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Polyps are often diagnosed in women. This applies to older women. If you do not take any measures, then everything can turn into a cancer or other complication.
If within a given time frame we start carrying out diagnostics and stop a polyp in time in the uterus, then the oncological process can be avoided.
Does the cervical polyp need to be removed? Many doctors and specialists in the field of gynecology believe that any polyps must be removed in a short time. Any neoplasm in the uterus should be stopped immediately. In any case, it is only the patient who decides whether to remove the polyp or not. Nobody has the right to force it. But in any case, you need to warn about further complications.
Does the polyp on the cervix need to be removed? In order to conduct surgery there are some indications. These are:
- The sizes of polyps of the cervical canal are more than 10 millimeters.
- The age limit is over 45 years old.
- Inability to have children (infertility).
- The lack of a positive effect of treatment in a conservative way.
- Polyps of adenomatous origin.
Does a polyp remove a cervical canal? If a polyp is diagnosed with more than 10 millimeters, it should be removed immediately. Most often, if a polyp is found 5-6-7 mm, then it can be stopped in a conservative way. If a large polyp is not removed, there may be a number of problems. A woman with a large polyp may not have offspring, a profuse bleeding occurs or a polyp is malignant - uterine cancer. Polyp cervical canal is best removed if it is large!
Uterine cervix can be removed? Very typical is the fact that polyps appear in women after 42-44 years. The reason for this is some changes in hormonal levels. This process leads to the appearance of polyps, which can turn into malignant neoplasms. Therefore, after such an age you need to quickly get rid of these tumors.
There is a condition when a woman cannot give birth to a child. The reason for this is sometimes the presence of a polyp in the reproductive organ. In order for a woman to have a chance to become pregnant, it is necessary to remove the polyp surgically. Due to the large size of the polyp, the sperm cannot mechanically enter the uterine cavity. Even if for surprising reasons a woman could become pregnant with the presence of polyps, then in the future they may be the cause of her interruption.
If the patient is treated in every way conservatively and there is no effect, then one has to resort to the operative method. It should be noted that a conservative treatment regimen in some cases helps to get rid of a polyp, then no doctor gives a 100% guarantee. Some hormonal drugs stop growth, but even this is not enough, it is necessary to stop it completely. Usually, when no effect is observed, in any case, the symptoms begin to worsen gradually (bleeding, pain, discharge of a different nature). Cancer of the cervical polyp must be removed as soon as possible.
If, after diagnosing a woman, polyps of adenomatous origin are found in her, then this is a direct indication for surgical removal. These polyps urgently need to be removed, as they can quickly turn into cancer tumors.
Unfortunately, in order to achieve quick and good results, it is necessary to remove a polyp immediately and radically. Conservative treatment can stop growth and in rare cases, stop it.
Do I need to remove the polyp of the cervical canal, and by what method?
To stop a polyp surgically, there are several methods. But hysteroscopy is a favorite and effective method of removing a polyp. Usually this method is combined with curettage. After the surgical removal, this material is sent to the laboratory for diagnostic histological examination.
Also, other methods are able to remove the polyp: curettage, diathermocoagulation, conventional polypectomy or cryodestruction. But they are, according to doctors, less effective than hysteroscopy. But any doctor chooses a method for different age or clinical data of the patient.
Rehabilitation and postoperative period
If a cervical canal polyp is removed, what should I do? After the surgical removal of the polyp has been carried out, some negative processes may appear. It does not depend on the method of removal, but on the body of a woman. These side effects are:
- The risk of infertility.
- Some unpleasant feelings after intimacy and sexual intercourse with a partner.
- Discharge of bloody nature, which can be stopped only by medication.
- Repeated appearance of a polyp, after an earlier operation.
- Incomplete removal of the polyp, most often the mistake of the doctor. The remains of a polyp can grow and turn into a cancerous tumor.
- Perforation in the uterus (very rare).
- Adhesive disease, which is most often diagnosed after curettage. It is best to stop the spikes with a laser.
- Delayed menstruation, up to several months.
- There may also be fever, pain in other parts of the perineum. The appearance of infection in the urinary system.
Reasons for education
Although the diagnosis of "cervical polyp" is often given to women, the etiology of the disease has not been fully studied. Long-term studies have shown that the following factors can provoke the appearance of a neoplasm:
- genital tract infections
- sexually transmitted diseases
- vaginal dysbacteriosis,
- chronic inflammatory diseases of the reproductive organs,
- postponed abortions,
- curettage of the uterus in history
- hormonal disorders,
- reduction of body defenses
When cervical inflammation continues for a long time, the immune response to contact with pathological pathogens is disturbed. Local immunity starts to work incorrectly, which increases the risk of polyp formation.
Most often, cervical growth is detected among women aged 31 to 50 years. At birth, or those who have passed into the postmenopausal period, are at a lower risk.
Young women in labor, soon after the birth of a child, often go to a doctor, and they detect such a tumor.
Symptoms of the disease
Usually, women do not experience symptoms. While the formation of a small size, their presence can not be felt. The initial stages of the development of the disease occur without manifestations. An indirect sign of the development of the disease - characteristic discharge from the vagina - whiter.
However, the formation of a polyp in the cervical area is rarely an independent disease. That is why women can feel the symptoms of other pathologies. Many had to deal with menstrual disorders, constant abortions of pregnancy in the early stages.
The occurrence of unpleasant sensations in the area of the cervical canal causes a lot. It is difficult to diagnose the symptoms, it is important to consult a doctor.
Mucosa of the uterus constantly highlights some kind of secret. Basically it is needed for lubrication of the genital organs and for self-cleaning of tissues from waste cells. Most of this discharge evaporates from the heat of the human body, only a few go outside.
If you pay attention to how the nature of the discharge changes, you can notice the pathology. The following changes are observed:
- brown ointment in case of damage to the growth,
- copious white mucous discharge,
- daub before and after menstruation.
In more severe cases, bleeding occurs that are not associated with menstruation. If such a phenomenon occurs during menopause, emergency medical examination is required, as this may be a symptom of a malignant tumor.
If, in addition to new growths in the reproductive system of a woman, an infection is present, the discharge may acquire a characteristic unpleasant odor. The mucus sometimes becomes yellowish or greenish with impurities of pus.
A polyp in the cervix is capable of provoking pain if its size is larger than average. Small neoplasms usually do not cause any discomfort.
Severe pain in the lower abdomen can appear on any day of the cycle, and sensations sometimes give way to the lower back. Large uterine and cervical polyps give the woman pain during sexual intercourse. Since the neoplasm is injured, a small bleeding is not excluded.
