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Key Features

  • Commonly occur after menarche and are occasionally noted in postmenopausal women

  • The cause is not known, but inflammation may play an etiologic role

  • Must be differentiated from polypoid neoplastic disease of the endometrium, small submucous pedunculated myomas, large nabothian cysts, and endometrial polyps

  • Cervical polyps rarely contain dysplasia (0.5%) or malignant (0.5%) foci

Clinical Findings

  • Discharge and abnormal vaginal bleeding

  • Abnormal bleeding should not be ascribed to a cervical polyp without sampling the endocervix and endometrium

Diagnosis

  • The polyps are visible in the cervical os on speculum examination

Treatment

  • Asymptomatic polyps in women under age 45 may be left untreated

  • Cervical polyps can generally be removed in the office by avulsion with a uterine packing forceps or ring forceps

  • If the cervix is soft, patulous, or definitely dilated and the polyp is large, surgical D&C may be required (especially if the pedicle is not readily visible)

  • Hysteroscopy may aid removal and lead to identification of concomitant endometrial disease

  • Because of the possibility of endometrial disease, cervical polypectomy should be accompanied by endometrial sampling, and all tissue removed should be submitted for microscopic examination

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