Should cervical polyps be removed?

Whether cervical polyps need to be removed needs to be comprehensively evaluated based on the polyp size, symptoms, and patient needs. Most asymptomatic small polyps can be left alone temporarily, but surgical removal is recommended when there is abnormal bleeding, repeated infections, or the need for pregnancy preparation.

Cervical polyps are benign growths formed by the proliferation of cervical mucosa, usually less than 3 cm in diameter. If the polyps are small and there are no symptoms such as irregular vaginal bleeding, bleeding after intercourse, or abnormal leucorrhea, regular follow-up observations can be made. Some polyps may fall off naturally as hormone levels change. Especially in postmenopausal women, polyps may shrink due to the decrease in estrogen. During the follow-up period, it is recommended to perform gynecological examination and ultrasound monitoring every 6-12 months. At the same time, pay attention to keeping the vulva clean and avoid local moisture caused by long-term use of panty liners.

Polyp removal is required when polyps cause contact bleeding, incomplete menstruation, or cause infertility. Broad-pedunculated polyps deep in the cervical canal may affect embryo implantation, and women preparing for pregnancy are advised to treat them before pregnancy. Traditional surgical methods include polyp clamping and electroresection. Postoperative pathological examination is required to rule out malignant transformation. A small amount of bloody secretion may occur 1-2 weeks after the operation. Bathing in the bath, sexual intercourse and strenuous exercise should be avoided. If polyps recur repeatedly, it is necessary to investigate whether it is complicated by chronic cervical inflammation or endocrine disorders.

Daily attention should be paid to observing the changes in the menstrual cycle and the characteristics of secretions. If the menstrual period is prolonged or brown secretions are increased, seek medical attention promptly. After surgery, patients should use Baofukang suppository or chitosan cervical antibacterial membrane as directed by the doctor to prevent infection, and avoid vaginal douching within 3 months. Patients with cervicitis need simultaneous treatment, and infrared light irradiation can be used to promote wound healing. Annual cervical cancer screening is recommended. Long-term HPV infection that has not turned negative may increase the risk of polyp recurrence.