The formation of a polyp in the cervical canal leads to a change in the nature of menstruation. The discharge becomes stronger and the bleeding lasts longer than usual. All the days of menstruation are painful.
Since pathology is often accompanied by hormonal disorders, estrogen can increase. As a result, the endometrial layer thickens, which also contributes to more heavy bleeding.
When ovarian fouling polyps pain only increases. Women experience signs of general malaise, as they lose a lot of blood.
Polyp in the cervix - the cause of infertility. The long-awaited pregnancy does not occur due to the fact that sperm can not easily get into the genital tract of a woman, because of which fertilization does not occur.
Cervical polyposis often changes hormones. As a result, there is no ovulation and ovulation.
An enlarged polyp should encourage a woman to undergo an examination as well as a full course of treatment. There are several types of tumors. They differ in histological features. It is possible to determine which growth has developed (ferrous or not) only after its removal and analysis.
Formations in the uterus canal are single or multiple. The growths differ in consistency. During examination, the doctor will see that they have a different color, shape and size. There are 5 main forms of polyps.
Most growths in polyposis feed on a blood vessel that passes inside the formation. If not, the pathology is called pseudopolyposes.
Polyps on the cervix fibrous type formed from connective tissue. Most often, such a diagnosis is made to women who are over 45 years old. In young years, such growths are usually not formed.
The risk of transition pathology in malignant tumors is relative. Galls do not cause severe symptoms, rarely bleed, since they are almost never injured and do not provoke inflammatory processes.
Polyps on the uterus of the glandular type are formed from randomly located glands. They are distinguished by a soft texture, manifested by abundant mucous secretions. More often diagnosed among young women.
Polyp growth is associated with the formation of the endometrium. In the reproductive age, these processes are active, which increases the risk of growths. The tendency to rebirth in cancer is not observed.
The treatment of such pathologies is usually successful, without recurrence.
Among the growths of the cervical region, the decidual polyp arises from an already formed tumor. The appearance of education triggered by pregnancy. In size it can exceed 1 cm.
After implantation of a fertilized egg, the mucous membrane of the uterus begins to change. On the pedicle, polyps of this type can be single or multiple. Often there are pseudopolyps, devoid of the vascular bed.
Adenomatous type of polyps is one of the unfavorable pathologies of the vaginal mucosa, as it is considered a precancerous condition. Oncological pathologies of the uterus in many cases develop precisely against the background of this form of the disease.
The neoplasm is rapidly and chaotically growing, fully supplied with blood vessels. Hormonal changes increase the risk of developing oncology.
The structure of the glandular-fibrous type of a polyp of this type is mixed, as it is formed from several types of tissues. May degenerate into adenomatous form, has a tendency to grow rapidly. There are cases when the formation reached 2.5 cm in size.
In this form of polyposis, epithelial tissue thickening occurs, and areas of necrosis are formed. The occurrence of inflammatory processes is characteristic, the risk of malignancy is high.
Polyp endocervix is diagnosed most often by chance during a routine gynecological examination. Further procedures are aimed at determining the type of neoplasm and choosing the appropriate method of therapy.
The nature of the neoplasm of the cervical canal can be determined using the following diagnostic procedures:
- fractional curettage.
If a cancer tumor is suspected, the doctor will decide which is better: to perform a biopsy or selective curettage. Much depends on the position of the polyp in the channel.
Clearly examine the state of the walls of the cervical path and the external features of tumors by using a hysteroscope. Histological examination is a mandatory measure to determine the exact tissue type.
Modern medicine offers many ways to remove cervical polyps. The method of intervention is determined by the doctor in consultation with the woman.
An important aspect of surgical intervention is the ability to conduct histological examination after removal. This means that the polyp must be removed completely, while you need to preserve as much as possible its original form.
Sometimes after removal of the polyp, curettage is required. This procedure is performed in the following cases:
- in the growth proceeded inflammation,
- there is a suspicion of malignancy,
- high probability of damage to neighboring organs and tissues.
A woman passes the necessary tests and goes to the hospital. Anesthesia is performed, and the operation is done on an empty stomach. The intervention is carried out in the first half of the cycle, a few days after the completion of menstruation.
There are several methods for removing a polyp: using a clamp, a radio wave or laser beam (only the smallest polyps are removed with a laser), cauterization, hysteroscopy. Some methods do not apply to nonparturiating women to avoid the appearance of a scar, which will lead to complications during subsequent pregnancy and childbirth.
Anesthesia is not always used, as some methods are completely painless. In very advanced cases, complete removal of the uterus is possible. This method is used for cancer tumors and for frequent relapses of polyposis.
Treatment without surgery
Surgery is not always as serious as it is presented. For example, the removal of radio waves or laser does not cause severe pain and is characterized by a rapid period of rehabilitation. However, many women refuse surgical treatment.
It is impossible to get rid of polyposis in the cervical canal using drug treatment methods. Such therapy allows to reduce the rate of progression of the pathology, but does not exclude it completely.
Treatment with hormonal drugs will give a therapeutic effect, provided that the disease was provoked by this very problem. The doctor will select the appropriate oral contraceptives or gestagens.
Such medications reduce progesterone levels and decrease estrogen. This helps to stop bleeding, restore normal regularity of menstruation, reduce pain.
Duration of hormonal drugs - six months. They should be taken within 21 days, then a week break is taken. If necessary, the doctor may recommend a longer course of treatment.
If a glandular fibrous polyp is formed as a result of an infectious disease, antibacterial agents should be included in the complex treatment. The type of antibiotic is determined by the doctor, based on the results of laboratory tests.
Gynecological diseases most often cause the following microorganisms:
Antibiotics destroy pathogenic pathogens that colonize the cervical mucosa. The method of administration is determined individually.
Along with antibiotics requires the use of drugs with anti-inflammatory action. This is especially important in the development of comorbidities of inflammatory etiology.
These drugs also have an analgesic effect. After surgery, during healing, a woman may experience severe pain. Reception of NSAIDs will facilitate its condition.
Any disease in which there was no quality treatment, leads to unpleasant complications. Much depends on the moment of the development of the pathology and the method used.
The following complications most often develop:
- the impossibility of natural childbirth,
Рубцевание шейки матки – распространенное осложнение после патологии, которая пролечена путем прижигания полипа. Многие методики вызывают местный ожог, а со временем образуется рубец. Because of this, the size to which the uterus is able to expand during pregnancy and childbirth becomes smaller.
The risks of bleeding are usually low. Blood excretion occurs no longer than 1-2 days. A longer phenomenon is observed in those who underwent a full surgical operation. The more uterine tissue was damaged, the greater this risk.
Do not immediately become pregnant after removal of the polyp. The body needs time to recuperate.
