How to deal with recurrent cervical polyps

Recurrent cervical polyps can be treated through regular review, drug treatment, physical therapy, surgical removal, and adjustment of living habits. Cervical polyps may be related to chronic inflammatory stimulation, abnormal hormone levels, cervical damage, pathogen infection, low immunity and other factors.

1. Regular review

After treatment of cervical polyps, gynecological examination and colposcopy are required every 3-6 months, and cervical epithelial changes are evaluated through acetic acid white test and iodine test. If recurrence of polyps or cervical intraepithelial neoplasia is found during reexamination, timely intervention is required. It is recommended to recheck 3-7 days after menstruation is clear to avoid menstrual blood interfering with the test results.

2. Drug treatment

For inflammatory polyps, you can use vaginal suppositories such as Baofukang Suppository and Xiaomi Suppository as directed by your doctor. When combined with infection, you need to use metronidazole vaginal effervescent tablets. Hormone-related polyps can be treated with ethinyl estradiol and cyproterone tablets to regulate endocrine. Liver and kidney function need to be monitored during drug treatment to avoid bacterial imbalance caused by long-term use of broad-spectrum antibiotics.

3. Physical therapy

Polyps less than 1 centimeter in diameter can be treated with laser vaporization or cryotherapy, which uses low or high temperatures to cause the polyp tissue to necrosis and fall off. There will be light yellow watery secretion after treatment. The vulva needs to be kept clean. Bathing and sexual intercourse are prohibited within 2 months. Physical therapy has the advantages of less bleeding and faster recovery, but there may be cases where the treatment is incomplete.

4. Surgical resection

For polyps with a wide base or recurrent polyps, it is recommended to perform hysteroscopic cervical polyp resection. During the operation, the polyp base needs to be completely removed and sent for pathological examination. Possible complications after surgery include cervical adhesion, wound infection, etc., and prophylactic antibiotics are required. The probability of recurrence after surgical resection can be reduced to less than 15%.

5. Adjust living habits

Clean your vulva every day but avoid vaginal douching. Choose pure cotton breathable underwear and change it frequently. Limit the intake of high-estrogen foods such as royal jelly and increase the intake of cruciferous vegetables. Maintaining a regular schedule and moderate exercise, and doing aerobic exercise three times a week can help improve immunity. Using condoms during intercourse can reduce the risk of pathogenic infection.

Patients with cervical polyps should undergo annual cervical cancer screening, including HPV testing and TCT examination. Pay attention to abnormal vaginal bleeding or discharge in daily life, and avoid local moisture caused by long-term use of panty liners. Appropriate supplement of vitamin E and selenium in the diet, and limit the intake of spicy and irritating foods. Avoid heavy physical labor and strenuous exercise within 3 months after treatment, and establish a personal health file to record each treatment and review results.