What is a Cervical Polyp?
A cervical polyp is a small, usually benign (non-cancerous) growth found on the cervix (the opening to the womb). They are commonly discovered during a routine speculum examination, such as during a smear test.
Do Cervical Polyps Cause Symptoms?
Most cervical polyps do not cause symptoms, but they may sometimes cause:
- Intermenstrual bleeding (IMB) – bleeding between periods
- Post-coital bleeding (PCB) – bleeding after sex
- Difficulty having a smear test taken
Who Gets Cervical Polyps?
Cervical polyps are more common in women who have had children (parous women). Less than 1% of symptomatic polyps show any abnormal or pre-cancerous changes.
Why Might I Need My Polyp Removed?
Symptomatic polyps (causing bleeding or interfering with smear tests) are usually removed. Asymptomatic polyps (causing no problems) can also be removed if you choose.
How Is the Polyp Removed?
This is a quick, simple, and usually painless procedure, like having a smear test.
Steps:
- A speculum is inserted to view the cervix.
- The polyp is grasped at its base using forceps and twisted gently until removed.
- Silver nitrate may be applied to stop any bleeding.
- The polyp is sent to the laboratory for histology (microscopic examination).
After the Procedure
You may experience light bleeding or mild period-like cramps for up to 24 hours. Most women feel fine and can return to normal activities the same day.
Possible Risks (Uncommon)
- Mild discomfort or cramping
- Rarely, vagally stimulated bradycardia (a drop in heart rate) – your clinician is trained and equipped to manage this
- If the polyp originates from the womb lining (endometrial polyp), you may need an ultrasound scan to check for other growths
When Will I Get My Results?
Your GP will contact you once the histology (lab) results are available. If the result shows a benign cervical polyp – no further action is needed. If it shows an endometrial polyp – an ultrasound scan will be arranged to check the womb lining
Referral to a Specialist (Secondary Care)
You will be referred to a hospital specialist if the polyp is larger than 1cm, the base of the polyp cannot be seen (possibly from the womb) or the polyp cannot be safely removed in primary care.