You can protect yourself from the formation of polyps by following these simple tips:
- eat right,
- visit the gynecologist twice a year for a routine examination of the cervical canal,
- eliminate casual sex,
- refuse to take uncontrolled antibiotics, which destroy the vaginal microflora,
- avoid stressful situations and physical exhaustion,
- do not abuse alcohol
- use condoms during sex,
- to have a regular sex life.
To prevent the development of serious pathologies in the cervix, it is necessary in time to treat polyps and infections. A visit to the doctor will help with this.
It is possible to get rid of a polyp in the uterus. It is important to start therapy on time and find the right method. Then there will be no obstacles for the subsequent conception.
Symptoms of having a cervical polyp
The formation of a polyp of the cervical stroke may not affect the well-being of women. However, there are cases of pronounced signs of pathology:
- Pain and pulling sensations in the lower abdomen, felt simultaneously in the lower back,
- Abundant discharge of a yellowish tint during the entire period between menstruations,
- Highlight brown with blood in the middle of the cycle,
- Discomfort and pain during sex
- Severe abdominal pain during menstruation,
- Miscarriages in cases of conception.
The reasons for the latter state are not clarified by the doctors. Most scientists tend to associate the inability to conceive and endure a child with the instability of hormonal background during the development of a polyp of the cervical course.
Preparation for removal of cervical neoplasm
Initially, the patient makes an appointment with a gynecologist, who diagnoses the presence of a neoplasm, ascertains its size and stage of development. It is mandatory to have a colposcopy and a number of preoperative analyzes before surgery to eliminate a cervical polyp. The patient is directed to the following studies:
- A smear from the cervical canal for analysis by the method of polymerase chain reaction,
- Smear for the presence of chlamydia, gardnerell, ureaplasma, mycoplasma, papillomavirus and trichomonas,
- Cytological analysis of scrapings,
- A smear from the cervix, the canal itself, the vagina and the urethra on the microflora,
- Complete blood count, blood sampling for sugar and platelets.
Also, before removing the polyp of the cervical tract, blood is examined to determine antibodies to mycoplasma, chlamydia, and ureaplasma.
At the second reception, the doctor examines the data and sets a date for the removal of the cervical polyp cervical polyp. The operation should be carried out either 1 day before the onset of menstruation, or immediately after its completion.
How is the removal of a cervical polyp?
To date, there are several physicians eliminate the polyp of the cervical canal, allowing to carry out this operation. The method of laser removal of a polyp is particularly popular - the cervical course is practically not injured. In addition, with this removal of the cervical growth, the risk of attaching infections during the procedure is distorted, which becomes a decisive factor when choosing a method to eliminate a polyp of the cervical tract.
Modern clinics offer several types of surgery to eliminate a polyp of the cervical canal:
- Radio wave procedure
- Scraping a cervical polyp stem,
- Removal by cryodestruction and electrical destruction.
Since the growth of the cervical canal is something similar to a wart, the process of removing it is almost the same as papilloma cleavage.
The course of surgery to remove a cervical neoplasm
Removal of a polyp localized in the tissues of the cervical canal is always performed under general anesthesia. As soon as the anesthesia takes effect, the surgeon proceeds to the detection of the cervix with a mirror. After that, it captures the polyp with a fenestrated clip and produces circular motions. Removal is performed by unscrewing the growth from the cervical canal together with the leg.
After the removal of a large polyp from the surrounding tissue is numb, the surgeon scrapes the cavity of the cervical canal, removing the remains of the leg of the formation.
If the polyp is located in the upper parts of the cervical canal, its removal is carried out under hysteroscopic observation. In cases where the tumor is on the contrary close to the external pharynx, it is dissected wedge-shaped, and then suture with catgut. When you re-extract a polyp of the cervical orifice after a recurrence of the disease is detected, a cone-shaped amputation of the neck is performed.
After twisting the polyp of the cervical canal, the surgeon cauterizes his bed and sends the removed pathological tissue for histological examination. First of all, it is necessary in order to detect or eliminate the presence of cancer cells in them. In addition, the test results are necessary for the appointment of further therapy: antibacterial, hormonal or anti-inflammatory, necessary for the final treatment of a cervical polyp.
At the next stage, the place of the former localization of growth is processed according to the method chosen by the doctor. One of the treatment options is the drug Solkovagin. After it is used, a crust forms at the site of the operation, which then departs with secretions. The disadvantage of this method is that it is necessary to conduct a whole course of treatments.
The method of cryodestruction of the leg of a cervical polyp is often used - the effect of extremely low temperatures on abnormal cells in order to grow. The method requires experience and the presence of certain skills of the doctor, since he needs to choose the speed and depth of freezing to obtain the maximum effect.
Laser removal of cervical neoplasm
The advantages of laser exposure to cervical polyp tissue are fast recovery, the absence of scars on the cervix, the good condition of the reproductive organs after surgery, minimal blood loss. Removing the cervical polyp occurs with maximum precision, healthy tissue is not damaged. Such an operation is performed on an outpatient basis - within a few hours after it, the patient is discharged for home treatment.
However, there are some drawbacks. So you can use a laser beam only to work with single entities. The rehabilitation period is accompanied by abundant secretions from the cervical canal.
If a cervical polyp is detected in a pregnant woman?
If the growth occurred during pregnancy, the doctor chooses a waiting tactic, tracking the dynamics of the disease, instead of immediately setting the exact date for the removal of the polyp of the cervical passage. In some cases, it disappears on its own after childbirth, and then no intervention is required.
If in the process of carrying a child, the growth quickly increases and exceeds 2 cm in diameter, you should resort to polypectomy or hysteroscopy. The doctor may decide to urgently remove an overgrown polyp.
The rehabilitation period after the elimination of a cervical polyp
For 10 days after the removal of the cervical canal tumor, the patient is shown antibacterial treatment. At the same time, hormone therapy may be prescribed. It is prescribed by a doctor when a woman has a hormonal failure.
It is mandatory to be observed by a gynecologist in the next few months after the removal of the polyp, in order to exclude the early recurrence of the disease and avoid the consequences of a possible addition of infection.
Sexual intimacy in the first 10 days after surgery is strictly contraindicated. Within 10 days, it is necessary to abandon the procedures related to immersion in water: bathing, swimming in the pool and natural water bodies.
It is prohibited to douche and use tampons for hygienic purposes. To protect the laundry from discharges, only pads should be used.
A few weeks after the elimination of the cervical polyp can not lift weights. It is better to abandon sports, especially if it is associated with strength training. If the procedure for removal of the polyp was carried out in the warm season, the patient is prescribed to limit the time spent in the sun. It is necessary to pay attention to the psycho-emotional state - nervous shocks and stresses are contraindicated until full recovery.
