Cervical Polyps

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

Discharge and abnormal vaginal bleeding

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

The polyps are visible in the cervical os on speculum examination

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

Polyps with a wide base may require electrocautery at the base to prevent bleeding and decrease recurrence risk