Cervical polyps-matter of concern?

What are cervical polyps?

 

Cervical polyps are elongated tumors that grow on the cervix.  Cervix is the narrow, lower part of the uterus. Cervix connects the uterine cavity  and the vault or  upper part of the vagina.  It acts as the passageway for sperm to ascend from vagina through the uterine cavity, into the Fallopian tubes to fertilize an egg, resulting in pregnancy. During labor, the cervix becomes thinner and gets dilated, which allows the baby to pass through the birth canal.  

Case Report

A 40 year old lady was admitted at Sri Sri Holistic Hospital recently with  severe bleeding P/V of 15 days duration and H/O, prolonged and profuse bleeding p/v – past 3 menstrual cycles and Preponed menstrual cycle and excessive bleeding P/V since 1 year. Patient had  severe anaemia (Hb-5.8G/dl).

On per vaginal examination, the uterus was found to be bulky, a fleshy firm and smooth  mass is felt protruding through the external os of  the Cervix

On per speculum examination  a reddish, fleshy  mass is seen coming out of External os of  the Cervix

The USG report – Bulky uterus with thickened endometrium, small seedling fibroid in the anterior wall and hepatomegaly

Polypectomy is done  by gentle  twisting of the polyp under I.V. sedation. The specimen was sent for histo pathological examination

The  report showed that it was a benign cervical fibroid polyp.

Patient recovered soon after the procedure. Her anemia is rectified and menstrual cycles have regularized.

What are the causes of cervical polyps? 

·         Infection

·         Long-term inflammation, caused by

Ø Bacterial infection

Ø HPV infection, which can also cause warts

Ø Herpes

Ø Yeast infections

·         Pregnancy

·         Miscarriage

·         Abortion

·         Hormonal changes

·         Abnormal response to an increase in estrogen levels

·         Congestion of blood vessels in the cervical canal

Symptoms cervical polyps:

Vaginal spotting or bleeding:

  • After sexual intercourse
  • Between periods
  • After douching
  • After menopause

In rear situations, polyps may represent an early phase of cervical cancer. Getting cervical polyps removed can reduce this risk for cervical cancer to develop.

Treatment for cervical polyps:

  • Smaller polyps may be removed with gentle twisting
  • Electrocautery may be needed to remove larger polyps

Cervical polyp seen through speculum examination

 

 

Cervical Polyp after excision

 

 

 

 

 

 

 

 

 

Cervical Polyps

 

About the Doctor:

Dr. Vijayalakshmi Aluri is an experienced  Obstetrician & Gynaecologist serving several thousands of women of  3 generations for the past  46 years as owner of  VijayaLakshmi Nursing Home at KAKINADA and presently @ SRI SRI HOLISTIC HOSPITAL, NIZAMPET ROAD, Hyderabad. Around 20,000 children had their first breath in the hands of Dr. Vijayalakshmi

Dr. Vijayalakshmi has also authored health education books for pregnant women and Adolescent girls. She is a translator of many Internationally famous health education books.

Dr. Vijayalakshmi is the Managing Trustee of a service organisation, called Centre for Empowerment and Development of Women -CEDOW, facilitating  academic, economic and health empowerment of  thousands of women, 

About the Hospital:

Sri Sri Holistic Hospital is a leading 100 bedded multi specialty hospital in Nizampet road, Kukatpally, Hyderabad. Sri Sri Holistic Hospital provides high standards of healthcare with a combination of advanced technology and state of art clinical expertise and empathetic care of the patients. With more than 52 most experienced and skillful doctors, few of them having  International training  and 400+ staff, we served at least 50,000 patients within a span of less than 5 years.