Given that wound healing after removal of a cervical polyp requires rest for the whole body, a woman should avoid shaking and the slightest overload. You can not plan road and rail trips, as well as air travel for several weeks, followed by the elimination of tumors of the cervical canal. The best option - some time to stay at home.
Planning for pregnancy after the elimination of a polyp of the cervical course is possible only when the blood discharge is completely stopped. As a rule, it is 2-3 weeks. If blood or mucus ceases to flow during this period, then a complication of the procedure for extracting a cervical polyp may be suspected. It is better to see a doctor soon.
The total time of the rehabilitation period, taking into account the prescribed hormonal or anti-inflammatory therapy, is about six months. If hormonal imbalance is not observed, the recovery period is reduced to 1-2 months.
If the polyp in the cervical canal is not removed?
In the absence of proper treatment and surgery of the cervical canal, the likelihood of polyp cells degenerating into malignant neoplasms is high. Sexually acquired infections and other infections can trigger cell changes. Medical manipulation can be a decisive factor in the development of cervical polyps: childbirth, curettage for the purpose of abortion and diagnosis, the installation of intrauterine devices. At risk and women in adulthood. Often the disease of the cervical canal develops before menopause due to hormonal adjustment.
Therefore, at the first alarming signs of polyps in the canal, you should contact your gynecologist. We can not neglect the scheduled preventive examinations, which need to be held at least once a year. Particular attention should be paid to the issue of planning a future pregnancy - if you want to have a baby, you should be examined by a gynecologist. Also, the prevention of cervical polyps should be followed by women whose age is approaching menopause.
What is a cervical polyp?
Polyp of the cervical canal is a benign growth that grows into the lumen of the cervix. Such outgrowths are formed from connective tissue and can be covered with a flat multi-layered, high cylindrical or immature epithelium of the endocervix. They are attached to the cervical canal with a leg (thin or thick). The place of their localization is the depth of the external pharynx of the cervix. If the cervical polyp is located on the long leg, then it can act in the vaginal lumen, then the gynecologist is able to visualize it with a standard examination.
All polyps have blood vessels that germinate in them as a tumor forms. It is their number that determines the color of the formation. The fewer they are, the paler the polyp. With a developed vascular grid, it can have a rich burgundy color. The more fibrous cells in the polyp structure, the more dense the growth will be. The size of the tumors varies from very microscopic to very impressive. The larger they are, the brighter the clinical signs of pathology. The maximum size of a cervical polyp is 40 mm, although they rarely grow to such volumes. The minimum diameter is 2 mm.
Frequent cases of detection of this disease during pregnancy - polyps are detected in 22% of women carrying a child. It is worth knowing about the existence of false cervical polyps or pseudopolyps. They are formed within a few weeks after conception, do not have legs. The structure of the cervical pseudopolype is represented by the transformed endometrium. If a pregnant woman is diagnosed with such an education, then she should be under special control by a gynecologist. When a pseudopolyp does not affect the process of carrying a fetus, it is simply observed. If there is a threat of termination of pregnancy, the education is subject to removal, which is carried out during gestation, without waiting for delivery. Polyps can be combined into groups, and can grow individually.
According to available statistics, this pathology is quite common and is recorded in women at different ages. However, more often cervical polyps occur after 40 years. Among other cervical neoplasms of a benign nature, polyposis is diagnosed no more often than in 25% of cases. Doctors consider this pathology background. The presence of multiple cervical polyps increases the risk of cervical cancer, therefore, requires regular follow-up with the doctor and timely treatment.
Symptoms of cervical polyps
The latent course of the pathological process is a fairly common characteristic of polyps. Almost nothing does not give themselves small formations with a wide leg. They are diagnosed, as a rule, by chance, when a woman visits a doctor for a different disease of the sexual sphere. It is worth noting that in the polyposis of the cervical canal, 70% of women are found to have associated gynecological diseases.
The fact that there is a polyp in the body can be suspected after it has been damaged, infected, ulcerated or inflamed.
In this case, the neoplasm manifests itself as follows:
Spotting, which can often be observed after intimacy or gynecological examination. Also, polyps are sometimes injured by hygienic tampons. This is especially true for tumors on the long leg that extend beyond the outer uterine pharynx into the lumen of the vagina,
If the polyp has undergone necrosis or has become inflamed, then in the period between the periods, the woman may start bleeding. In all other cases it is not typical for polyps,
When an education is infected, a woman will find whites that have a mucopurulent character. This process is more often subject to large polypous growths,
Pulling pain also occurs with large polyps. They are due to the fact that, due to the large outgrowth of the cervical os, it is not able to close properly,
Abundant mucous discharge occurs when a polyp presses on the glands of the cervical canal,
If a large education is found in a pregnant woman, then this may threaten her with a miscarriage, starting from an early term of gestation. Such risks are due to the fact that the polyp causes reflex irritation of the uterus, which causes it to involuntarily contract.
On the symptoms of cervical polyposis affects the structure of formations.
Depending on the cell composition of the tumor, certain signs predominate in a woman:
When fibrous formation symptoms are extremely scarce. This is due to the structural features of such a polyp. It has no glands, and therefore does not emit mucus. The fibrous stroma is dense and weakly penetrated by blood vessels, which reduces the possibility of injury to the polyp and the risk of bleeding,
Glandular polyps produce more mucus, which can increase the amount of intermenstrual secretions. But there will not be too many of them, since fibrous formations most often have a small size (up to 10 mm),
Glandular fibroids are mixed-type formations, they give the most pronounced symptoms. A brighter clinical picture of the disease due to the size, which can reach 25 mm or more. In this case, the woman complains of pain, notes contact bleeding and increased discharge in the period between cycles.
