The exact cause of cervical polyps is not well established. However, it is believed that they may be associated with the following:
- Increased levels of female sex hormone (estrogen) that are at peaks during childbearing age, during pregnancy, and in the months that lead to menopause.
- Clogging of the blood vessels near the cervix.
- Inflammation of the cervix is caused by an infection or pregnancy or hormonal changes.
What are cervical polyps?
Cervical polyps are harmless growths that often protrude from the surface of the cervical canal. They are most frequent throughout the reproductive years of women, particularly after 20 years of age.
The cervix is a tube-like passage at the base of the uterus that opens into the vagina and links the uterine cavity to the upper section of the vagina.
Cervical polyps differ in size, form, and origin. Depending on the vascularity of the lesion, they might be:
- single or numerous
- tear-shaped or lobular
- cherry-red or grayish-white in appearance
Cervical polyps are generally less than 3 cm in diameter. However, as previously stated, they can vary in size and can be large enough to fill the vagina or be present at the introitus. A cervical polyp is attached to the surface through a pedicle, which is generally long and narrow but can also be short and broad-based.
Cervical polyps are of two types:
- Endocervical polyps: These are the most frequent types of polyps, and they are more common in premenopausal women. They generally develop from the endocervical cervical glands (mucus-producing glands).
- Ectocervical polyps: These are more prevalent in postmenopausal women and develop from the cervix's outer surface layer cells within the ectocervix.
What are the symptoms of cervical polyps?
Cervical polyps are mostly asymptomatic. However, in some cases, they may cause symptoms such as:
- Vaginal discharge of white or yellow mucus
- Heavy periods
- Vaginal spotting at times, such as:
You must consult a doctor if you experience any of these symptoms because some of these symptoms may be a sign of cancer. Cervical polyps may rarely represent the early stages of cervical cancer, and removal of the polyps reduces the risk of cancer.
How are cervical polyps diagnosed?
Cervical polyps are usually diagnosed during a pelvic examination where some smooth, red, or purple finger-like growths may be seen at the cervical opening.
The doctor may gently remove the polyp and send it for testing.
Mostly, the biopsy report will be consistent with a benign polyp. It may or may not recur once removed. In rare cases, a polyp may include aberrant, precancerous, or cancerous cells.
What are the treatment options for cervical polyps?
Cervical polyps are treated in various ways, depending on their clinical features. Asymptomatic polyps typically do not require treatment although there are a few exceptions. Polyps that are symptomatic, big, or unusual should typically be removed.
Cervical polyps may separate from the cervix on their own while a woman is menstruating or during intercourse.
Removal of a polyp is both therapeutic and diagnostic, which means a polyp is removed completely by the doctor who treats the condition. The removed polyp will be sent for biopsy to identify the presence of cancerous or precancerous cells, and treatment is done accordingly.
The doctor removes a polyp by:
- Twisting at its base and pulling out.
- Using a ring forceps to hold it and pull it out.
- Tying a surgical string around the polyp before removing it.
The base of the polyp may be destroyed by the following methods:
- Liquid nitrogen
- Electrocautery ablation
- Laser surgery
If the polyp is big, the doctor may advise having it removed in the operating room under local or general anesthesia.
After the polyp removal, some women may experience light vaginal bleeding or slight cramps for a few hours afterward. Pain medication may not be required. However, if there is any discomfort, over-the-counter pain medications such as acetaminophen may be given.
Removal of cervical polyps is a minor procedure, and the woman may return home on the same day. It is recommended to avoid intercourse at least for three days post-surgery. Although surgically removed polyps may not grow back, there is a risk of new polyps, so it is recommended to follow routine pelvic examination to check for new growth.
Health Solutions From Our Sponsors
Cervical Polyps: https://www.uofmhealth.org/health-library/tw9654spec
Cervical Polyps: https://www.bcm.edu/healthcare/specialties/womens-health-maternity/ob-gyn-conditions/cervical-polyps
Top What Causes Cervical Polyps Related Articles
Cervical Cancer (Cancer of the Cervix)Cervical cancer is cancer of the entrance to the womb (uterus) caused by the human papillomavirus (HPV). Regular pelvic exams, Pap testing and screening can detect precancerous changes in the cervix. Cervical cancer can be prevented by a vaccine. The most common signs and symptoms are an increase in vaginal discharge, painful sex, and postmenopausal bleeding. The prognosis and survival rate depends upon the stage at which the cancer was diagnosed.
Cervical Cancer QuizHow is cervical cancer different from other cancers? Take this quiz to learn the basics of cervical cancer.
Is Cervical Cryosurgery Painful?Cervical cryotherapy is a medical procedure that involves freezing and destroying the abnormal tissue in the cervix (the lower part of the uterus). The procedure may cause some discomfort. Women report some cramping or pressure and a sensation of cold in the vaginal area.
What Does It Mean If I’m Having a Lot of Vaginal Discharge?It's normal for women to have some amount of vaginal discharge. Learn more about what it can mean if you have more vaginal discharge than usual or if your discharge has an unusual appearance.
Spotting vs. PeriodMenstruation (a female's "period") occurs due to the shedding of the lining of the uterus. Menstrual bleeding lasts about three to five days, and the bleeding is heavy the first couple of days and then it lessens. Spotting is vaginal bleeding between periods.
Vagina PictureThe vagina is an elastic, muscular canal with a soft, flexible lining that provides lubrication and sensation. See a picture of the Vagina and learn more about the health topic.
Vaginal BleedingNormal vaginal bleeding (menorrhea) occurs through the process of menstruation. Abnormal vaginal bleeding in women who are ovulating regularly most commonly involves excessive, frequent, irregular, or decreased bleeding. Causes of abnormal may arise from a variety of conditions that may include, uterine fibroids, IUDs, hypothyroidism, hyperthyroidism, lupus, STDs, pelvic inflammatory disease, emotional stress, anorexia nervosa, polycystic ovary syndrome (PCOS), cancers, early pregnancy.
Vaginal Health Quiz: Test Your Medical IQTake this Vaginal Health Quiz to learn about about common problems that women experience, and when to see a doctor about problems down there.
What Are the Symptoms of Cervical Cancer in the Early Stages?Cervical cancer is a type of cancer that occurs in the cells of the cervix (mouth of the uterus that opens in the vagina). This cancer can affect the deeper tissues of the uterus and may spread to other parts of the body, which are often the lungs, liver, bladder, vagina and rectum.
What Can Spotting Before Your Period Mean?Spotting before your period can have many causes. Find out what signs to watch for, the causes of spotting between periods, and how it can be treated.
What Does Cervical Mucus Look Like After Ovulation?The consistency of cervical mucus fluctuates throughout the month. Learn what cervical mucus should look like during and after ovulation and when you should see a doctor.
What Does Cervical Mucus Mean?Cervical mucus is a fluid secreted by the cervix (mouth of the womb) during different stages of the menstrual cycle. Its production is influenced by the hormone, estrogen. Cervical mucus is one of the factors that pave the way for successful conception.
Why Is My Period So Heavy?Heavy periods (menorrhagia) are most commonly caused by a hormonal imbalance. However, several other factors may play a role in heavy menstrual bleeding.