Should cervical polyps be removed during gynecological examination?

Whether cervical polyps discovered during gynecological examinations need to be removed depends on the size of the polyps, symptoms, and the specific situation of the patient. Most asymptomatic small polyps can be temporarily left untreated, and regular follow-up is sufficient; If there is abnormal bleeding, increased secretion, or fertility issues, surgical resection is usually recommended. Cervical polyps with small volume and no discomfort symptoms may be caused by chronic inflammation or changes in hormone levels. These polyps grow slowly and have a lower probability of cancer. The doctor will recommend a vaginal colposcopy or ultrasound examination every 3-6 months to observe changes in polyps. Pay attention to perineal hygiene in daily life, avoid frequent sexual stimulation, and supplement with vitamin E and selenium appropriately to help with mucosal repair. If the diameter of the polyp during the re examination does not exceed 5 millimeters and there is no blood flow signal, conservative observation can continue. When the diameter of polyps exceeds 10 millimeters or causes contact bleeding, prolonged menstruation, infertility, etc., outpatient surgical resection should be considered. This type of polyp may be accompanied by cervical mucosal hyperplasia or local infection, and surgical methods include polyp clamping, electrocautery, or cryotherapy. After surgery, pathological examination is required to rule out the risk of malignancy. Bath and sexual activity are prohibited within 2 weeks, and Baofukang suppositories or recombinant human interferon alpha-2b vaginal effervescent tablets should be used according to medical advice to prevent infection. Patients with combined cervicitis also need to cooperate with anti-inflammatory treatment. The probability of recurrence after cervical polyp surgery is relatively high, and it is recommended to undergo a combined TCT and HPV screening every year. Long term use of estrogen drugs should be avoided in daily life, blood sugar and blood pressure levels should be controlled, and regular sleep patterns can help maintain endocrine balance. When abnormal vaginal bleeding or discharge occurs, timely follow-up should be sought.