Causes of cervical polyps
Doctors are inclined to believe that the formations localized in the cervical canal are formed under the influence of a number of provoking factors:
Channel injuries. Various injuries adversely affect the structural state of the epithelium lining the cervical canal. Diagnostic curettage, abortions, aspiration biopsy, hysteroscopy are especially dangerous. Often the cervical canal suffers from an improperly installed intrauterine device. Кроме того, он может быть поврежден во время родов, особенно если они сопровождались травмирующими акушерскими манипуляциями. После полученной травмы эпителий запускает процесс заживления, именно регенерация становится причиной роста полипов.New mucous cells may divide too actively. Moreover, the injury does not necessarily have to be extensive, sometimes it is enough and a microscopic wound,
Structural changes in the surface of the cervix. Often the formation of polyps is preceded by pathologies such as true and false erosion, as well as leukoplakia,
Genital infections. When a woman’s immune defense is reduced, trichomoniasis, gonorrhea, chlamydia and many others pose a threat to the cervical canal. Rising from the vagina, microorganisms begin to infect the cervical canal, disrupting the natural composition of the mucus there. Occurs local inflammation, as a result of which the mucous membrane becomes more friable and easier to be injured. The protective response of the cervical epithelium is an increase in its own area due to cell division. As a result of this process, a polyp or their group is formed,
Nonspecific infection. The growth of tumors can stimulate pathologies such as vulvovaginitis, vaginitis, cervicitis, endometritis, endomyometritis,
Violations of the vaginal microflora. The longer an imbalance of bacteria is observed in the vagina, and the more often acidity fluctuations occur, the more favorable the environment becomes for the proliferation of the epithelial layer of the cervical canal,
Disorders of the ovaries. It is during ovarian dysfunction in women that polyps are most often detected in the cervical canal. They are accompanied by such diagnoses as fibroids, endometrial polyposis, endometriosis. Therefore, doctors suggest that excess estrogen is a powerful stimulator of growth of the epithelium lining the cervical zone,
External factors and endocrine diseases. Not always the cause of hormonal failure is ovarian dysfunction. Cervical polyposis may be caused by obesity, diabetes mellitus, overwork and stress,
Physiological processes. Hormonal surges in the body of a woman occur constantly. If you do not count the menstruation, they fall on the period of adolescence, at the time of carrying a child and at the time of entry of a woman into menopause.
Unclear etiology. It should be noted that polyps are not always formed under the action of provoking factors. Sometimes the occurrence of such tumors can not be explained by one reason or another. In this case, indicate a cervical polyposis of unknown etiology.
What are dangerous cervical polyps?
The growth localized in the cervical canal, despite the weak symptoms, carries a threat to the health of the woman.
The danger is this:
Polyps can transform into a malignant tumor, causing cervical cancer. Although such changes occur infrequently, however, the risk of rebirth exists. Therefore, doctors recommend removing such formations, regardless of their size and structure,
Increased risk of uterine bleeding. This threat is due to the fact that the polyp has its own blood vessels, and it can be up to 30 mm in size. If its wall is damaged, blood loss often occurs. Almost always it ends on its own, however, regular repetitions lead to anemia. The level of red blood cells and hemoglobin decreases, which negatively affects the well-being of women
During pregnancy, the presence of a polyp can be reflected very negatively, up to spontaneous abortion. Of other threats during gestation of the fetus on the background of cervical polyposis, it is possible to distinguish isthmic-cervical insufficiency, as well as a low location of the placenta,
Necrosis of the tumor with failure to provide medical care, consisting in surgical intervention, can cause the death of nearby tissues, blood poisoning and the death of a woman,
Hematometra is another danger of a cervical polyp. Due to the fact that the tumor has a large size and the ability to move, as well as its inflammation, the cervical canal can be blocked. As a result, the menstrual blood will begin to accumulate in the uterus, as its natural outflow will be disrupted. You can suspect a complication due to the absence of menstrual bleeding in a timely manner, the blood can leak, but it will have an unpleasant smell and its volume will be much less than it should be. In addition, the woman will experience pain in the lower abdomen, and the uterus will stretch and increase in size. Failure to provide timely assistance can begin the inflammatory process, up to sepsis and death.
In connection with such serious threats to the health and even the life of a woman, polyps must be removed as soon as possible after their detection.
Answers to popular questions
Do I need to remove a cervical polyp? Education found in the cervical canal, must be removed. It is not necessary to refuse operation, even if the polyp has absolutely insignificant sizes. The need for resection is due to the tense oncological situation in the world.
Can a cervical polyp disappear by itself? Education cannot self-liquidate, which is why there are no schemes for the medical treatment of such tumors.
How long does the bleeding last after the removal of a cervical polyp? If a low-impact method of getting rid of a neoplasm was chosen, then bleeding may not be observed at all. Sometimes spotting may last for 48 hours. Gradually, they are getting smaller, and after three days they disappear altogether.
What do abundant periods mean after removing a cervical polyp? When the formation is removed from the body, menstruation should return to normal. Her character may be additionally affected by the age of the woman and the number of polyps removed. Monthly after surgery normally should become less abundant and less painful. If, on the contrary, their volume has increased or the cycle has been broken, then it is worth contacting a doctor for advice.
Removal of cervical polyps - 5 methods
When a woman is determined with the choice of methods of surgical intervention, it is important for her to remember that after any operation she has to undergo a procedure of curettage of the entire cervical canal. Only in this way will it be possible to get rid of pathological cells that can lead to a relapse of the pathology. There are several methods to remove cervical growths.
This method has been around for a long time. During the procedure, excision and burning of the polyp occurs. For this purpose, the doctor uses an electrocautery. A high-frequency current passes through the device. As a result, polyp cells get burned and die. At the site of its attachment, a wound forms, which is covered with a crust from above. It provides additional protection against infection and bleeding. However, this method has certain contraindications. The operation is not prescribed to a woman if she is carrying a child, has not given birth before, and also suffers from a bleeding disorder.
Nevertheless, diathermocoagulation has an undoubted advantage, which lies in the widespread prevalence of the technique, which makes it accessible to every woman.
However, giving preference to such intervention, it is worth remembering its shortcomings:
After cauterization, a scar will remain in place of the polyp, which may complicate future childbirth,
The recovery process may take several months.
If the crust is not properly rejected, bleeding may occur,
The procedure is quite painful.
Nevertheless, the procedure is used everywhere, as it is not only affordable, but also gives the opportunity to get rid of polyps attached to the cervical canal with a wide leg.
Causes of a Cervical Canal Polyp
It is impossible to specify the reasons why polyps are necessarily formed in the cervix, but their development is always accompanied by one of the provoking factors or their combination.
The conditions that provoke the development of a polyp are often:
- Mechanical damage to the epithelium lining the cervical canal during abortions, diagnostic curettage, hysteroscopy, aspiration biopsy, uterus sensing, improper introduction of the intrauterine device and similar manipulations.
Also, the cervical canal can be traumatized by extensive genital ruptures or obstetric manipulations (manual examination of the uterine cavity to remove a piece of untreated placenta, obstetric forceps and the like).
Obviously, the healing process is accompanied by an overgrowth of “new” mucous cells in the damaged area. For the formation of a polyp, large damages are not necessary at all, sometimes it develops in the zone of microtrauma.
- Structural changes arising on the surface of the cervix. Often, polyps of the cervical canal are combined with erosion (true and false), leukoplakia and similar pathologies.
