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For further information, see CMDT Part 18-04: Cervical Polyps

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

  • 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

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