Vaginal Polyps: Symptoms, Risks, and Treatment Options - Obstetrics and Gynecology

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Vaginal polyps are growths that can occur on the cervix or within the vaginal canal. They are typically benign (non-cancerous) and can vary in size. While many women with vaginal polyps may not experience any symptoms, some may notice abnormal bleeding, especially after intercourse or a gynecological exam, as well as increased menstrual flow or discomfort.

In your case, it seems that the internal examination may have caused some irritation or trauma to the area, leading to the fresh bleeding you experienced. This is not uncommon, especially if the polyps are present, as they can be sensitive. The bleeding should ideally subside after a short period, but if it continues or worsens, it is essential to follow up with your healthcare provider.

Regarding your question about the necessity of removing the polyp, it is important to understand that while many vaginal polyps do not require treatment, there are several factors to consider:
1. Symptoms: If the polyp is causing significant symptoms, such as persistent bleeding, pain, or discomfort, removal may be recommended to alleviate these issues.

2. Risk of Cancer: Although most vaginal polyps are benign, there is a small risk that they could harbor precancerous or cancerous cells, especially if they are larger or if there is a family history of gynecological cancers. Your doctor may suggest a biopsy to rule out any malignancy.

3. Monitoring: If you choose not to have the polyp removed, your doctor may recommend regular monitoring to ensure that it does not change in size or appearance, and to check for any new symptoms.

4. Treatment Options: If you decide to proceed with removal, the procedure is typically straightforward and can often be done in an outpatient setting. It usually involves local anesthesia and can be performed with minimal discomfort.
5. Post-Procedure Care: After removal, some bleeding and discomfort may occur, but this should gradually improve. Your doctor will provide specific aftercare instructions to help manage any pain and to monitor for signs of infection.

In terms of your ongoing pain and bleeding after the internal examination, it is crucial to communicate these symptoms to your healthcare provider. They can assess whether the bleeding is a normal response to the examination or if it indicates a need for further evaluation. It is also possible that the examination was more vigorous than necessary, leading to irritation.

In summary, while vaginal polyps can often be left untreated, the decision should be based on your symptoms, the potential risks involved, and your personal preferences. Regular follow-ups with your healthcare provider are essential to ensure that any changes in your condition are promptly addressed. If you have concerns about the pain or bleeding following your examination, do not hesitate to reach out to your doctor for further evaluation and guidance.