- Specific infectious inflammation in the external genital area. Genital infections (gonorrhea, trichomoniasis, chlamydia and the like) after lesions of the vaginal epithelium against the background of reduced local immunity can rise into the cervical canal, where they change the composition of cervical mucus and provoke local inflammation. Against the background of inflammatory edema, the epithelium of the cervical canal becomes loose and easily vulnerable. In response to inflammatory damage, the cervical epithelium begins to grow excessively, forming a polyp.
- Chronic nonspecific inflammatory processes in the vaginal epithelium (vaginitis, vulvovaginitis), cervix (endocervicitis, cervicitis) or uterus (endometritis, endomyometritis).
- Persistent dysbiotic processes in the vagina. Long-existing violations of the normal composition of the vaginal microflora and pH fluctuations lead to the creation of favorable conditions for the colonization of the vagina by opportunistic microorganisms that can provoke inflammation.
- Ovarian dysfunction. The largest number of cases of polyps in the cervical canal is registered among patients with dyshormonal pathologies: endometriosis, uterine myoma, endometrial polyps, hyperplastic processes in the endometrium. Obviously, the excessive influence of estrogen stimulates the pathological proliferation of the epithelium of the cervical canal.
Sometimes the ovaries do not cause hormonal dysfunction. It can cause severe psycho-emotional stress (stress, overwork) or endocrine diseases (diabetes, obesity, thyroid dysfunction).
- Physiological causes. Polyp of the cervical canal during pregnancy is formed according to physiological reasons, when excessive growth of cells is provoked by normal hormonal alteration. A similar cause of cervical polyps in menopause.
The above reasons do not always provoke the growth of polyps in the cervical canal maca. Sometimes cervical polyps occur in the cervical canal for unknown reasons.
Symptoms of a cervical polyp
Most cervical polyps do not cause negative subjective sensations. Polyps of small size, especially “sessile” on a broad basis, can be permanently asymptomatic in the cervical canal and are diagnosed by chance.
The clinical picture of polyps of the cervical canal is associated with the development of complications. Polyps on the leg are often more complicated, especially partially protruding beyond the external pharynx to the surface of the cervix. When the surface of such a polyp is injured, when it comes into contact with it, there is a small bloody discharge. This happens when using vaginal hygienic tampons, gynecological examination, intimacy or douching.
Intermenstrual bleeding for uncomplicated polyp of the cervical canal is not peculiar. But they can appear when a polyp is complicated by necrosis or inflammation.
Mucous or mucopurulent whites accompany the presence of a cervical polyp in the event of an infectious inflammation. It develops more often with large polyps, which significantly narrow the lumen of the cervical canal, and also create favorable conditions for inflammation.
The location of a large polyp in the area of the external pharynx prevents it from properly closing, causing nagging pains. All other existing symptoms (expressed pain, menstrual disorders, and others) are due to comorbidities (myoma, inflammation of the genitals, endometriosis, and the like).
Polyps that have reached a large size may be accompanied by copious mucous secretions due to constant pressure on the glands of the cervical canal.
Most cervical polyps have a pedicle and are localized closer to the external pharynx. Therefore, their diagnosis during a gynecological examination does not cause difficulties, since they are visualized in the lumen of the cervical canal even with the naked eye.
The size and shape of polyps of the cervical canal are very diverse. Often they do not exceed the size of half a centimeter, oval or round (less often mushroom or leaf-shaped), have a long stem that allows hanging in the vagina, and a smooth surface.
Blood vessels are present in the stroma of a polyp, they shine through the cylindrical epithelium covering the polyp, and give it a dark pink color. Rarely, when their surface is covered with a flat multi-layered epithelium, the polyps look whitish. A dark, cyanotic shade of a polyp becomes in the event of a violation of blood circulation in it (torsion of the legs, injury).
The consistency of a polyp is determined by the presence of fibrous tissue in them; the larger it is in the polyp, the denser it is.
After examining the cervix to clarify the diagnosis, all patients need a colposcopic examination. The method allows to examine the polyp in more detail, to determine the structure and structure of the cells covering it.
The structure of a polyp of the cervical canal can be clarified only by its histological examination, which is necessarily carried out after surgical removal of the polyp.
According to the cellular composition, cervical polyps are classified into:
- Glandular polyp of the cervical canal. Rarely exceeds the size of 1 cm. More often appears in young women. Its structure is dominated by randomly located glands.
- Fibrous polyp of the cervical canal. Appears mainly in old age. Mostly consists of a dense fibrous stroma, and almost does not contain glands.
Fibrous and glandular polyp of the cervical canal differ only in the ratio of glandular and dense connective tissue. The glandular structure of a polyp makes it softer. The fibrous polyp of the cervical canal is more dense.
- Glandular fibrous, mixed, polyp of the cervical canal. It has an equivalent ratio of glandular and fibrous structures. Mixed polyps often reach large sizes (2.5-3 cm).
The choice of therapeutic tactics depends on the structure of the polyp, it also in most situations indicates its origin.
Highly positioned polyps of the cervical canal cannot be seen during the examination or colposcopic examination, but they are clearly visible during ultrasound scanning with a vaginal probe. In the presence of a polyp, the lumen of the cervical canal is deformed, and the polyps themselves appear as different in density near-wall formations of a homogeneous structure.
Additional diagnostic measures are carried out in the case of a combination of polyps of the cervical canal with another gynecological pathology.
Sometimes patients with polyps incorrectly formulate their diagnosis. For example, they can say - "polyp of the cervical canal of the uterus." The cervical canal refers exclusively to the cervix, and it is incorrect to use the expression “cervical canal of the uterus”. Therefore, the phrase “polyp of the cervical canal of the uterus” should be replaced by “polyp of the cervical canal” or “cervical polyp”.
Treatment of a polyp of the cervical canal
It is impossible to eradicate the polyp of the cervical canal by non-operative means, therefore all of them undergo surgical elimination. However, there are situations when small cervical polyps without concomitant complications are treated conservatively with the use of anti-inflammatory drugs. Indeed, against the background of such treatment, polyps can significantly decrease in size or disappear altogether. Similar situations arise when the proliferation of the inner surface of the cervical canal of inflammatory origin (pseudopolyp) is taken as a true polyp of the cervical canal.
When the size of a polyp after anti-inflammatory treatment decreases, it means that the surrounding inflammation is eliminated, and the polyp itself remains in the cervical canal and must be surgically removed.
Preoperative preparation is required only in the case of associated inflammatory phenomena in the vagina and cervical canal. Полип удаляют после курса антибактериальной терапии при наличии нормальных анализов.
Операцию удаления цервикального полипа согласуют с менструальным циклом пациентки. Обычно она назначается в первые две недели после очередной менструации.
