Is cervical polyp not very serious?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on January 02, 2025
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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 Shen Li Wen
Obstetrics and Gynecology
1min 16sec home-news-image

Is it okay not to have surgery for cervical polyps?

When women have cervical polyps, surgical treatment is required regardless of the size of the polyps, and not undergoing surgery is not an option. Firstly, the texture of cervical polyps is relatively fragile, which can easily lead to bleeding upon contact, such as bleeding after intercourse. Some women with vaginal inflammation can infect the cervical polyps, leading to inflammatory secretions, such as purulent secretions or secretions containing blood. If cervical polyps are not surgically removed, they may continue to grow, and they have a characteristic of being multiple. For instance, the occurrence of multiple cervical polyps can also affect the normal menstrual cycle of women. Some women with cervical cancer or endometrial cancer can also present polyp-like growths, and from the appearance, it is not possible to distinguish whether the growths are malignant or benign. Therefore, generally, once cervical polyps are found, they should be surgically removed, and a histological examination should be performed after surgery to rule out the possibility of malignant changes.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Cervical polyp laser surgery effect

The surgery for cervical polyps is a common minor operation in the gynecological outpatient operating room. The treatment for cervical polyps can be conducted using laser methods or through traditional surgical removal. Currently, each of these methods has its advantages and disadvantages. Laser surgery for cervical polyps is very effective, not only speeding up the operation time and reducing damage but also promoting a quicker recovery for patients. However, it is important to note that not all patients with cervical polyps are suitable for laser surgery. Patients with cervical polyps need a further evaluation in the gynecological clinic to determine if they are suitable for laser treatment.

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Written by Yan Qiao
Obstetrics and Gynecology
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How is cervical polyp surgery performed?

Cervical polyp removal surgery is a very common minor procedure in gynecology. This surgery involves minimal trauma, short operation time, and quick postoperative recovery. Generally, we conduct this surgery in the minor operation room of the gynecological outpatient clinic, and it does not require hospitalization; patients can go home right after the removal. During the procedure, we can use a biopsy forceps or a small curved forceps to directly clamp the pedicle of the polyp and remove it. Ideally, the procedure should be done under a colposcope. When using a colposcope, applying acetic acid or Lugol's solution helps in observing the appearance of the cervical polyp, facilitating differentiation from other conditions, such as Nabothian cysts which can easily be confused with cervical polyps.

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Written by Zhang Lu
Obstetrics
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Are cervical polyps prone to miscarriage?

Cervical polyps are a common disease in women, mainly caused by local inflammation of the cervix which leads to localized tissue hyperplasia, appearing as polypoid changes. For cervical polyps, the majority of them are unlikely to cause miscarriage. Before pregnancy, it is generally recommended to check the cervix for polyps during pre-pregnancy examinations. If polyps are found, they should be removed before pregnancy. If cervical polyps are discovered during pregnancy, a joint decision should be made based on the patient's symptoms and clinical manifestations. If the cervical polyp is relatively small, it may not require treatment. However, if the cervical polyp repeatedly causes bleeding or inflammation, then it should be removed during pregnancy. Removing the polyp in accordance with standard treatment procedures is generally not likely to cause miscarriage.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Can cervical polyps heal themselves?

Cervical polyps can sometimes heal on their own. If the cervical polyp is small or has a thin stalk, there is a possibility that it might become necrotic and fall off, but this scenario is relatively rare. Most cervical polyps require surgical treatment. However, the surgery for cervical polyps is relatively simple; the stalk of the polyp can be destroyed using laser or radiofrequency, causing it to fall off. Additionally, if cervical polyps are not treated, they might cause irregular vaginal bleeding, and there is a possibility of malignant transformation, although the rate of malignancy is quite low.