Cervical Polyps During Pregnancy: Concerns and Care - Obstetrics and Gynecology

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Cervical polyp


Hello Doctor, I am currently 22 weeks pregnant.
During a previous internal examination, the doctor mentioned that a polyp on my cervix was bleeding.
They placed a gauze to stop the bleeding and sent me home with a suppository.
Later, when I removed the gauze, there was indeed a significant amount of blood on it.
I would like to ask why the polyp was bleeding but I did not experience any external bleeding? If there was no external bleeding, does that mean I should be less concerned? Thank you for your response.

Wang, 30~39 year old female. Ask Date: 2023/07/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, polyps can sometimes cause bleeding.
If the bleeding stops, you can just observe it.
It is advisable to address it after childbirth.
However, if the bleeding does not stop, it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2023/07/12

More Info


Cervical polyps are relatively common benign growths that can occur on the cervix, and they can sometimes be found during pregnancy. Your situation, where you are currently 22 weeks pregnant and have been informed of a cervical polyp that is causing some bleeding, raises several important considerations regarding the management and implications of cervical polyps during pregnancy.

First and foremost, it is essential to understand that cervical polyps are usually benign and do not typically pose a significant risk to the pregnancy or the fetus. However, they can occasionally cause symptoms such as bleeding, which can be concerning for expectant mothers. The bleeding you experienced may be due to the polyp itself, especially if it is irritated or inflamed. It is also possible that the polyp is causing localized irritation, leading to bleeding that may not be significant enough to be noticed until you had the gauze in place.

The fact that you did not notice any blood until the gauze was removed does not necessarily indicate a serious problem. It is common for polyps to bleed intermittently, especially if they are disturbed or if there is increased vascularity in the area due to hormonal changes during pregnancy. The presence of blood on the gauze suggests that the polyp may have been the source of the bleeding, but it does not automatically mean that there is a severe issue.

In terms of management, your healthcare provider will likely monitor the situation closely. If the bleeding is minimal and the polyp is not causing significant discomfort or complications, they may recommend a conservative approach, which includes regular monitoring through routine prenatal visits. It is essential to keep your healthcare provider informed about any changes in your symptoms, such as increased bleeding, pain, or any other concerning signs.

If the polyp continues to cause bleeding or if there are any signs of complications, further evaluation may be necessary. This could involve additional imaging or, in some cases, a procedure to remove the polyp if it is deemed necessary and safe for you and your baby. However, such interventions are typically avoided unless absolutely necessary during pregnancy.

In summary, while the presence of a cervical polyp during pregnancy can be concerning, it is often manageable with careful monitoring. The key is to maintain open communication with your healthcare provider, report any changes in your condition, and follow their recommendations for prenatal care. Most importantly, try to stay calm and focused on your pregnancy, as stress can also affect your well-being. Remember that many women with cervical polyps have healthy pregnancies and deliveries. Your healthcare team is there to support you and ensure the best possible outcome for you and your baby.

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