How old is the cervical polyp before surgery is required?

Surgery is usually recommended for cervical polyps larger than 10 mm in diameter. The main treatments for cervical polyps include regular observation, drug treatment, hysteroscopic electroresection, cold knife resection, laser vaporization, etc.

1. Regular observation

Cervical polyps that are less than 5 mm in diameter and are asymptomatic can be left alone for the time being, and gynecological ultrasound should be reviewed every 3-6 months. Such polyps are mostly benign hyperplasia caused by chronic inflammatory stimulation, and the probability of malignant transformation is extremely low. During reexamination, focus should be paid to the growth rate of polyps and whether abnormal symptoms such as contact bleeding occur.

2. Drug treatment

For polyps of 5-10 mm, you can try progesterone drugs such as progesterone capsules and dydrogesterone tablets to regulate endocrine, and use Chinese patent medicines such as Baofukang suppository to reduce inflammation locally. Side effects such as breast swelling and pain, breakthrough bleeding, etc. may occur during drug treatment. Monthly review is required to evaluate the efficacy. If there is no reduction in breast size within 3 months, surgery needs to be considered.

3. Hysteroscopic electroresection

It is suitable for pedunculated polyps of 10-20 mm and can accurately remove the base through high-frequency current. The amount of bleeding during this operation is about 5-10 ml. After the operation, you need to refrain from bathing in the bath for 2 weeks and sexual intercourse for 1 month. It may be related to complications such as cervical adhesion and postoperative infection, and usually presents with symptoms such as lower abdominal pain and abnormal secretions.

4. Cold knife resection

For large polyps with broad bases or suspected malignant transformation, traditional scalpels are used to completely remove the lesions. After the operation, the wound needs to be sutured to stop bleeding, a urinary catheter is left in place for 24 hours, and the patient is hospitalized for 3-5 days of observation. This surgery is more likely to be complicated by cervical insufficiency, and women of childbearing age need to evaluate the cervical length after surgery.

5. Laser vaporization

The use of carbon dioxide laser to vaporize smaller polyps is suitable for lesions close to the external cervical os. There may be a burning smell during treatment, and there may be light bloody discharge within 2 weeks after surgery. This technique causes little damage to deep tissue, but has the problem of high recurrence probability.

The perineum should be kept clean after surgery, choose pure cotton breathable underwear and change it daily. In your diet, eat more fish, eggs, milk, and fresh vegetables and fruits that are rich in high-quality protein, and avoid spicy and irritating foods. A reexamination will be conducted 1 month after the operation to confirm the wound healing, and cervical TCT examination will be performed every six months thereafter. In case of abnormal vaginal bleeding, odorous discharge, etc., timely follow-up consultation is required.