, signs of metastasis, such as cancer spreading to the bladder causing hematuria, may occur.

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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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What should I do if cervical polyps keep recurring?

Women with cervical polyps, although benign, have a characteristic of recurring. When this happens, it is important to first identify if there are any factors promoting their recurrence, such as recurrent vaginal inflammation in women. This inflammation can affect the cervix and cause recurrent cervical polyps. At this point, it is advisable to first conduct a vaginal discharge test to determine the type of vaginal inflammation and treat it with medication appropriate for the specific type of vaginal inflammation. Once the vaginal inflammation is treated, the recurrence of cervical polyps can be reduced. Additionally, for unexplained recurrent cervical polyps, it is necessary to regularly follow up and check, trying to ensure early detection and removal of cervical polyps to prevent an increase in size or number of polyps.

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Is cervical polyp serious?

Cervical polyps are not serious, and the majority of them are caused by chronic cervical inflammation. Cervical polyps can generally be removed in an outpatient setting at a hospital, and the removed polyp should be sent for pathology. The vast majority of these polyps are benign, with only a very small minority having the potential to become malignant. Therefore, having cervical polyps is generally not a serious issue. The polyps can be removed and appropriate anti-inflammatory treatment can be administered thereafter. Most cervical polyps are not problematic. If there is any concern, one can also undergo cervical cancer screening, which generally involves a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) virus testing. These tests help identify the presence of cervical cancer and its precursors. If the cervical cancer screening shows no issues, and it's simply a case of cervical canal polyps, it is not serious, and removal can be performed in an outpatient setting in the hospital.

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Do you need to be hospitalized for cervical polyp surgery?

Currently, surgical treatment for cervical polyps does not require hospitalization. Generally, surgeries that require hospitalization are more extensive and are performed only after comprehensive assessments by various specialists and anesthesiologists. Cervical polyp removal surgery causes minimal trauma, is relatively simple, and has little impact on the patient’s overall condition. Therefore, it is not necessary for patients to be hospitalized for this procedure. It is currently recommended that cervical polyp removal be performed in the gynecological outpatient surgical room, allowing patients to go home to recuperate after the surgery.

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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.