Why does cervical polyp bleed?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 16, 2024
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Cervical polyps in women are prone to bleeding, which is somewhat related to the causes of their formation. Most cervical polyps occur due to infection of the cervix, leading to proliferative changes. The tissues in these polyps lack muscle fibers, so when they bleed due to contact, there is no way to constrict and close off the bleeding vessels. Furthermore, cervical polyps are soft and fragile, easily bleeding upon contact. Additionally, the surface of cervical polyps is susceptible to invasion by external pathogens, prompting infections, which can exacerbate the occurrence of vaginal bleeding in women.

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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Do cervical polyps differentiate between benign and malignant?

Under normal circumstances, cervical polyps are considered benign hyperplastic lesions of the cervix, possibly related to the body's hormone levels or caused by inflammatory stimulation resulting in inflammatory polyps. However, sometimes malignancies of the endometrium or cervix can also present as polyp-like growths. It is usually impossible to distinguish benign from malignant lesions just by visual inspection. Therefore, whenever cervical polyps are found, it is common practice to perform a surgical removal of the cervical polyp and then conduct a histopathological examination to differentiate between benign and malignant lesions.

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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 Tao Zhong E
Obstetrics and Gynecology
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Can you get pregnant with cervical polyps?

Cervical polyps generally form when a local area of cervical mucosa is stimulated by inflammation, leading to localized proliferation and the emergence of a solid tumor mass, which protrudes as a pedunculated lesion of varying sizes, from as small as a grain of rice to even three to four centimeters in length. However, it is usually possible to consider pregnancy after removal of the polyp, typically two weeks later, or after the next menstrual period, as it does not affect the ability to conceive. Moreover, it is generally advisable to remove the polyps upon discovery, since if not removed, they may cause recurring bleeding during pregnancy, which can complicate the monitoring of the pregnancy. However, cervical polyps are usually benign, with a low likelihood of being malignant. Thus, whether cervical polyps are detected through symptoms or during a physical examination, it is generally recommended to remove them first before considering pregnancy, although cervical polyps themselves do not impact fertility.