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Cervical polyp

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Cervical polyps are growths (generally benign) upon the cervix.

polyps are excised and sent for histology
they can cause of bleeding from the vagina, for example after coitus, during pregnancy and after menopause
in about 27% of cases there is an associated endometrial polyp - this incidence is lower in women taking the oral contraceptive pill (8%) and much higher in postmenopausal women (57%). Therefore further investigation (ultrasound and/or hysteroscopy), particularly in postmenopausal women presenting with a cervical polyp is indicated

The risk of dysplasia or malignancy in cervical polyps is estimated to be 0.0–1.7%, so conservative management may be appropriate in asymptomatic women (2)

Reference:

Tanos V, Berry KE, Seikkula J, Raad EA, Stavroulis A, Sleiman Z, et al. The management of polyps in female reproductive organs. Int J Surg 2017;43:7–16.
MacKenzie IZ, Naish C, Rees CM, Manek S. Why remove all cervical polyps and examine them histologically? BJOG 2009;116:1127–9.

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