Cervical Polyps: Risks and Management During Pregnancy - Obstetrics and Gynecology

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Cervical polyps are common benign growths on the cervix that can occur during pregnancy. They are typically asymptomatic but can sometimes lead to complications such as bleeding. In your case, the discovery of a cervical polyp during your 26th week of pregnancy, especially following an episode of bleeding, understandably raises concerns about potential risks and management strategies.

Firstly, it’s important to note that cervical polyps are generally not cancerous. The microscopic examination of your polyp indicated a "decidual reaction," which is a normal response during pregnancy. This suggests that the polyp is likely benign and related to the hormonal changes occurring in your body as it adapts to support the pregnancy. The presence of positive progesterone (PR) and estrogen (ER) receptors further supports the benign nature of the polyp, as these hormones are typically elevated during pregnancy.

However, the fact that your healthcare provider has recommended further evaluation and a second biopsy indicates that they are taking a cautious approach. This is standard practice, especially when there are any atypical features noted in the initial pathology report. While the likelihood of a cervical polyp transforming into cancer is low, it is not impossible, particularly if there are atypical cells present. The recommendation for follow-up and possibly a re-biopsy is a proactive measure to ensure that any changes can be monitored and addressed promptly.

In terms of management during pregnancy, the primary focus is on monitoring both the health of the mother and the fetus. Since your fetal assessments have returned normal, this is a positive sign. It is crucial to maintain regular prenatal check-ups to monitor any changes in your condition. If you experience any further bleeding, increased pain, or other concerning symptoms, you should contact your healthcare provider immediately.

For your peace of mind, here are some key points regarding cervical polyps during pregnancy:
1. Benign Nature: Most cervical polyps are benign and do not pose a significant risk to the pregnancy or the fetus.


2. Monitoring: Regular follow-ups with your obstetrician are essential. They will likely perform ultrasounds and other assessments to ensure that the polyp does not interfere with the pregnancy.

3. Management of Symptoms: If bleeding occurs, it may be managed conservatively unless it becomes severe or persistent. Your healthcare provider may recommend avoiding certain activities that could exacerbate bleeding, such as sexual intercourse.

4. Postpartum Considerations: After delivery, further evaluation of the polyp may be warranted, especially if there are any concerns about its characteristics. This may include a repeat biopsy or removal if indicated.

5. Communication: Maintain open communication with your healthcare team. Discuss any concerns you have about the polyp, its implications for your pregnancy, and the results of any follow-up tests.

In conclusion, while the presence of a cervical polyp during pregnancy can be concerning, it is often manageable with careful monitoring and follow-up. The likelihood of it being cancerous is low, particularly given the findings from your initial pathology report. However, it is wise to remain vigilant and proactive in your care. Always feel empowered to ask your healthcare provider any questions you may have regarding your condition and the steps being taken to ensure your health and the health of your baby.