Cervical polyps are small, fleshy growths that develop on the surface of the cervix; the lower, narrow part of the uterus that opens into the vagina. While they might sound alarming, most cervical polyps are noncancerous (benign) and relatively common, especially in women over 20 or those who have had children. There are also treatments for cervical polyps, which we discuss in this article.

What Are Cervical Polyps?

Cervical polyps are finger-like growths that arise from the inner cervical canal and protrude into the vagina. They vary in size but are usually small, about the size of a pea or slightly larger. Most women don’t even know they have one until it’s spotted during a routine pelvic exam.

Are They Dangerous?

In most cases, cervical polyps are not dangerous:

• Benign nature: Nearly all cervical polyps are noncancerous. However, a small percentage may show abnormal or precancerous cells. As such, doctors often send removed polyps for lab evaluation.
• Cancer risk: Cervical cancer rarely arises from polyps. However, any persistent or unusual symptoms warrant medical assessment to rule out more serious conditions.

Common Symptoms

Many cervical polyps cause no symptoms at all. But when they do, signs can include:

• Spotting or bleeding between periods
• Bleeding after sexual intercourse
• Vaginal bleeding after menopause
• Unusual vaginal discharge (possibly yellow or white)

Any new or persistent bleeding should prompt a visit to your healthcare provider.

Treatments for Cervical Polyps

Treatments for cervical polyps vary depending on symptoms, size, and clinical judgment.

1. Watchful Waiting

If a polyp is small and not causing symptoms, many clinicians opt to monitor it, since it may not require intervention.

2. Polypectomy (removal)

One of the most common treatments of cervical polyps is removing it during an outpatient visit. This can involve twisting or snipping the polyp off at the base using ring forceps or similar tools. Another option of removal is typing surgical string around the stalk.

For larger or stubborn polyps, electrocautery or laser technique is used. This procedure is usually quick and done without general anesthesia, though some women may prefer local anesthesia or sedation.

3. Follow-Up and Lab Testing

Removed polyps are usually sent for histopathological evaluation to confirm they’re benign. This helps rule out rare precancerous changes. After removal, you may experience mild cramping or light bleeding for a short period. Most women recover fully within a day or two.

Spotlight: Riverwalk Women’s Health Care in San Antonio

If you’re in the San Antonio area and looking for expert women’s health care, providers like Riverwalk Women’s Health offer gynecological services including evaluation and management of cervical concerns. We focus on women’s reproductive health across all ages, from routine pelvic exams and pap smears to more advanced gynecologic care.

Whether you’ve been diagnosed with a cervical polyp or are due for annual screening, a trusted gynecologist can guide you through the best treatments for cervical polyps and personalize care to your needs.

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