There are several methods of surgical treatment of a cervical polyp, but the end goal is always its removal followed by histological examination. In order to determine whether there are structural abnormalities in the surrounding polyp tissues, not only the polyp tissue is examined, but also the part of the mucosa on which it grew.
After removal of the cervical polyp, the patient should be monitored. The decision on further medical tactics is made after the histological conclusion. After elimination of the glandular cervical polyp, no special treatment is performed after the operation. Fibrous polyps arising in the cervical canal in postmenopausal patients have a small risk of malignancy (malignancy), so they should not be left without proper attention.
Mixed, glandular-fibrous polyps of the cervical canal are often accompanied by hormonal dysfunction, which can provoke a relapse of the disease. So that the cervical polyp does not grow again, an adequate correction of the existing hormonal disorders is carried out.
In situations where the patient refuses to remove the polyp from the cervical canal, one has to resort to medical treatment. Hormonal and antibacterial drugs eliminate the negative symptoms and help stop the further growth of the polyps of the cervical canal, but they are not able to eliminate them.
Specific methods for the prevention of recurrence of a polyp of the cervical canal today does not exist. The only effective method is the elimination of factors provoking a relapse. It is necessary to maintain normal hormonal function, timely treat the inflammatory processes of the genitals, eliminate endocrine disorders, avoid abortions.
Is it necessary to remove a polyp of the cervical canal and in what cases
Polyp does not threaten the life of a woman, but it can be reborn into a malignant formation, so timely therapy and treatment is simply necessary. Sometimes, the formations grow, significantly increase in size, which prevents the natural separation of the endometrium during menstruation. Such formations are dangerous:
- During pregnancy or for not giving birth girls.
- If there is inflammation of the polyp.
- If the bleeding has become more abundant between the menstrual periods.
- If there is strong pain in the lower abdomen.
What methods are used to remove polyps
Before considering the options and methods for removing polyps, it is necessary to determine the causes of their formation, symptoms, possible complications and treatment methods. Doctors and scientists for many years arguing about the prerequisites that provoke the formation of tumors. Some believe that the cause of the formation of polyps is hormonal failure, others argue that they occur as a result of infection, the virus or injury to the cervical.
Cervical canal polyps are not always accompanied by certain symptoms, so women often do not even realize that there is a problem. Detect the disease is possible when viewed from a mirror on a gynecological chair. Sometimes, the presence of polyps of the cervical canal is manifested by some symptoms:
- Violation of the menstrual cycle.
- The presence of bloody discharge between periods (often observed after intercourse).
- The abundance of blood during menstruation, severe spasmodic pain during this period.
- The presence of vaginal discharge.
- Feeling of heaviness in the lumbar region.
Removal of polyps in the cervical canal occurs by surgery. Until recently, the operation was performed under general anesthesia, which not everyone can normally undergo. In modern medicine, more gentle removal techniques are used, which are performed under local anesthesia. Common methods that are used to treat tumors are:
- Removal by laser.
- Radio wave removal.
Before choosing a removal option and getting a referral to the procedure, you need to go through a series of surveys and preparatory actions:
- Have a checkup at the gynecologist's doctor, where swabs will be taken to detect viral or infectious diseases. If any diseases are detected, they must be cured before the operation, so that after the procedure the site where the removal was performed does not become infected.
- To pass a complete blood count, for sugar.
- Colposcopy procedure, sampling for histology, biopsy.
In modern medicine, a polyp is removed without scraping. But sometimes this procedure is prescribed by the attending physician and is carried out in cases of:
- The doctor has a suspicion about the malignant nature of the polyps, the formations in the woman's cervical canal.
- If a long time there is bleeding in the intermenstrual period in women older than 40 years.
The curettage procedure consists in removing the endometrium from the cervical canal, which occurs every month naturally during menstruation. It is desirable to carry out the procedure a few days before the start of the menstrual cycle, it passes under anesthesia. The materials received as a result of operation are sent for further research. The main purpose of laboratory tests to confirm or deny the presence of certain diseases. After scraping, polyps often form again, watch the video to find out more about their occurrence after the procedure:
Laser removal of the polyp
Often a laser is used to treat polyps - this method is good both for removing tumors on the skin and on the mucous membranes of the internal organs. The procedure has its advantages:
- The procedure is possible for women who have not given birth.
- By the time the operation takes a minimum of time.
- After the operation, no traces, scars, scars, damaged tissues heal very quickly.
- No bleeding. This is due to the fact that the laser not only removes the neoplasm, but also simultaneously burns all the vessels.
- Low level of injury to mucosal tissues.
- Low probability of recurrence of the disease.
Radio wave removal
Removal of polyps by means of radio waves is a relatively new method of treatment. This technique has become a favorite for many doctors and they strongly recommend that patients perform this procedure. Advantage: no tissue injury occurs during surgery, such an intervention is considered the safest. Using this method does not leave scars and scars, and healing occurs very quickly. Recovery after surgery is easy, so there are a lot of positive feedback about the technique.
Treatment after removal of the polyp
After removing the polyps from the canal located between the uterus and the vagina, it is important to properly rehabilitate to prevent recurrence. What should be done after removal of polyps:
- Follow the recommendations given by the doctor.
- For 10 days drink antibacterial drugs so that the bed where the polyp was infected will not be infected.
- Take special medications if hormonal disruption is noted.
- Refrain from heavy physical work and do not lift heavy objects.
- Regularly examined by a gynecologist.
- In order to reduce the likelihood of infection, it is necessary for the next two weeks to abandon sex, water treatments in water and to minimize exposure to the sun.
- Try to spend the first time calmly, without emotional outbursts.
- If pregnancy is planned, it is better to wait a little, until non-standard vaginal discharge stops completely.
Where to remove polyps in Moscow
In order to get rid of the problem of polyps in the cervical canal, it is first necessary to find a suitable clinic so that the surgery can be done without problems. Although in Moscow there are a huge number of gynecological rooms where services are provided, few use innovative methods of treating the disease. Choosing an institution, you should pay attention to the following factors:
- How many years the clinic has been in the market of services, what reviews about it, the attending physicians.
- What techniques are used to remove polyps.
- What are the reviews about the operation to remove lesions on the mucous membrane of the cervical canal.
- What diagnostic methods are used, is it possible in one place to pass all the necessary tests and get the results as quickly as possible.
- The price of the services, how much is the operation and related analyzes.
Popular clinics in Moscow, where they conduct an operation to remove polyps are:
- Euromedprestige. Multidisciplinary clinic, one of the directions of which is gynecology. In Moscow there are several branches. Removal of polyps in the clinic occurs by polypectomy (unscrewing formations).
- "SM-clinic" - the operation is performed by unscrewing the polyp and scraping its remnants.
