Should cervical polyps be removed surgically?

Whether cervical polyps require surgical removal depends on the size of the polyps, symptoms and the patient's specific conditions. If the polyps are small and asymptomatic, surgery is usually not necessary ； If the polyps are large, cause abnormal bleeding, or affect fertility, surgical removal is recommended. Cervical polyps may be related to chronic inflammation, abnormal hormone levels and other factors, and usually manifest as contact bleeding, increased leucorrhea and other symptoms.

If small cervical polyps have no obvious symptoms, they can be left untreated for the time being and just be reviewed regularly. This type of polyps may be caused by chronic cervicitis stimulation, accompanied by a slight increase in leucorrhea but no other discomfort. Daily attention should be paid to perineal cleaning to avoid irritation from frequent gynecological operations. If the diameter of the polyps exceeds 1 cm or repeatedly causes symptoms such as bleeding after intercourse and menstrual disorders, surgical intervention needs to be considered. Such polyps may be caused by excessive estrogen levels leading to blood vessel proliferation, which is often accompanied by irregular vaginal bleeding or blood-streaked discharge. Cervical polyp removal or hysteroscopic resection are common methods, and pathological examination is required after surgery to rule out malignant lesions.

If women who want to have children find cervical polyps blocking the cervix, it is recommended to remove them before pregnancy even if they are asymptomatic. Such polyps may interfere with the passage of sperm or increase the risk of premature birth, and are often accompanied by abnormal cervical mucus. Postmenopausal women need to be vigilant for new cervical polyps, which are often accompanied by endometrial lesions, which are often accompanied by postmenopausal bleeding. Under special circumstances, such as when the polyps have thick pedicles and are located close to the internal cervical os, traditional clamping may cause more bleeding. In this case, it is safer to choose precise resection under ultrasound guidance.

The perineum should be kept dry and clean for 2-4 weeks after surgery, and bathing and sexual intercourse should be avoided. It is recommended to wear cotton underwear on a daily basis and change it regularly, and change sanitary napkins frequently during menstruation. Eating more foods such as broccoli and kiwi fruit that are rich in vitamin C can help wound healing. Cervical TCT and HPV combined screening is performed every year, and abnormal discharge or bleeding is detected in a timely manner. Patients with cervicitis need to treat the inflammation simultaneously to avoid recurrence of polyps.