Cervical polyps occur in about 2 to 5% of women. They usually originate in the endocervical canal. Endocervical polyps may be caused by chronic inflammation. They rarely become malignant.
Polyps that cause bleeding or discharge should be removed. Excision can be done in the office by grasping the base with forceps and twisting off the polyp (polypectomy). Polypectomy does not require anesthetics. Bleeding after excision is rare and can be controlled with chemical cautery. Cervical cytology should be done.
If bleeding or discharge persists after treatment, endometrial biopsy is done to exclude cancer.
Cervical polyps rarely become malignant.
Most are asymptomatic, but some cause bleeding or become infected, causing purulent vaginal discharge.
Diagnose by speculum examination.
If polyps cause symptoms, remove them; if bleeding or discharge persists after removal, biopsy is required to exclude cancer.