- "Network of gynecological clinics", which have many branches (including round-the-clock). They perform operations to remove polyps by hysteroscopy.
- Medical Center "Bionis." Here it is possible to carry out an operation to remove polyps using radio waves.
- "Medical and rehabilitation center" of the Ministry of Health of the Russian Federation. The operation is performed using a laser.
- Clinic Gynecology "Creda Expert" will help get rid of the problem with a laser.
Price for the removal of a polyp of the cervical canal
Prices in Moscow for services depend on many factors:
- Prestige clinic, reviews on the removal of polyps.
- Used treatment methods.
- Necessity to pass certain tests, to carry out diagnostics.
- Additional advice from another specialist.
The price usually includes:
- The first consultation with a gynecologist, which in different clinics ranges from 700 to 3000 rubles. A return visit will cost from 500 to 2 thousand rubles.
- Calposcopy costs from 1200 rubles.
- The operation to remove a polyp will cost from 2,000 to 10,000 rubles - it depends on the method, the type of anesthesia (an average of 2,500 rubles for a short-term and 5 thousand for a long-term), the number of formations.
- Preoperative studies, smears will cost at least 300 rubles each.
Polyps of the cervical canal should be removed by surgical intervention. To start the disease can not be to prevent the transformation of benign tumors into cancer cells. And for this you need to carefully monitor your health, regularly visit the gynecologist, undergo a medical examination and follow all his recommendations.
The doctor has the opportunity to use a laser to remove a cervical polyp when it is single and not too large. During the procedure, the doctor controls her progress with a hysteroscope. A significant disadvantage of this technique is that it cannot be used to remove several formations. In addition, the cost of laser cautery is quite high, and there is no guarantee that there will be a relapse in the near future.
However, surgery using a laser beam has its advantages. Firstly, the risk of perforation of the wall of the cervical canal is significantly reduced, as the doctor independently controls the intensity of the laser exposure and the depth of its penetration into the tissue. Secondly, during the procedure there will be no bleeding, since the blood vessels instantaneously coagulate. Thirdly, the recovery period is quite small, and after a few days, the woman will stop any discharge, and the menstruation will begin without delay.
Amputation of the cervix
The indication for removal of the cervix, together with the polyps present in it, is recurrent pathology. In addition, the cervical canal is removed if it is found that the tumor has already degenerated or has atypical cells. The procedure can be performed using all the methods listed above; the doctor obtains access to the cervix using a laparoscope. When this happens, the cone-shaped part of the neck is removed, as well as the mucous membrane lining the cervical canal. At the same time, the uterus itself does not suffer, and an intact mucosa begins to form again in the cervical canal.
Such an operation enables a woman to preserve reproductive function. It is suitable even for women who have not born with recurrent polyposis of the cervical canal.
This method of removing cervical tumors is the safest, most modern and painless for women. For the implementation of the procedure requires a special tool - a hysteroscope. The doctor inserts it into the vaginal cavity, into the desired area of the cervical canal. Having examined each tumor with the help of an existing camera, the surgeon removes them using miniature scissors (resectoscope) or a loop. She leans on the leg of the polyp and unscrews it at the very base. If a resectoscope is used, the polyp is simply cut off. The choice of instruments depends on the size of the cervical mass. To minimize the possibility of relapse, the place where the leg was attached, cauterized.
The time that is optimal for performing hysteroscopy is the end of the menstrual cycle. The operation is not carried out later than 10 days from the end of the last month.
Despite the advantages of the procedure, which consist in its safety, painlessness, as well as the ability to carry out a thorough curettage, hysteroscopy may not be applied in each case. For example, it is not performed if a woman bears a child, if she has a pathological narrowing of the cervical canal, infectious, oncological or inflammatory processes.
After the removal of the cervical polyp, the treatment does not end there.
A woman must adhere to the recommendations given by the doctor, among them:
It is forbidden to visit baths, saunas, steam rooms for two months, as excessive body overheating can cause bleeding,
It is not necessary to lift weights, it is necessary to refuse physical activities,
A doctor’s visit should be regular, which is related to the possibility of recurrence of polyps and the existing risk of their malignancy,
Sex life is banned for the next half month. You should also avoid swimming in open water to minimize the risk of infection,
The use of tampons during menstruation is prohibited. Within two months it is worth using sanitary pads,
Intimate hygiene should be especially thorough, which also avoids infection and wound infection. For washing in the first days after the intervention, you can use antiseptics, for example, Miramistin or potassium permanganate solution,
Planning for pregnancy should be postponed for the period recommended by the doctor. Most often, the break does not exceed six months, although sometimes it may be somewhat shorter,
Sometimes, in order to avoid infection after surgery (especially after amputation of the cervix), the doctor recommends taking antibacterial drugs for several days,
If any abnormal discharge from the vagina is found or if there is heavy blood loss, a medical examination is necessary.
After removal of the polyps, the woman remains registered with the gynecologist, as the formations can recur. For this reason, she should be examined every six months, remembering the asymptomatic course of the disease.
As for the prognosis, cervical polyps recur in about 30% of cases. There are no specific preventive measures. It is only important to eliminate any situations that traumatize the cervix and timely get rid of endocrine and gynecological pathologies.
As for the effective drug therapy of the cervical polyp, it does not exist. To date, there is no single means capable of eliminating such a neoplasm from the body or reducing the severity of the pathological process.
Therefore, if a woman is offered medication with a diagnosis of a polyp of the cervical canal, then it will be directed only to the treatment of comorbidities that became provocateurs for tumor growth:
Thus, hormone therapy helps to establish hormone balance, reduce the number of circulating estrogens, increase the amount of progesterone. This will help reduce the risk of recurrence of polyps after their removal. Doctors designate either oral contraceptives of the combined type (Janine, Regulon, etc.), or gestagens (Utrogestan, Norkolut, etc.). You should tune in for a long reception of hormonal drugs, since they are not able to have a significant effect on the body at one time. The minimum course takes three months,
Antibacterial therapy is indicated when polyps develop on the background of infection or inflammation of the genital organs. The drugs are selected individually, it depends on the specific disease,
Нестероидные противовоспалительные средства назначают при таких фоновых инфекциях, как аднексит или цервицит,
В дополнении к лечению женщине рекомендуют пройти курс витаминотерапии. Это будет способствовать усилению иммунного ответа. Particular attention should be paid to vitamin B and such minerals as magnesium, zinc and iron.
Article author: Lapikova Valentina Vladimirovna | Gynecologist, fertility specialist
Education: The diploma “Obstetrics and Gynecology” was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013, graduate school in NIMU named after. N.I. Pirogov.