Is surgery necessary for cervical polyps?

Whether cervical polyps require surgery depends on the size, symptoms and pathological properties of the polyps. In most cases, surgical removal is recommended. Cervical polyps may be related to chronic inflammation, abnormal hormone levels and other factors, and usually manifest as abnormal vaginal bleeding or increased discharge.

Cervical polyps that are small and asymptomatic may not require immediate surgery, and changes can be monitored with regular gynecological exams. If this type of polyps does not cause discomfort or repeated bleeding, some may try drug control under the guidance of a doctor, such as progesterone capsules, Guizhi Fuling capsules and other hormone-regulating drugs, or combined with anti-inflammatory treatment. However, it should be noted that drugs cannot eradicate polyp tissue, but can only relieve related symptoms.

Surgery is usually recommended for cervical polyps that are larger than 1 cm in diameter, cause contact bleeding, or affect fertility. Cervical polyp electroresection and cold knife conization are common procedures that can be completed in an outpatient setting and have a low probability of postoperative complications. If pathological examination shows abnormal cell proliferation or precancerous lesions, the scope of resection must be expanded and followed up closely. New polyps after menopause or polyps that grow rapidly in a short period of time also require surgical intervention as a priority.

You should avoid strenuous exercise and sexual life for 1-2 months after surgery, and check regularly to confirm that there is no recurrence. It is necessary to keep the perineum clean every day, control basic diseases such as blood sugar and blood pressure, and reduce inflammatory stimulation. If you develop postoperative fever, heavy bleeding, or persistent abdominal pain, you must return to the hospital for examination immediately. Cervical polyps have a certain probability of recurrence, and it is recommended to perform cervical cancer screening combined with ultrasound examination every year.